Billing and Compliance Analyst

Company: Acord (association For Cooperative Operations Rese
Location: San Francisco
Posted on: September 21, 2023

Job Description:

Under general supervision, applies acquired skills as a revenue cycle analyst to complete projects of moderate scope and complexity. Under the supervision of the ZSFG Division of Pediatrics Division Administrator and the Clinical Practice Group (CPG)Director, the Division of Pediatrics Billing/Compliance Analyst is responsible for organizing and maintaining the timely flow of documentation to the coding and billing department (CPG). This position is also the principal resource for evaluating documentation, management services and procedural reports as well as assigning the appropriate codes for billing. Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Impacts processes to include charge capture, coding, insurance identification, data entry, billing, payment posting, refund processing and collections. When needed, the incumbent is responsible to interface with various providers to ensure completion of documentation. The incumbent is responsible for the following but not limited to: timely review, coding, batching, submission, and tracking of inpatient charges. This position will coordinate and participate in the processing of charges by abstracting and coding medical information from patient records, ensuring accuracy of work and adherence to established coding guidelines. Income from clinical activity constitutes a significant percentage of the division's funding. The ability to track, analyze and report on revenue cycle issues is critical to the division's financial stability. May also be responsible for / integrated with business office operations. Under the supervision of the ZSFG Division of Pediatrics Division Administrator and the Clinical Practice Group (CPG) Director, the Division of Pediatrics Billing/Compliance Analyst is responsible for organizing and maintaining the timely flow of documentation to the coding and billing department (CPG). This position is also the principal resource for evaluating documentation, management services and procedural reports as well as assigning the appropriate codes for billing. Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Impacts processes to include charge capture, coding, insurance identification, data entry, billing, payment posting, refund processing and collections. When needed, the incumbent is responsible to interface with various providers to ensure completion of documentation. The incumbent is responsible for the following but not limited to: timely review, coding, batching, submission, and tracking of inpatient charges. This position will coordinate and participate in the processing of charges by abstracting and coding medical information from patient records, ensuring accuracy of work and adherence to established coding guidelines. Income from clinical activity constitutes a significant percentage of the division's funding. The ability to track, analyze and report on revenue cycle issues is critical to the division's financial stability. May also be responsible for / integrated with business office operations. To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): Please note: The compensation ranges listed online for roles not covered by a bargaining unit agreement are very wide, however a job offer will typically fall in the range of 80% - 120% of the established mid-point. An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role. For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range. To learn more about the benefits of working at UCSF, including total compensation, please visit:
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Keywords: Acord (association For Cooperative Operations Rese, San Francisco , Billing and Compliance Analyst, Accounting, Auditing , San Francisco, California