Revenue Cycle Analyst

Department: The Adult Pulmonary Function Laboratory is administratively housed within the Cardiovascular Research Institute (CVRI). The laboratory performs diagnostic testing as part of the clinical evaluation and treatment of patients referred from UCSF Medical Center and external facilities with a wide range of pulmonary diseases. These services also support select clinical research protocols conducted by Pulmonary attending physicians and provide training for medical students, residents, and Pulmonary fellows during their rotations on the Pulmonary Service at Moffitt-Long Hospitals. 

 

Job Summary: Revenue Cycle Analyst functions independently with a comprehensive understanding of all components of the revenue cycle. Leads and completes complex projects of diverse scope. Analyzes and resolves highly complex billing and reimbursement issues, including claim corrections, charge routing discrepancies, and system configuration errors. Applies expertise in payer contracts and coordination of benefits to address billing issues, mitigate reimbursement risk, and ensure accurate, compliant claim submission.

 

Evaluates trends in denials, accounts receivable, and reimbursement outcomes to prioritize workflows and drive improvements. Recommends and implements process, system, and policy enhancements to support efficient service delivery and optimize reimbursement.

 

Collaborates with clinical, revenue cycle, compliance, and financial services teams to design, implement, and sustain compliant billing workflows and system solutions. Establishes escalation pathways and alternative reimbursement strategies for complex claims and funding scenarios, ensuring alignment with internal policies and external regulatory requirements.internal policies and external reg

ulatory requirements.

Required Qualifications: - Bachelor's degree in related area and / or equivalent experience / training. - Minimum 3 years of related experience. - Thorough knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management. - Thorough understanding of the issues, processes, reporting instruments, metrics, analytics, and other tools and techniques involved with measuring and analyzing the revenue cycle. - Detail oriented, with proven ability to effectively manage time, see tasks and projects through to completion, organize competing priorities, and effectively address complex, urgent issues as they arise. - Strong skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management. Skills in common database, spreadsheet and presentation software. - Strong communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations. - Strong analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems and propose innovative solutions. - Strong interpersonal skills, with the ability to collaborate effectively on complex projects in a team environment with staff from a wide variety of business and clinical areas. - Proven ability to work with managers, serving as a technical resource, providing recommendations and advice on regulatory changes, and industry trends and developments in revenue cycle management.

Certified Professional Coder

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as https://www.ucsf.edu/about/mission-and-values . In addition to , UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available https://diversity.ucsf.edu/ . Join us to find a rewarding career contributing to improving healthcare worldwide.

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.