Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
Take on a key analytical role with a world-class health organization. Drive internal customer satisfaction and the efficient processing of hospital charges. Take your professional expertise to the next level. You can do all of this and more at UCLA Health.
You can be part of the team responsible for building and maintaining charge master records for the hospital system. You’ll ensure that hospital charges are processed promptly, accurately, and in compliance with Centers of Medicare & Medicaid Services (CMS), Medi-Cal, and other policies. You’ll apply your extensive knowledge of hospital billing, coding, and pricing practices, as well as advanced data analysis skills, to monitor, maintain, and improve the charge master records. You will:
- Develop and maintain charge codes and prices in partnership with ISS CareConnect teams and Operational Departments.
- Investigate and resolve suspended charge records from CareConnect hospital billing work queues assigned to the Charge Description team.
-
Create new charge records as needed for new CareConnect applications. Participate in developing testing scenarios. Validate testing procedures to ensure that new workflows generate charges properly.
-
Conduct quarterly, annual, or as-needed reviews to ensure that the Charge Description Master is updated for new and revised CPT4/HCPCS codes.
-
Comply with the Charge Master Department’s policy and procedures related to charge codes and descriptions.
-
Effectively coordinate and facilitate user interaction with CareConnect teams to define and validate processes that assure effective and efficient charge flows.
-
Maintain files that contain the audit trail of Charge Description Master additions, updates, and other changes.
-
Collaborate with the Revenue Capture, Revenue Integrity, and HB teams on the routine review of charge capture processes.
-
Manages and conducts special project reviews.
-
Maintain compliance with CMS, Medi-Cal, and health plan billing regulations.
-
Analyze complex billing/financial data.
-
Summarize data and present findings to leadership.
We’re seeking an adaptable, knowledgeable, and highly analytical individual with:
- CCS, CPC-O, CPC certification or related coding education
- Bachelor’s degree in business, finance, or related field, preferred
- Eight or more years of experience in hospital finance, billing, coding, revenue integrity, medical analysis, or medical auditing
- Prior experience and/or knowledge of regulations on charging and billing practices for Medicare, Medi-Cal, and other payers (UB04 and/or CMS1500)
- Experience with EPIC charge master and familiarity with CDM structure, content, and maintenance, as well as in revenue integrity operations, clinical charge capture, or revenue cycle operations
- Knowledge of CPT, HCPCS, and Medi-Cal coding guidelines and regulations; ability to utilize relevant reference resources (e.g., Federal Register, CMS memorandums, etc.)
- Proficiency in the use of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and revenue codes
- Understanding of compliance issues and their importance and consequences
- Knowledge of EPIC system, particularly Resolute Hospital Billing
- Advanced knowledge of Microsoft Office
- Experience with project processes and facilitation of teams
- Background in project management preferred.
- Strong analytical, problem-solving, communication, interpersonal, and collaboration skills
UCLA Health is a world-renowned health system with four award-winning hospitals and more than 270 community clinics throughout metro Los Angeles as well as the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care. If you’re looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
EMPLOYMENT SCAM ALERT:
UCLA Health Recruitment is currently being targeted by scam artists through external job board sites. Review some tips in order to avoid becoming targeted. El reclutamiento de salud de UCLA actualmente está siendo atacado por estafadores a través de sitios de juntas de trabajo externos. Revisar algunos consejos para evitar ser apuntado.
“The environment is nurturing and fosters growth. When I come to work, I know what I'm doing matters.”
VINCENT, Sr. CLS Specialist, Toxicology
MONICA
I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.
SOZIT
The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.
EDGAR
Once I joined, I knew UCLA Health was THE place to be due to the growth potential and training offered
RENE
If you want to grow professionally, this is the right place for you.
ERA
We are family here. We support each other. We collect together.
ELIZABETH
It’s so diverse and inclusive here. There’s always the opportunity to share your thoughts. It's a place where you feel you belong.
JERRY
Your career path at UCLA Health will enable you to follow a myriad of avenues and turns. It opens up a wide variety of opportunities.
ORLANDO
There’s a togetherness and higher level of commitment to teamwork at UCLA Health. We are several groups and teams that work together with a common goal which is to improve our patients experience.
DAVID
UCLA Health walks the walk and talks the talk! It's an incredible feeling to work for an organization that always puts the patient first. I am honored to work in full alignment with the UCLA Health Mission and Vision.
DR. ISLA GARRAWAY
UCLA has incredible resources and a team science approach. The ability to work with collaborative teams and access the amazing resources around campus is the best part about being at UCLA.
RADU
UCLA is very diverse in its personnel as well as its many research fields studied
JENNA
UCLA Health provides so many opportunities to exchange ideas, share moments and grow. I have learned a lot about team management and relationship building.
SHARON
I was looking for a job to further my career and continue to improve and learn as a therapist.
TARO
I have been blessed to be surrounded by supportive colleagues who aspire me to be the best version of myself.
Awards & recognition
