Charge Master Analyst - Revenue Integrity - FT Days

UCI Health; Irvine (CA); On-site; USD 110,000 - 160,000; Full time

Job summary

UCI Health is seeking an experienced Charge Description Master Manager to oversee inpatient and outpatient charging, including room, board, pharmacy, DME, SOS 22 and ambulatory services. You will drive charge capture, rate analysis, and alignment of hospital vs physician charges while coordinating with Revenue Cycle and IT teams.

Required: minimum 3 years in CDM management within a large health system and CPC certification; strong knowledge of Medicare/Medicaid and payer policies, plus

Qualifications

• Effective collaboration with health system personnel at all levels.
• Ad hoc technical report writing and data conversion in multiple formats.
• Conversion of master files into departmental reports.
• Understanding of Medicare, Medicaid, managed care and commercial payer requirements.
• Excellent written and verbal English communication.
• Advanced computer knowledge and MS Office experience.
• 3+ years CDM management in a large health system; CPC preferred.
• 3+ years chargemaster management experience.

Responsibilities

• Manage the Charge Description Master for inpatient and outpatient charges across care areas.
• Lead charge capture development, rate analysis, and alignment of hospital to physician charges.
• Serve as liaison for institutional charge application and regulatory guidelines.

Skills

Collaborate with teams

Ad hoc reporting

Data conversion

Regulatory knowledge

Customer service

Coding/billing knowledge

Split-claim billing

Coding software tools

MS Office

Analytical skills

CDM management experience

Certified Professional Coder (CPC)

Education

Certified Professional Coder (CPC)

Tools

Epic PB Resolute

Coding software tools

Job description

Who We Are

UCI Health is one of California’s largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, it serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through excellence in patient care, research and medical education.

Your Role on the Team

Position Summary

The incumbent is responsible for managing the Charge Description Master for all inpatient and outpatient technical charges, including Room & Board Care, Pharmacy, Durable Medical Equipment, SOS 22 ambulatory practices and ancillary services. Additional duties include charge capture development, rate analysis, and alignment of hospital charges to physician charges. The role serves as the primary liaison for institutional charge application and regulatory charge guidelines, working independently and collaboratively with Clinical Care Partners, Revenue Cycle Associates and IT Business Analysts to make decisions regarding the Chargemaster.

Required Qualifications

What It Takes to be Successful

• Effective collaboration with all levels of health system personnel, including directors and physicians.
• Ad hoc technical report writing, complex analyses and data conversion for different formats.
• Conversion of master files into departmental reports.
• Understanding of third‑party regulatory requirements, including Medicare, Medicaid, managed care and commercial payers.
• Customer service skills appropriate to the job.
• Knowledge of coding, billing and revenue management policies.
• Knowledge of split‑claim billing and payer reimbursement relating to charges.
• Knowledge of coding software tools to maintain current charging and billing guidelines.
• Excellent written and verbal communication skills in English.
• Advanced computer knowledge and experience with Microsoft Office.
• Ability to maintain an appropriate work pace and establish effective relationships across the Health System.
• Analytical skills: define problems, research, formulate conclusions and make recommendations.
• Minimum 3 years experience with CDM management, in an academic or large healthcare system, and as a Certified Professional Coder (CPC).
• Minimum 3 years chargemaster management experience.

Preferred Qualifications

• Skill to interpret governmental and commercial payer regulations and implement consistent recommendations.
• Knowledge of university and medical center organizations, policies, procedures and forms.
• Epic PB Resolute certification.

Total Rewards

We offer benefits including medical insurance, sick and vacation time, retirement savings plans, and access to discounts and perks. For more details, please review our compensation and benefits information.

Conditions of Employment

All applicants who accept an offer of employment must comply with the following conditions:

• Background Check and Live Scan
• Employment Misconduct
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug‑Free Environment

Closing Statement

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 categories covered by the UC Anti‑Discrimination Policy.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, contact UCI’s Employee Experience Center at [e-mail] or (949) 824‑0500.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization.