Charge Master & Revenue Integrity Analyst

University of California - Los Angeles Health; Los Angeles (CA); On-site; USD 83,800 - 179,400; Full time

Job summary

UCLA Health seeks an analytical professional to manage charge master records and ensure timely, accurate hospital billing in line with CMS, Medi-Cal, and other policies. You will maintain codes and prices, investigate suspended records, and collaborate with CareConnect teams to validate processes across the revenue cycle.

We value strong CPT/HCPCS knowledge, EPIC Resolute expertise, and rigorous data analysis.

Qualifications

• CCS, CPC-O, CPC certifications or equivalent coding education.
• Bachelor’s degree in business, finance, or related field preferred.
• Eight+ years of experience in hospital finance, billing, coding, revenue integrity, medical analysis, or medical auditing.
• Experience with CMS/Medi-Cal and other payers charging and billing regulations (UB04/CMS1500).
• Experience with EPIC charge master and familiarity with CDM structure, content, and maintenance, and revenue integrity operations.

Responsibilities

• Develop and maintain charge codes and prices in partnership with CareConnect teams and operational departments.
• Investigate and resolve suspended charge records assigned to the Charge Description team.
• Create new charge records for new CareConnect applications and validate testing procedures.
• Conduct reviews to ensure the Charge Description Master is updated for new/revised CPT4/HCPCS codes.
• Maintain compliance with CMS, Medi-Cal, and health plan billing regulations.
• Coordinate with CareConnect teams to define and validate charge flows.
• Maintain audit trails of Charge Description Master additions/updates.
• Collaborate with Revenue Capture, Revenue Integrity, and HB teams on charge capture processes.
• Manage special project reviews.
• Analyze complex billing/financial data and summarize findings for leadership.

Skills

CPT/HCPCS knowledge

Data analysis

Regulatory awareness

Communication & collaboration

Education

CCS/CPC certifications or related coding education

Bachelor's degree in business/finance or related field

Tools

EPIC Resolute Hospital Billing

CDM knowledge

CareConnect tools

Microsoft Office

Job description

UCLA Health seeks an analytical professional to manage charge master records and ensure timely, accurate hospital billing in line with CMS, Medi-Cal, and other policies. You will maintain codes and prices, investigate suspended records, and collaborate with CareConnect teams to validate processes across the revenue cycle.

We value strong CPT/HCPCS knowledge, EPIC Resolute expertise, and rigorous data analysis.