Senior Billing Analyst, OR Ancillary, Full Time, Days

UChicago Medicine; Oregon; Hybrid; USD 70,000 - 95,000; Full time

Job summary

UChicago Medicine is seeking a Senior Billing Analyst to lead perioperative and procedural billing operations, collaborating with Revenue Cycle, Supply Chain, Nursing, and Perioperative Leadership to improve accuracy and timeliness.

This role emphasizes CPT/ICD/HCPCS coding accuracy, workflow improvements, and regulatory compliance while mentoring staff and resolving disputes to optimize revenue capture.

Qualifications

• Minimum 5–7 years hospital billing operations experience.
• 3 years hospital coding experience.
• Strong knowledge of Medicare, Medicaid, and managed care billing regulations.
• Working knowledge of CPT and ICD coding systems.
• Certification required within 12 months of hire (CPC, RHIT, RHIA, or combination).

Responsibilities

• Reviews system-generated charge reports and assigns CPT, ICD, HCPCS codes to meet 3-day billing target.
• Ensures all supply and facility charges are posted within 3 days of service date.
• Collaborates with Revenue Cycle to reconcile work queues.
• Educates staff on billing regulations and policies.
• Supports workflow improvements to reduce revenue leakage.
• Communicates updates on coding and billing policies.
• Partners with Supply Chain to establish new product records and billing codes.
• Assists in charge-related disputes and other revenue capture duties.

Skills

Analytical skills

Communication skills

Advanced Excel

Billing operations

CPT/ICD knowledge

Education

Bachelor's degree preferred

High School diploma

Medical terminology coursework

Certification within 12 months (CPC/RHIT/RHIA)

AHIMA certification

Tools

EPIC

IDX

OACIS

Last Word

CCI edits review

Job description

Be a part of a world-class academic healthcare system at UChicago Medicine as a Senior Billing Analyst you will lead perioperative and procedural billing operations., collaborate with Revenue Cycle, Supply Chain, Nursing, and Perioperative Leadership while driving measurable improvements in billing accuracy and timeliness. We are committed to excellence, innovation, and continuous improvement—and we're looking for a leader who shares that commitment.

Essential Functions:

• Reviews system-generated charge reports to identify, correct, and complete inaccurate or missing data in a timely manner; assigns CPT, ICD, and HCPCS codes and enters charges as needed to meet a 3-day billing target.
• Ensures all supply and facility charges are accurately posted within three (3) days of the date of service (or discharge date, if applicable).
• Collaborates with Revenue Cycle to reconcile and maintain departmental work queues, ensuring timely and compliant billing.
• Develops, educates, and orients staff on departmental policies, procedures, and billing regulations, including LMRPs, APCs, diagnosis coding, and documentation requirements.
• Supports the design and implementation of workflow improvements to enhance charge capture accuracy and reduce revenue leakage.
• Communicates updates regarding coding and billing policies and procedures; interprets regulatory changes and provides guidance to staff as needed.
• Partners with Supply Chain to establish new product records and confirm accurate account and billing code assignments.
• Assists in the investigation and resolution of charge-related disputes.
• Performs additional duties related to revenue capture, reimbursement, and departmental operations as assigned.

Licensure/Certification:

• AAPC certification CPC, CCS, or higher) or AHIMA certification required
• Certification required within 12 months of hire (CPC, RHIT, RHIA, or combination)

Required Qualifications:

• High School diploma (Bachelor's degree preferred)
• 5-7 years of hospital billing operations experience
• 3 years of hospital coding experience
• Strong knowledge of Medicare, Medicaid, and managed care billing regulations
• Working expertise in CPT and ICD coding systems
• Experience with CCI edits review
• Certification required within 12 months of hire (CPC, RHIT, RHIA, or combination)
• Completion of medical terminology coursework
• Experience with healthcare systems such as EPIC, IDX, OACIS, or Last Word
• Advanced Excel and PC-based reporting skills
• Strong analytical, organizational, and communication skills

Preferred Qualifications:

• Operating room billing experience
• Experience in a complex academic medical center environment

Position Details:

• Job Type/FTE: Full-time
• Shift: Remote Day shift, M-F
• Unit/Department: CCD
• CBA Code: Non-Union