Healthcare Revenue Cycle Manager (Epic, CPC) - UCSF
Overview
You will own the strategy, management, and oversight of Revenue Cycle operations for Faculty Practice functions, ensuring accurate charge capture, edit resolution, and collection of patient service revenue across designated departments. You will lead a team of 15 FTE and collaborate with departmental stakeholders to drive compliant billing practices. With 7+ years in healthcare management and Epic expertise, you will shape revenue performance and compliance across the organization. This role uniquely places you at the nexus of clinical operations and financial health, with direct influence on reimbursement outcomes.
What You'll Do8
- 1Drive strategic planning and financial management for the revenue management team, setting goals for charge capture and collections in Epic.
- 2Supervise 15 FTE and revenue managers, handling hiring, performance reviews, and resource allocation to meet departmental targets.
- 3Build and maintain a compliance manual and website, conducting service audits and writing compliance reports for Medical Center leadership and department chairs.
- 4Lead compliant professional fee billing processes, ensuring accurate coding with ICD-10-CM, CPT, and HCPCS codes across all payer types.
- 5Collaborate with centralized and departmental staff to establish regular compliance education for physicians, residents, and administrators.
- 6Design and implement coding workflows that reduce denials and improve reimbursement rates, leveraging Epic and coding platforms.
- 7Oversee coding projects and quality assurance processes, ensuring timelines and accuracy standards are met.
- 8Communicate federal and local billing regulations clearly to faculty and staff at all levels, translating complex rules into actionable guidance.
Requirements8
- 17+ years of management experience in healthcare revenue cycle operations.
- 2Bachelor's degree in Healthcare Administration, Business, or related field.
- 3In-depth knowledge of ICD-10-CM, CPT, and HCPCS codes, including modifier application and global surgery rules.
- 4Advanced ability to select correct E/M levels based on medical necessity, MDM, and time requirements.
- 5Proficiency with Epic and other electronic health record systems, coding platforms, and billing tools.
- 6Experience with bargaining units and labor management in a healthcare setting.
- 7Hold one of: CPC, CCS, RHIT, or RHIP certification.
- 8Excellent verbal and written communication skills, with capacity to present to diverse audiences.
Salary Insight
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