Senior Billing Analyst, OR Ancillary
UChicago Medicine · United States
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.
The Senior Billing Analyst leads perioperative and procedural billing operations to ensure accurate, compliant, and timely revenue capture. Reporting to the Assistant Director of Business Operations, this role partners with Revenue Cycle, Supply Chain, Nursing, and Perioperative Leadership to reconcile supply and facility charges, assign CPT/ICD/HCPCS codes, audit documentation, and oversee departmental work queues. The Senior Billing Analyst plays a critical role in safeguarding revenue integrity, improving charge capture workflows, and mentoring staff to meet regulatory and operational standards.
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