The Clinical Senior Compliance Analyst (i.e. Clinical Analyst) reports directly to the Associate Director of Revenue Cycle Compliance within the Office of Healthcare Compliance & Privacy (OHCP). The Clinical Analyst serves as a centralized resource for planning, supporting, and conducting the claims appeal processes related to third party payer and regulatory audits for UCSF Health hospital and professional revenue cycles. The Clinical Analyst evaluates third party payer and regulatory audit outcomes, proposes corrective actions for risk mitigation and works with compliance leadership to ensure implementation. The Clinical Analyst conducts coding and billing audits including evaluation of medical necessity and/or compliance with clinical requirements related to reimbursement. The Clinical Analyst applies extensive clinical knowledge to address regulatory audit findings and denials related to medical necessity and coding/billing, and serves as a clinical subject matter expert for the UCSF Healthcare Compliance Program.

The final salary and offer components are subject to additional approvals based on UC policy.

To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (https://tcs.ucop.edu/non-academic-titles)

Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.

For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range.

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html