Revenue Integrity Auditor - Revenue Integrity - FT Days
 University of California - Irvine Health | |
medical insurance
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 United States, California, Irvine | |
 Sep 25, 2026 | |
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Who We Are
UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. Your Role on the Team Position Summary: The incumbent is responsible for performing comprehensive Revenue Cycle audit reviews, which include identifying areas of risk, determination of regulatory and compliance risk, and ongoing audit necessity, as well as determining denial prevention opportunities. This position will focus on evaluating the adequacy and effectiveness of internal and operational controls to ensure that all regulatory and billing compliance guidelines are being met in accordance with hospital and professional billing standards. Audit reviews will include hospital and professional medical record documentation, charge data, coding data, and denial trends, to assess risks and determine potential impacts. The candidate should have extensive knowledge of medical terminology and hold a coding certification, along with experience working with various health plan products such as Medicare, Medi-Cal, HMO, PPO, and Managed Care, as well as private insurance and CMS guidelines. Previous experience in a hospital setting, particularly with split fee billing and a focus on hospital billing, is preferred. This role involves preparing comprehensive audit reports that quantify impacts on both gross and net revenue, identifying opportunities for educational initiatives, and implementing the corrective measures for process improvements. What It Takes to be Successful Required Qualifications: Preferred Qualifications: Total Rewards We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits. Conditions of Employment: The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php Closing Statement: The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy. Consideration for Work Authorization Sponsorship Must be able to provide proof of work authorization | |