110370 - HB Second Level Reviewer - Remote
As a federally-funded institution, UC San Diego Health maintains a marijuana and drug free campus. New employees are subject to drug screening.
#110370 HB Second Level Reviewer - RemoteInitial Review Date: Wed 8/25/2021
For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus before they will be allowed on campus or in a facility or office. For more information visit: https://ucnet.universityofcalifornia.edu/news/2021/07/ucs-covid-19-vaccine-policy.html
UCSD Layoff from Career Appointment: Apply by 07/14/21 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 07/26/21. Eligible Special Selection clients should contact their Disability Counselor for assistance.
Candidates hired into this position will be able to work remotely.
This position will remain open until filled.
Responsible for review, audit, and remediation of any deviation from compliant coding, training the coding staff, and educating other workforce members in coding, grouping, and proper documentation. Oversees the generation and approvals of queries to assure a timely and appropriate response. Assures that all coding assignments and workflow achieves the intended result. Represents coding leadership at optimization, CDI, and other interdisciplinary meetings. Assure the highest level of data integrity, denial avoidance sue to coding, and the highest quality of external data released to HEDIS, CMS and Vizient.
Seven (7) years of related auditing experience i.e. auditing experience in large academic hospital system, education/training, OR a Bachelor’s Degree in related area plus two (2) years auditing experience i.e. auditing experience in large academic hospital system, education/training.
Current Credentials as RHIT or RHIA, or CCS, or combination.
Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including ICD-10, CPT, HCPCS coding, SOI/ROM, HAC, PSI, Risk Adjustment/HCC and query identification, writing, and monitoring.
- Minimum of three (3) years Inpatient and/or Outpatient Facility auditing experience of coders.
- Experience working for Level I Trauma & Academic/Research Facility is a plus.
- Interaction with physicians.
Must be able to work various hours, days, shifts, on-call and locations based on the 24-hour Medical Center's business needs.
Employment is subject to a criminal background check and pre-employment physical.
Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).
UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, and several outpatient clinics. UC San Diego Medical Center in Hillcrest is a designated Level I Trauma Center and has the only Burn Center in the county. We invite you to join our dynamic team!
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UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html
UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.