Assistant Director, Revenue Integrity - 122919
Job Description
#122919 Assistant Director, Revenue Integrity
Extended Review Date: Thu 5/18/2023UC San Diego values equity, diversity, and inclusion. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.
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 and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy
Special Selection Applicants: Apply by 05/17/2023. Eligible Special Selection clients should contact their Disability Counselor for assistance.
DESCRIPTION
UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.
The Assistant Director of Revenue Integrity promotes the financial viability of the Hospitals and Clinics by effectively managing all aspects of the organization's revenue capture operations. The Assistant Director works in close partnership with many aspects of the organization and is central to creating a comprehensive and seamless revenue cycle throughout Hospitals. In addition, the Assistant Director plays a key role in coding compliance and strategies for payor contracting.
Key Responsibilites:
* Maintains the hospital's charge description master (CDM) by incorporating new charges/ services identified by the Revenue Integrity Program Managers, as well as the revenue generating departments, third party changes, CMS special requirement and coding updates.
* Directs the monitoring and approves all changes made to the hospital's charge description master and professional fee schedule, consistent with third party requirements.
* Assists in the resolution of problems causing payer denial or failed Medicare edits as they involve the charge master and professional billing office.
* Works collaboratively with the revenue producing department staff, physicians and School of Medicine to ensure all charges are being captured and documented.
MINIMUM QUALIFICATIONS
- Bachelor's degree in a related area, and seven or more years of relevant experience, or equivalent combination of experience, education and training.
- Experience and proven success in knowledge of healthcare revenue cycle operations, concepts, and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues, including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture.
PREFERRED QUALIFICATIONS
- Advanced degree in business, finance or related area.
- Ten or more years of relevant experience, including progressive leadership experience in revenue cycle.
- Academic health system experience.
- Hospital CDM experience
- RHIT, RHIA, CCS, CPC, or CHRI certification
- Epic experience
SPECIAL CONDITIONS
- Must be able to work various hours and locations based on business needs.
- Employment is subject to a criminal background check and pre-employment physical.
Pay Transparency Act
Annual Full Pay Range: $87,000 - $202,600 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $41.67 - $97.03
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).
Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).
If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.
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, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!
Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.
To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.
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.
UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.
Application Instructions
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