Job Description

Payroll Title:
CHARGE DESC ANL 4
Department:
REVENUE INTEGRITY
Salary Range
Commensurate with Experience
Worksite:
Remote
Appointment Type:
Career
Appointment Percent:
100%
Union:
Uncovered
Total Openings:
2
Work Schedule:
Days, 8 hrs/day, Monday - Friday

As a federally-funded institution, UC San Diego Health maintains a marijuana and drug free campus. New employees are subject to drug screening.

#116204 Charge Review Specialist - Remote

Filing Deadline: Thu 5/19/2022

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

UCSD Layoff from Career Appointment: Apply by 05/09/22 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 05/12/22. Eligible Special Selection clients should contact their Disability Counselor for assistance.

Candidates hired into this position may have the ability to work remotely.

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 Charge Review Specialist (CRS) is a member of the Revenue Integrity team who is responsible for performing charge capture assessments by monitoring and facilitating the resolution of charge errors, while simultaneously ensuring appropriate, optimal reimbursement as assigned by service line. The incumbent proactively identifies charging, coding, or clinical documentation issues leveraging reporting and analytics and is the liaison with the departments on charge issues. The CRS works with the coding team, provider education and department POCs to train and educate coders, providers and clinical staff on charge entry processes and works collaboratively with clinical departments, payers and IT to ensure appropriate charge capture through workflow assessments, coordinating coding reviews, process improvements and generating reports. The incumbent also works closely with IS to complete and test charge related build by having clear understanding of the charging workflows and triggers built within the system.

Ensures adherence to established policies, government regulations and payor requirements.

Reports to Manager, Revenue Integrity.

MINIMUM QUALIFICATIONS

  • Nine (9) years of related experience, education/training in Healthcare Revenue Cycle experience including analytical and reporting experience OR a Bachelor’s degree in related area plus five (5) years of related experience/training in Healthcare Revenue Cycle experience including analytical and reporting experience.

  • Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.

PREFERRED QUALIFICATIONS

  • Active certification as a Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician Based (CCS-P).
  • Knowledge of all aspects of healthcare revenue cycle functions, including registration, coding and documentation standards, billing and collection processes, as well as government and payer regulations.
  • Knowledge of CMS regulations, medical terminology and the various data elements associated with the UB-04 and CMS-1500 claim form.
  • Knowledge of principles and practices of organization, administration, fiscal and personnel management.
  • Knowledge of local, state and federal regulatory requirement related to the functional area.
  • Experience supporting clinical department staff in charge reconciliation process.
  • Experience working with clinical departments and IT to resolve key charging issues.
  • Experience performing charge reconciliations for assigned departments, including interface reconciliations
  • Experience with payers on chart audits, correcting issues within Epic.

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.

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, 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.

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.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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