Job Description

Payroll Title:
REVENUE CYCLE HC ANL 3
Department:
Health Information Services
Hiring Salary Range
$68,100 - $88,400 / Year
Worksite:
Remote
Appointment Type:
Career
Appointment Percent:
100%
Union:
Uncovered
Total Openings:
1
Work Schedule:
Days, 8 hrs/day, Monday-Friday

#120570 HB Second Level Reviewer - Remote

Initial Review Date: Mon 1/23/2023

UC 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

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

UCSD Layoff from Career Appointment: Apply by 12/21/22 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 01/03/23. Eligible Special Selection clients should contact their Disability Counselor for assistance.

Placement within the salary range is determined by internal equity, relevant qualifications, and collective bargaining agreements (when applicable).

This position will remain open until filled.

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.

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.

MINIMUM QUALIFICATIONS

  • 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 three (3) years auditing experience i.e. auditing experience in large academic hospital system, education/training.

  • 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

  • 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.

SPECIAL CONDITIONS

  • 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.

Pay Transparency Act Full Salary Range: $53,600 - $111,600 Annually

The University of California, San Diego is required to provide a reasonable estimate of the compensation range for this role. This range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. It is not typical for an individual to be offered a salary at or near the top of the range for a position. Salary offers are determined based on final candidate qualifications and experience. The full salary range for this position is defined as the Full Pay Range. The budgeted salary or hourly range that the University reasonably expects to pay for this position defined as the Expected Pay Scale. Placement within the Expected Pay Scale is determined by internal equity, relevant qualifications, 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

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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