Revenue Integrity Specialist Lead - Remote - 125223
#125223 Revenue Integrity Specialist Lead - RemoteExtended Review Date: Tue 11/21/2023
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.
UCSD Layoff from Career Appointment: Apply by 09/14/2023 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 09/26/2023. Eligible Special Selection clients should contact their Disability Counselor for assistance.
Candidates hired into this position may have the ability to work remotely.
This position will remain open until filled.
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 Lead Revenue Integrity Specialist (RIS) will serve as a subject matter expert for the Revenue Integrity Specialist team and support the day-to-day activities of the Revenue Integrity Department. The position is responsible for performing various/routine audits for each functional area to ensure data integrity and compliance of charge capture guidelines and effectiveness. Champions standardization of charge capture process and ensures appropriate discipline-specific charge capture as it relates to government and commercial payer requirements. Performs charge review activities, industry best practice research, and identifies and deploys charge capture improvement initiatives. This position works collaboratively with the Revenue Integrity manager and other Revenue Cycle departments.
- Performs routine QR audit of the Revenue Integrity Specialist team for appropriateness and accuracy of charge capture processes/actions. Prepares audit findings for management.
- Performs WQ reviews, manual charge entry and/or corrections as needed and participates in special projects as assigned. Monitors, investigates and resolve revenue integrity concerns reported in service line areas and provide any necessary follow-up.
- Participates in the redesign of processes and systems to improve service, data integrity, and staff productivity/quality to achieve departmental goals and process outcomes within revenue integrity.
- Lead revenue integrity meetings and education or training programs in coordination with Revenue Integrity manager to track progress toward work plan activities and reactive tasks.
Nine (9) years of directly related healthcare revenue integrity/revenue cycle experience/related experience, education/training, OR a Bachelor’s degree in related area plus five (5) years of related experience/training.
Active certification as a RHIA, RHIT and/or Certified Coding Specialist (CCS) from AHIMA, or Certified Outpatient Coder (COC), or CPMA from AAPC.
Extensive understanding of correct coding principles of CPT/HCPCS and facility modifier use, as well as CCI edits and billing guidelines required.
Experience and proven success in the 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.
- EPIC user experience.
- Employment is subject to a criminal background check and pre-employment physical.
- Must be able to work various hours and locations based on business needs.
Pay Transparency Act
Annual Full Pay Range: $63,400 - $142,800 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $30.36 - $68.39
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).
If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.
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.
Job Reference #: 125223