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Professional Fee Coder - Analyst II (part-time / per diem)

University of California San Francisco -
Emeryville, CA

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Job Details

Full-time

Qualifications

Anatomy knowledge
National Correct Coding Initiative (NCCI) guidelines
Medicare
Finance
Spreadsheets
Metrics Reporting
Medicare regulations
Centers for Medicare and Medicaid Services (CMS)
Centers for Medicare & Medicaid Services (CMS) billing regulations
Productivity software
Clinical documentation standards
Cross-functional collaboration
Medical terminology
Healthcare compliance
Database software proficiency

Full Job Description

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and identify areas of improvement.

Requirements:

Bachelor's degree in a related area and one or more years of equivalent experience, OR five more years of equivalent experience.
Must be a Certified Professional Coder in good standing with AAPC or AHIMA, and maintain yearly credits to ensure certification. Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS) or licensure equivalent.
Must have experience working with CPT, ICD-10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations as well as payor billing requirements.
Working knowledge of the practices, procedures, and concepts of the healthcare revenue cycle. Knowledge of any or all of the following: billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
Working knowledge of reporting instruments, metrics, and/or dashboard design.
Detail-oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner.
Proficiency in a common database, spreadsheet, and presentation software.
Demonstrated communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to summarize and present reports and presentations.
Demonstrated analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems.
Demonstrated interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas.
Knowledge of medical terminology, anatomy and physiology.

Preferences:

Prior working knowledge of the EPIC (Apex) system.
Advanced Coding Certification(s).
Experience working directly with physicians, AHPs, and staff.
Academic medical center experience.

Please Note - Work Authorization Notice: We do not provide visa sponsorship or immigration support for this position. Applicants must already be authorized to work in the United States permanently without the need for current or future sponsorship.

About UCSF

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values .

In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here .

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

Salary Information

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

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