Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance.
Candidates hired into this position may have the ability to work remotely.
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.
UC San Diego Health Revenue Cycle is seeking a Provider Educator for our Physician Group with expertise in behavioral health coding/professional billing to support faculty physicians, advanced practice providers, residents, and fellows. This role is central to promoting accurate, compliant, and sustainable billing practices within an academic clinical environment. The Provider Educator serves as a subject matter expert and trusted partner to clinical faculty, trainees, compliance, and revenue cycle teams, translating complex regulatory and payer requirements into practical, provider-centered education that aligns with academic, teaching, and research missions.
Our Provider Educators regularly collaborate with Billing, Coding, Revenue Integrity, and Compliance during the review process and will also work closely with Physician Champions within the organization to drive successful performance and provider engagement. The Provider Educator must be able to function independently with a full understanding of all components of coding and revenue cycle as they will: plan, conduct and coordinate prospective and retrospective medical record reviews to identify areas of potential risk and/or opportunities for improvement. Through these reviews, the Provider Educator will use their knowledge to develop and implement a training curriculum, lead provider training, and develop action plans for ongoing monitoring and improvement, thereby ensuring accurate documentation and correct coding for their assigned specialties.
In addition to experience in the mental and behavioral health professional billing space, we also seek experience and knowledge of Urgent Care and HCC for this position as well.
Nine (9) years of related experience, education/training, OR a Bachelor’s degree in related area plus five (5) years of related experience/training. Related experience in Revenue Cycle, Physician Auditing, behavioral health professional coding/billing within an academic or large multi-specialty environment.
Advanced knowledge of the audit profession, theories and systems of internal control, and professional auditing standards.
Broad and thorough knowledge of finance, accounting, business and systems operations.
Skills to determine and apply appropriate policies and practices in the completion of audit assignments.
Excellent interpersonal and communication skills to work independently with all levels of University personnel, including management and faculty, and to facilitate agreement on issues and corrective actions.
May require specialized expertise in enterprise software and relational databases.
RHIT, CCSP, CPC, CPMA, CRC or other relevant coding/compliance certification
Experience in an academic medical center or faculty practice plan
Background in compliance, auditing or provider documentation improvement
Experience with Medicare behavioral health billing
Familiarity with EPIC EHR
Experience supporting integrated care and telehealth programs
Experience with Urgent Care Coding/Billing
Experience supporting/managing Hierarchical Condition Category Coding
Pay Transparency Act
Annual Full Pay Range: $97,200 - $182,000 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $46.55 - $87.16
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 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.
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.
For the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination
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.
Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
a. "Misconduct" means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC’s policies addressing some forms of misconduct:
- UC Sexual Violence and Sexual Harassment Policy
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UC Anti-Discrimination Policy
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Abusive Conduct in the Workplace