Hb Second Level Reviewer

3 weeks ago

San Diego, United States UC San Diego Health Full time

Payroll Title:

- AUDIT PROFL 3
- Department:

- HEALTH INFORMATION MANAGEMENT
- Hiring Pay Scale
- $90,000 - $124,300 / Year
- Worksite:

- Remote
- Appointment Type:

- Career
- Appointment Percent:

- 100%
- Union:

- Uncovered
- Total Openings:

- 3
- Work Schedule:

- Days, 8 hour shifts, Monday - Friday**#125986 HB Second Level Reviewer - Remote***:Extended Deadline: Mon 5/6/2024**

**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.**

**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 due 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.
- Pay Transparency Act_

Annual Full Pay Range: $74,300 - $134,500 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $35.58 - $64.42

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

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 stud

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