Medical Billing Coder II

FPO - Revenue Management

Full Time

84227BR

Job Summary

This position requires one to work on-site Monday-Friday, 7:30-4:30, in Emeryville, CA

The Medical Billing Coder, aka Analyst II Coder or Professional Fee Coder is under the direction of the Revenue Manager / Associate Director, provides support in revenue operations related to production coding, auditing, and training for their designated areas. Under general supervision, applies acquired skills as a revenue cycle analyst to perform charge capture and charge flow, PB coding, charge edit reviews, claim edits, RFIs, support setting up new charging practices/units, and reporting.

Gaining expertise to act as a specialist for designated divisions. Manages a diverse range of 1,000 to 3,500 procedural code set combinations plus Evaluation and Management services coding. Demonstrates core coding competency and proficiency in moderately complex duties, including Prof Fee and technical coding. Provides analysis to support department revenue cycle management and improve work queue design and management. Provides 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 will be responsible for presenting findings and recommendations to the department on physician education.

Familiarity with all applicable billing and coding regulations and effectively communicates these regulations to all levels of faculty, management, and staff. Applies broad knowledge of hospital operations, different payor guidelines, charge capture and workflows, epic systems, authorizations, and charge triggers to assign codes based on a review of clinical charts, evaluate and resolve denial issues, and identify areas of revenue cycle improvement.

Note: We are offering a $2,000 new hire sign-on bonus to all external hires who have not been employed with a UC in the last 12 months.

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. The hourly rate of pay is $36.09, with the ability to earn up to $73.66. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Department Description

Faculty Practice Management Operations supports the Revenue Cycle functions for charge capture, coding, charge edits, authorizations and RFI resolution supporting over 14 clinical departments and 50 clinical programs. Charge generation for the unit is roughly $2.8 billion dollars supporting both Faculty Practice Operations as well as the Adult, Children's, and Cancer Services. Impact of revenue cycle work for this unit is felt by Faculty Practice Operations (FPO), as well as UCSF Health Inpatient Facilities.

Required Qualifications

• Bachelor's degree in a related area or four years of equivalent experience.
  One or more years of revenue cycle professional fee coding experience.
  Experience working with professional fee coding CPT, ICD-10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, and 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 promptly and cost-effectively.
  Proficient in using shared databases, spreadsheets, and presentation software.
  Demonstrated communication skills, interpreting and conveying complex clinical finance information clearly and concisely-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 various business and clinical areas.
  Knowledge of medical terminology, anatomy and physiology.
• Must have the ability to work onsite in our Emeryville office.

Preferred Qualifications

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

License/Certification

Required: Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or licensure equivalent to be evaluated by FPRMO management.

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

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 at diversity.ucsf.edu

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

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Organization

Health

Job Code and Payroll Title

007590 REVENUE CYCLE HC ANL 2

Job Category

Accounting / Finance, Financial

Bargaining Unit

99 - Policy-Covered (No Bargaining Unit)

Employee Class

Career

Percentage

100%

Location

Emeryville, CA

Campus

Emeryville

Work Style

Fully On-Site

Shift

Days

Shift Length

8 Hours

Additional Shift Details

Monday - Friday