What are the responsibilities and job description for the Medical Billing Coder II position at University of California?
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
- 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.
- Prior working knowledge of the EPIC (Apex) system.
- Experience working directly with physicians, AHPs, and staff.
- Academic Medical Center experience.
- Advanced Coding Certification(s).
Salary : $36
