- Seven (7) years of related experience, education/training, OR a Bachelor's degree in related area plus three (3) years of related experience/training. Related experience: experience within technical and professional coding/charge capture, revenue cycle, healthcare operations and/or clinical setting.
- Certification- COSC.
- Certification - Applicable professional certification through AHIMA (RHIA, RHIT, CCS, CCS-P), AAPC (COC, CPC) and/or relevant clinical certification, or must obtain certification within 6 months of hire date.
- Proficiencies - Advanced knowledge of revenue cycle processes and hospital/professional billing to include CDM, UB, RAs and 1500. Advanced knowledge of code data sets to include CPT, HCPCS, and ICD 10. Advanced knowledge of NCCI edits, and Medicare LCD/NCDs. Comprehensive understanding of reimbursement methodologies to include DRG, OPPS, professional and facility billing. Ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations.
- Abilities: Due to its service focus, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills, critical –thinking and the ability to meet deadlines while influencing, but not directly managing the work of others. Computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet.
- Must be able to work various hours and locations based on business needs.
- Employment is subject to a criminal background check and pre-employment physical.
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Orthopedic Surgery Rev. Cycle Analyst - La Jolla, United States - University of California San Diego
Description
UCSD Layoff from Career Appointment : Apply by 12/01/23 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants : Apply by 12/13/23. Eligible Special Selection clients should contact their Disability Counselor for assistance.
Candidates hired into this position may have the ability to work remotely.
This position will remain open until filled.
DESCRIPTIONUC 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.
The Orthopedic Surgery Revenue Cycle Analyst is responsible for establishing and maintaining charge capture and reconciliation processes and controls as an integral part of a multi-disciplinary Health System Revenue Integrity (HSRI) team. This position acts as a liaison between the School of Medicine Department of Orthopedic Surgery (SOMDOS) and Health System Revenue Cycle to ensure charging practices are compliant and achieves optimal reimbursement for hospital and professional services. The analyst will support all charge improvement efforts to achieve operational efficiency, ensure revenue optimization and minimize missed charging opportunities across all hospital and offsite locations for Orthopedic Surgery.
Under the direction of the UCSD Revenue Integrity CRS Manager and in collaboration with the SOMDOS business office, the Revenue Cycle Analyst completes surgical and procedural case reviews with providers and facilitate provider and coder billing meetings. Position to have intimate knowledge of provider locations, subspecialties, and business profile to identify trends and optimize opportunities. Serves a significant role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions, and interdependencies from care delivery to final bill generation.
MINIMUM QUALIFICATIONSPay Transparency Act
Annual Full Pay Range: $74,300 - $134,500 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $ $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
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