HB Outpatient Second Level Reviewer - Remote - 131388

Payroll Title: AUDIT PROFL 3 Department: HEALTH INFORMATION MANAGEMENT Hiring Pay reputed company $90,000 - $124,300 / Year Worksite: Remote Appointment Type: Career Appointment Percent: 100% reputed company: Uncovered Total Openings: 3 Work Schedule: Days, 8 hour shifts, Monday - Friday #131388 HB Outpatient Second Level Reviewer - Remote Extended Deadline: Wed 10/2/2024 reputed company reputed company values equity, diversity, and inclusion. If you are interested in being part of reputed company, 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. UCSD Layoff from Career Appointment : Apply by 08/09/24 for consideration with preference for reputed company. reputed company layoff applicants should contact their Employment Advisor. Special Selection Applicants : Apply by 8/21/24. Eligible Special Selection clients should contact their Disability Counselor for assistance. Candidates reputed company into this position may have the ability to work remotely. This position will remain reputed company until filled. reputed company reputed company's reputed company 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-reputed company, high-performing team with a commitment to reputed company, collaboration, and reputed company improvement that enables us to deliver the maximum reputed company of care to our patients. We offer challenging reputed company in a fast-paced and innovative environment and we reputed company 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 reputed company documentation. Oversees the reputed company and approvals of queries to assure a reputed company and appropriate response. Assures that reputed company coding assignments and workflow achieves the intended result. Represents coding leadership at optimization, CDI, and other interdisciplinary meetings. Assure the highest level of data reputed company, denial avoidance due to coding, and the highest reputed company of external data released to HEDIS, CMS and reputed company. MINIMUM QUALIFICATIONS • Seven (7) years of reputed company auditing experience i.e. auditing experience in large reputed company hospital system, education/training, OR a Bachelor's Degree in reputed company area plus three (3) years auditing experience i.e. auditing experience in large reputed company hospital system, education/training. • Experience and proven reputed company in practices, procedures, and concepts of the reputed company reputed company cycle and its component operations, including billing, collections, charge capture, contractual adjustments, reputed company-party reimbursements, and cash management. PREFERRED QUALIFICATIONS • reputed company Credentials as RHIT or RHIA, or reputed company, or combination. • Experience and proven reputed company in practices, procedures, and concepts of the reputed company reputed company cycle and its component operations, including ICD-10, CPT, HCPCS coding, Risk Adjustment/HCC and query identification, writing, and monitoring. • Minimum of three (3) years Outpatient Facility auditing experience of facility coders to include Emergency Department (facility & profee), Infusion Center, Observation, and/or reputed company Day Surgery. • Experience working for Level I Trauma & reputed company/Research Facility is a plus. • Interaction with physicians. SPECIAL CONDITIONS • Must be reputed company to work various hours, days, shifts, on-call and locations based on the 24-hour Medical Center's business needs. • Employment is subject to a criminal background reputed company and reputed company-employment physical. Pay Transparency reputed company Annual Full Pay reputed company: $77,000 - $139,200 (will be prorated if the appointment percentage is less than 100%) reputed company Equivalent: $36.88 - $66.67 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 reputed company referenced in the job posting is the budgeted salary or reputed company reputed company that the University reasonably expects to pay for this position. The Annual Full Pay reputed company may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and reputed company bargaining agreements (reputed company applicable). reputed company If employed by the reputed company, you will be required to reputed company 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 reputed company and in-person skills assessment; online-only certification is not acceptable. reputed company is the only reputed company health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two reputed company, 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 reputed company! Applications/Resumes are accepted for reputed company reputed company 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, reputed company strives to cultivate a rich and diverse environment, inclusive and supportive of reputed company reputed company, reputed company, staff and visitors. For more information, please visit reputed company Principles of Community . reputed company is an Equal Opportunity/Affirmative reputed company Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, age or protected veteran status. For the reputed company's Affirmative reputed company Policy please visit: https://policy.ucop.edu/doc/[redacted]/PPSM-20 For the reputed company's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/[redacted]/Anti-Discrimination reputed company is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information. reputed company maintains a marijuana and drug free environment. Employees may be subject to drug screening. Apply Job!