University of California San Diego

HB Second Level Reviewer - Remote - 137607

US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7+ years' auditing experience in a healthcare setting or a Bachelor's degree plus 3 years' similar experience.
  • Solid understanding of healthcare revenue cycle operations including billing and collections.
  • Preferred: Current RHIT, RHIA, or CCS credentials.
  • At least 3 years of inpatient facility auditing experience.
  • Experience desired in Level I Trauma and Academic/Research facilities.

Responsibilities

  • Review and audit inpatient facility coding for compliance.
  • Train coding staff and educate team members on coding and documentation.
  • Generate and oversee queries for timely coding adjustments.
  • Ensure coding assignments improve data integrity and compliance.
  • Participate in optimization and interdisciplinary meetings as a coding representative.

Benefits

  • Remote work flexibility.
  • Opportunities for professional development in a university setting.
  • Access to comprehensive health and wellness resources.
  • Participation in a diverse and patient-focused work environment.
  • Engagement in innovative and challenging career opportunities.
Full Job Description
Payroll Title:
AUDIT PROFL 3 Department:
HEALTH INFORMATION MANAGEMENT Hiring Pay Scale
$83,000 - $124,300 / Year Worksite:
Remote Appointment Type:
Career Appointment Percent:
100% Union:
Uncovered Total Openings:
1 Work Schedule:
Days, 8 hour shifts, Monday - Friday

#137607 HB Second Level Reviewer - Remote
Extended Deadline: Mon 7/6/2026
Apply Now

Candidates hired into this position may have the ability to work remotely.

This position will remain open until filled.

DESCRIPTION

Responsible for review, audit, and remediation of any deviation from compliant Inpatient facility 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. May 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 of the healthcare revenue cycle and its component operations, including ICD-10, SOI/ROM, HAC, PSI and query identification, writing, and monitoring.
  • Minimum of three (3) years Inpatient 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 and locations based on business needs.
  • Employment is subject to a criminal background check and pre-employment physical.
Pay Transparency Act

Annual Full Pay Range: $79,200 - $143,400 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $37.93 - $68.68

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).

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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.

About University of California San Diego

The University of California San Diego (UC San Diego) is a public research university in San Diego, California. Established in 1960 near the pre-existing Scripps Institution of Oceanography, UC San Diego is the seventh-oldest of the 10 University of California campuses and offers over 200 undergraduate and graduate degree programs, enrolling approximately 38,325 students. UC San Diego is organized into six undergraduate residential colleges (Revelle, John Muir, Thurgood Marshall, Earl Warren, Eleanor Roosevelt, and Sixth College) and five academic divisions (Arts and Humanities, Biological Sciences, Jacobs School of Engineering, Physical Sciences, and Social Sciences). The university operates 19 organized research units (ORUs), including the Center for Energy Research, Qualcomm Institute (a branch of the California Institute for Telecommunications and Information Technology), and the San Diego Supercomputer Center.
Learn more about University of California San Diego
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