Professional Fee Coder - Analyst

University of California San Francisco

$80K — $100K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 1+ years of coding experience required.
  • Bachelor's degree or equivalent training in a related field.
  • Familiarity with CPT, ICD-10, E/M Documentation Guidelines, and Medicare regulations.
  • Knowledge of healthcare revenue cycle practices including billing and collections.
  • Proficient in database, spreadsheet, and presentation software.
  • Strong organizational and communication skills needed.
  • Demonstrated analytical abilities and knowledge of medical terminology.

Responsibilities

  • Provide education and training to clinical staff on coding compliance.
  • Conduct in-depth reviews of clinician documentation for accuracy.
  • Present findings and improvement recommendations to the department.
  • Assign correct codes based on clinical chart reviews.
  • Resolve coding denials and related issues effectively.
  • Identify areas for operational improvement in revenue processes.

Benefits

  • Opportunity to work in a collaborative team environment.
  • Engagement with physicians and clinical staff on coding education.
  • Access to professional development resources within an academic center.
  • Onsite work in a vibrant Emeryville location.
  • Participation in a diverse and supportive workplace culture.
Full Job Description
Job Description

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing 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 is responsible to present findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and Identify areas of improvement.

Qualifications

Required Qualifications

One (1) or more years of coding experience.Bachelor's degree in related area and/or equivalent experience/training.Must have experience working with CPT, ICD-10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations as well as 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 in a timely and cost-effective manner.Proficiency in a common database, spreadsheet, and presentation software.Demonstrated communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. 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 a wide variety of business and clinical areas.Knowledge of medical terminology, anatomy and physiology.This position requires one to work onsite in our Emeryville office.

Preferred Qualifications

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

Salary Information

The final salary and offer components are subject to additional approvals based on UC policy.

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.

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

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