University of California Job - 31503699 | CareerArc
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Company: University of California
Location: San Francisco, CA
Career Level: Associate
Industries: Government, Nonprofit, Education

Description


At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve – a promise we share with the professionals who make up our team.

Ranked by U.S. News & World Report as seventh in the country – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.


Job Summary

This position is located in Emeryville, CA.

The position is responsible for providing support to operational areas with PFS related to diagnosis and charge coding. Applies knowledge of medical charges to analyze coding edits. Reviews claim edits particularly focusing on coding and charging edits by evaluating clinical charts in EPIC. Researches medical notes to evaluate appropriateness of coding to capture claims.

Analyzes EPIC and Cirius claim edit issues and makes coding and billing recommendations for changes and corrections to the lead coding analyst and supervisor. Utilizes critical thinking and problem solving to identify changes to charge coding to best reflect diagnosis and enable claim corrections. Requires breadth of knowledge of all applicable billing and coding regulations with particular focus in the areas of Medicare NCD, LCD and MUE requirements for compliant billing.

Involves frequent contact with other departments that include Revenue Integrity, HIMS, and revenue generating departments to research and review coding and billing issues.


Required Qualifications
  • Five years experience in healthcare billing and collections and/or three years experience in claim edit and coding analysis
  • High School diploma or equivalent experience
  • In depth knowledge of clinical charging and billing systems
  • In depth knowledge of ICD 10, CPT, HCPC and UB revenue codes
  • In depth knowledge of NCD and LCD requirements
  • Knowledge of health care charging and billing processes
  • Excellent interpersonal and verbal and written skills
  • The flexibility to orient and work at all UCSF Health locations

Preferred Qualifications
  • Two years Epic experience
  • Bachelor's Degree
  • Current Coding Certification

Licensure/Certification
  • N/A

Living Pride Standards

Service Excellence

  • Demonstrates service excellence by following the Everyday PRIDE Guide with the UCSF Medical Center standards and expectations for communication and behavior. These standards and expectations convey specific behavior associated with the Medical Center's values: Professionalism, Respect, Integrity, Diversity and Excellence, and provide guidance on how we communicate with patients, visitors, faculty, staff, and students, virtually everyone, every day and with every encounter. These standards include, but are not limited to: personal appearance, acknowledging and greeting all patients and families, introductions using AIDET, managing up, service recovery, managing delays and expectations, phone standards, electronic communication, team work, cultural sensitivity and competency.
  • Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits team work skills to positively acknowledge and recognize other colleagues, and uses personal experiences to model and teach Living PRIDE standards.
  • Exhibits tact and professionalism in difficult situations according to PRIDE Values and Practices
  • Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.
  • Demonstrates an understanding of and adheres to safety and infection control policies and procedures.
  • Assumes accountability for improving quality metrics associated with department/unit and meeting organizational/departmental targets.

Work Environment

  • Keeps working areas neat, orderly and clutter-free, including the hallways. Adheres to cleaning processes and puts things back where they belong. Removes and reports broken equipment and furniture.
  • Picks up and disposes of any litter found throughout entire facility.
  • Posts flyers and posters in designated areas only; does not post on walls, doors or windows.
  • Knows where the Environment of Care Manual is kept in department; corrects or reports unsafe conditions to the appropriate departments.
  • Protects the physical environment and equipment from damage and theft.

The flexibility to orient and work at all UCSF Health locations is required.


Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Further information about the University of California, San Francisco, is available at diversity.ucsf.edu. UCSF seeks candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence, and the communities we serve.



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