Professional Fee Coder - Analyst II
Under the direction of the Revenue Manager and Associate Director, the Analyst II will provide support in revenue operations related to coding, auditing, and training. The incumbent will provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines, perform an in‑depth review of physician documentation and present findings with recommendations, assign codes based on review of clinical charts, resolve coding issues based on denials, and identify areas of improvement in coding processes.
Responsibilities
Provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines.
Perform an in‑depth review of physician documentation and present findings along with recommendations to the department.
Assign codes based on review of clinical charts.
Resolve coding issues based on denials.
Identify areas of improvement in coding processes.
Required Qualifications
One (1) or more years of coding experience.
Bachelor's degree in a related field and/or equivalent experience/training.
Experience with CPT, ICD‑10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, and payor billing requirements.
Working knowledge of healthcare revenue‑cycle practices, procedures, and concepts.
Knowledge of billing, collections, charge capture, contractual adjustments, third‑party reimbursements, and cash management.
Working knowledge of reporting instruments, metrics, and 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 communication skills; 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; ability to evaluate the effectiveness of workflows and systems.
Demonstrated interpersonal skills to work effectively in a team environment with internal staff across a wide variety of business and clinical areas.
Knowledge of medical terminology, anatomy, and physiology.
Position requires onsite work in the 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.
Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
Salary and Compensation
The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range depends on factors including work experience and internal equity. For positions represented by a labor union, placement will be guided by the collective bargaining agreement. More information on benefits and total compensation is available at https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
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