Professional Fee Coder - Analyst II (part-time / per diem) at UCSF Campus BU — Emeryville, USA | Base Career

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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 for presenting 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.

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 for presenting 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.

Bachelor's degree in a related area and one or more years of equivalent experience/training, OR five more years of equivalent experience.
Must be a Certified Professional Coder in good standing with AAPC or AHIMA, and maintain yearly credits to ensure certification. Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS) or licensure equivalent.
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.

Professional Fee Coder - Analyst II (part-time / per diem)

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