Job Description

Filing Deadline: Thu 12/26/2024

Special Selection Applicants: Apply by 12/26/24. Eligible Special Selection clients should contact their Disability Counselor for assistance.

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

DESCRIPTION

UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.

The PB Coding Manger, is responsible for ensuring the timely, accurate and compliant coding and charge capture for their assigned group of specialties. The Coding Manager ensures their assigned team(s) complete the assignment of CPT, HCPCS and ICD-10 coding of services rendered by physicians and allied health professionals for inpatient, outpatient and office-based services. The PB Coding Manager is responsible for monitoring and adjusting workflows on a daily basis to ensure services are captured and billed within the established charge lag set forth by the Physician Group.

The PB Coding Manger, has responsibility for monitoring the quality and accuracy of services being coded by their team(s). In collaboration with the Second Level Review (SLR) Team, the Coding Manager will be involved in the regular quality reviews of their team members and will be responsible for providing any necessary education or training identified as appropriate to ensure the ongoing accuracy of charges submitted and to be compliant with all applicable federal, state and payer coding guidelines. The Coding Manager will also be required to assist the coding team with complex surgical cases, and to provide timely feedback to the team and the physicians.

MINIMUM QUALIFICATIONS

• Nine (9) years of related coding experience, education and/or training; OR a Bachelor’s Degree in related area plus five (5) years of related coding experience. Related experience: Coding Radiology services.

• Solid supervisory and organizational skills. Ability to effectively manage multiple priorities in a fast-paced environment

• Thorough knowledge of revenue cycle management practices and concepts, charge master, billing, coding and collection regulations.

• Skilled in written and verbal communications, with the ability to effectively motivate others, to convey complex information in a clear and concise manner, and to prepare and present a variety of reports and analyses.

• Strong project management skills with the ability to organize, manage multiple priorities, meet deadlines, and delegate assignments efficiently.

• In-depth knowledge of all relevant information technology, including systems, tools, applications, processes, and methodologies.

PREFERRED QUALIFICATIONS

• Professional fee coding certification, such as CPC or CCS-P.

• Will consider RHIT or RHIA with CCS certification.

• Must have experience leading remote teams.

• Must have at least five (5) years of management experience.

• Healthcare environment experience.

• Epic and 3M encoder user experience.

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: $94,400 - $176,800 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $45.21 - $84.67

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).

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

UC San Diego 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, disability, age or protected veteran status.

For the University of California’s Affirmative Action Policy please visit: https://policy.ucop.edu/doc/4010393/PPSM-20
For the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

a. "Misconduct" means any violation of the policies or laws governing conduct at the applicant's previous place of employment, including, but not limited to, violations of policies or laws prohibiting sexual harassment, sexual assault, or other forms of harassment, discrimination, dishonesty, or unethical conduct, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct:

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