The Analyst II Coder, reporting to the Revenue Manager/Associate Director, supports revenue operations focusing on production coding, auditing, and training. Key responsibilities include charge capture and flow, professional billing coding, charge edit reviews, claim edits, RFIs, and setting up charge practices and reporting.
This role involves managing a broad range of 1,000 to 3,500 procedural codes and Evaluation and Management services coding. The coder demonstrates proficiency in moderately complex professional fee and technical coding, supports revenue cycle management, and educates physicians and clinical staff to ensure compliance with coding guidelines. The role requires in-depth review of physician documentation and communicating findings to enhance physician education.
The coder applies knowledge of billing and coding regulations across all levels and uses expertise in hospital operations, payor guidelines, charge capture, workflow, Epic systems, authorizations, and charge triggers to assign accurate codes. Additional duties include denial issue resolution and identifying revenue cycle improvements.
Note: A $2,000 new hire sign-on bonus is offered for external hires not employed by UC in the last 12 months, payable after 30 days of continuous employment.
Other duties cover revenue cycle analysis and coding, charge edit resolution, education for physicians and staff, compliance research, provider documentation review, and vendor quality control.
- Bachelor's degree in a related area or four years equivalent experience/training.
- At least one year of professional fee coding or equivalent experience.
- Experience with CPT, ICD-10, E/M Documentation Guidelines, CCI edits, Medicare LCDs, state and federal rules, and payor billing requirements.
- Working knowledge of healthcare revenue cycle practices, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
- Proficiency with reporting tools, metrics, and dashboard design.
- Strong organizational, communication, analytical, and problem-solving skills.
- Ability to work collaboratively across diverse clinical and business teams.
- Knowledge of medical terminology, anatomy, and physiology.
Preferred:
- Experience with EPIC (Apex) system.
- Experience working with physicians, allied health providers, and clinical staff.
- Academic medical center experience.
- Advanced Coding Certification.
Required Certifications:
- CPC, CCA, CCS, RHIT, RHIA, or equivalent licensure to be evaluated by management.
Note: Visa sponsorship not available at this time.
New hire sign-on bonus of $2,000 for eligible candidates. Comprehensive benefits available through UCSF, details at https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Location
California, US
Employment Type
Contractor
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago