Revenue Cycle Analyst 3 (Inpatient) - Health Information - FT Days
University of California
Job Title
Coding Auditor
Overview
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.
Responsibilities
This position reports to the Coding Manager and is responsible for maintaining coded data quality through ongoing quality review and assessment of patient records. Performs concurrent audits. Prepares reports for management review, identifies trends and takes appropriate actions in response. Conducts retrospective audits. Conducts individual coding audits. In conjunction with the Coding Manager contributes to the development of educational/training opportunities for physicians and staff to address coding deficiencies identified.
Qualifications
Required Qualifications:
- User level experience using personal computers, particularly with encoding, abstracting and prospective payment grouper systems
- Strong knowledge of prospective payment systems and corporate compliance programs
- Skill, knowledge and ability essential to the successful performance of the job duties
- Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
- Must demonstrate customer service skills appropriate to the job
- Minimum of 2 years of coding audit experience
- Knowledge of anatomy and physiology, disease process and medical terminology
- Knowledge of ICD-10, PCS codes and CPT codes
- Demonstrate interpersonal and team skills, and ability to communicate effectively orally and in writing.
- Ability to work independently and be a self starter
- Ability to meet deadlines and respond well to frequent changes in regulation
- Ability to maintain a work pace appropriate to the workload
- Ability to generate reports for management review that present audit results in a clear manner
- Ability to establish and maintain effective working relationships across the Health System
- Ability to analyze data for trends and develop actions in response to findings
Preferred Qualifications:
- Credentialed through the American Health Information Management Association (RHIT/RHIA)
Total Rewards
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.
Conditions of Employment:
- Background Check and Live Scan
- Employment Misconduct*
- Legal Right to Work in the United States
- Vaccination Policies
- Smoking and Tobacco Policy
- Drug Free Environment
*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.
- California Child Abuse and Neglect Reporting Act
- E-Verify
- Pre-Placement Health Evaluation
Details of each policy may be reviewed by visiting the following page:
Closing Statement:
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 categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at View email address on click.appcast.io or at View phone number on click.appcast.io, Monday - Friday from 8:30 a.m. - 5:00 p.m.
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