Special Selection Applicants: Apply by 07/11/24. Eligible Special Selection clients should contact their Disability Counselor for assistance.
Candidates hired into this position may have the ability to work remotely.
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.
Under the general direction and guidance of the Assistant Director, Revenue Integrity, the HB Revenue Integrity Manager is responsible for direct oversight of all daily operations of the Hospital Billing Revenue Integrity team ensuring integrity and stability of revenue operations, while leading initiatives to achieve revenue optimization, standardized and reliable charge capture that is compliant to all charging and billing guidelines. The incumbent will serve as a subject matter expert on hospital charging and billing best practices, fostering team integration and excellence in achieving strategic goals.
Essential Duties and Responsibilities:
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Develops policies and procedures to maximize effectiveness of charge capture within revenue cycle
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Develops and implements the redesign and/ or automation of processes and controls, ensuring accurate and compliant charging within EPIC. Stays abreast of emerging issues and risks and plans accordingly
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Establishes and implements performance standards for revenue integrity staff. Monitors and tracks staff activities against established performance standards and provides immediate feedback to achieve performance improvement
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Provides direction and interprets revenue integrity and revenue cycle key performance metrics. Implements and supports strategic audits to identify opportunities to streamline charge capture processes and increase net revenue
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Reviews, monitors, and analyzes revenue performance and status on a regular basis to identify trends and strategize for continuous improvement and course correction
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Develops revenue cycle related content, leads/presents, and can support detail(s) when asked. Advanced skills in report development, and various software tools specific to healthcare revenue cycle management. Skills in common database, spreadsheet, and presentation software
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Collaborates with revenue cycle stakeholders/sub-groups, operations, IS, compliance, finance leadership and team
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Provides training and support to staff members on revenue integrity best practices and compliance requirements. Promotes team-oriented work environment by encouraging, building and maintenance of cohesive work relationships
Other Responsibilities:
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May perform additional responsibilities or special projects as required.
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May provide cross - functional support as business needs demand
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 experience. Related experience: coding experience and Hospital Billing (HB) EPIC.
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.
Certification - Active certification as a RHIA, RHIT and/or Certified Coding Specialist (CCS) from AHIMA, or Certified Outpatient Coder (COC), and/or CPMA from AAPC.
Hospital CDM and chargemaster experience.
Pay Transparency Act
Annual Full Pay Range: $91,300 - $170,700 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $43.73 - $81.75
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).
If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.
If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.
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.