Professional Fee Coder Educator

Professional Fee Coder Educator

29 Jan 2025
California, San francisco bay area 00000 San francisco bay area USA

Professional Fee Coder Educator

Job SummaryThe Professional Fee Coding Educator (CE) is responsible for providing education and training for physicians, staff, and other providers on professional fee coding and clinical documentation standards. The CE will conduct coding quality reviews, analyze findings, and provide follow-up education to coding staff and providers; will outline and annotate applicable laws and coding compliance mandates applicable to the coding being reviewed and provide written and verbal teaching, training, or policies to affected parties. The CE must be facile and knowledgeable of all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on several factors including your work experience and internal equity within this position classification at UCSF. The hourly rate for this position starts at $55.60+, depending on experience. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.htmlFaculty Practice Management Operations supports the Revenue Cycle functions for charge capture, coding, charge edits, authorizations and RFI resolution supporting over 14 clinical departments and 50 clinical programs. Charge generation for the unit is roughly $2.8 billion dollars supporting both Faculty Practice Operations as well as the Adult, Children’s, and Cancer Services. Impact of revenue cycle work for this unit is felt by Faculty Practice Operations (FPO), as well as UCSF Health Inpatient Facilities. Required QualificationsBachelor's degree in a related area or four years of equivalent experience/training ANDThree or more years of revenue cycle professional fee coding experience or equivalent experience/training.Thorough knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.Thorough understanding of the issues, processes, reporting instruments, metrics, analytics, and other tools and techniques involved with measuring and analyzing the revenue cycle.Detail oriented, with proven ability to effectively manage time, see tasks and projects through to completion, organize competing priorities, and effectively address complex, urgent issues as they arise.Strong skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management. Skills in common database, spreadsheet and presentation software.Strong communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations.Strong analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems and propose innovative solutions.Strong interpersonal skills, with the ability to collaborate effectively on complex projects in a team environment with staff from a wide variety of business and clinical areas.Proven ability to work with managers, serving as a technical resource, providing recommendations and advice on regulatory changes, and industry trends and developments in revenue cycle management.Strong analytic and problem-solving skills. An in-depth knowledge of all facets of the billing and revenue cycle process; including a fundamental understanding of coding (CPT and ICD-9) and documentation requirements (for both billing and compliance), the billing submission process, and the accounts receivable management process. Knowledge of the federal and state Medicare and Medi-Cal policies and how these programs impact billing and collections.Preferred Qualificationsn/aLicense/CertificationCertified Professional Coder in good standing with AAPC or AHIMASecondary Specialty Coding CertificationAbout UCSFAt UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.Pride ValuesUCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu Join us to find a rewarding career contributing to improving healthcare worldwide.

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