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University of California - San Francisco 196 reviews– San Francisco, CA
University of California - San Francisco - 30+ days ago
Req Number 38625BR
Job Title Associate Director, Revenue Management
Job Code and Payroll Title 0280 MANAGER (FUNC AREA)
Location 185 Berry Street
Department Name SOM Medical Group,
Work Days MONDAY - FRIDAY 8AM - 5PM
Shift Length 8 Hours
Job Summary The Assoc. Director reports to the Medical Group Director of Revenue Management (DORM) and works closely with UCSF Administration, Department Chairs, Division Chiefs, all management levels, health care providers and UCSF employees. The position is responsible for the daily operations of the Medical Group Office of Revenue Management (ORM) team, to include coding quality assurance policy development, program monitoring, training and auditing related to all aspects of quality assurance for pro-fee coding, and supervision of assigned Quality Assurance Analysts.
The Assoc. Director performs comprehensive research, expert analysis, and prepares written reports on complex issues related to all areas of coding compliance to ensure the established UCSF policies are in accordance with Federal and State laws and regulations. The Assoc. Director ensures ongoing monitoring and reporting systems have been implemented to evaluate and report on the effectiveness of coding quality assurance. The Assoc. Director will monitor performance and work closely with internal and external coders. S/he will also be directly involved in ensuring performance levels are met or exceeded by the ORM Coding Quality Analysts. S/he will directly interact with physician leaders and others in reviewing coding performance assessments and will be instrumental in identifying and meeting the education needs that result from such interactions.
Required Qualifications . Bachelor's degree in work-related field/discipline from an accredited college or university, and five years of experience in administrative analysis or operations research; or an equivalent combination of education and experience.
. Five years of progressively responsible and directly related work experience.
. Current certification as a professional fee coder from either AAPC, or AHIMA.
. Knowledge of government program regulations and requirements as they relate to coding, accounting and professional fee billing.
. Ability to recognize and analyze the impact of regulatory changes on the financial performance of the professional fee revenue.
. Knowledge of CPT and ICD-9 coding standards and experience recommending and developing polices and guidelines which support organizational compliance with federal, state and local regulations.
. Knowledge of principles and practices of organization, administration, fiscal and personnel management.
. Demonstrated ability to set priorities, establish short and long term goals and objectives, use informed judgment, recommend alternatives and solve problems.
. Excellent interpersonal skills including the ability to deal with diverse issues and personalities and the ability to work well with all levels of staff and faculty.
. Management style that emphasizes teamwork, communication, collegiality, flexibility and trust.
. Ability to provide leadership and influence others.
. Ability to analyze medical coding utilization metrics and clinical documentation to provide targeted feedback to clinical providers to address documentation deficiencies.
. Knowledge of rules and regulations pertaining to the clinical practice, documentation and billing of professional fee services for non-physician providers.
. Experience developing and supporting collaborative relationships with billing vendors to achieve best practice revenue cycle performance.
. Knowledge of the interrelationships and dependencies of clinical, practice management and revenue cycle information systems to ensure that system integrity and use supports revenue cycle optimization and clinical compliance.
Note: Fingerprinting and background check required.
Physical Demands: requires sitting; standing; walking; bending; climbing stairs; reaching up to shoulder height; reaching above shoulder level; carrying/lifting up to 20-30 pounds;; gripping/grasping, fine/gross finger manipulation; repetitive movements of upper and lower extremities; differentiate color; verbal communication.
Preferred Qualifications . Master's degree preferred, or equivalent level of education and experience.
. Knowledge of financial management.
. Knowledge of local, state and federal regulatory requirements related to the functional area.
. Experience in leading and implementing enterprise level revenue cycle solutions.
. Knowledge of Epic and relationship of dictionaries and ancillary systems on revenue cycle performance.
. Demonstrated experience negotiating contracts with billing, coding and software vendors.
. Experience in managing response to coding audits and development of corrective action plans.
. Knowledge of accounts receivable management and ability to analyze data to identify and remedy opportunities for improvement.
. Experience with development of clinical documentation templates for EHR, transcription and voice recognition applications to support clinical provider workflows and superior documentation content to support patient care and compliance requirements.
. Knowledge and experience using data base and reporting systems to create reports to manage revenue cycle operations and CPT/ICD-9 coding utilization.
License/Certification Current certification as a professional fee coder from either AAPC, or AHIMA
Position Type Full Time