Revenue Integrity Auditor - Revenue Integrity - Remote - 37897-1A
Company: UC Irvine Health
Location: Orange
Posted on: March 19, 2023
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Job Description:
Revenue Integrity Auditor - Revenue Integrity - Remote -
37897-1AUpdated: Feb 24, 2023
Location: Orange
Job Type:
Department: Revenue Integrity UC Title: REVENUE CYCLE HC ANL 3
Position Number: 40908050 Reports to: Asst Dir of Revenue Integrity
Working Title: Revenue Integrity Auditor Cost Center: Revenue
Integrity (428534) Bargaining Unit: No Bargaining Unit FLSA: Exempt
Date Created: 6/14/2022 Job Code: 007589 Hours: 40 Shift: Not
Applicable FTE: 1 Position Summary: - The incumbent is responsible
to perform routine Revenue Cycle audit reviews, identify areas of
risk, determine regulatory and compliance risk, audit necessity, as
well as denial prevention opportunities. This position will conduct
comprehensive audits to include; review of denials, charge trends,
medical records reviews and coding, in order to make risk and
impact determinations. The incumbent must have knowledge of medical
terminology and possess a coding certification, as well as have
experience with various health plan products (Medicare, Medi-Cal,
HMO, PPO, Managed Care, etc.) private insurance and CMS guidelines.
Previous experience in a hospital setting with split fee billing
with emphasis on hospital billing. This position will be
responsible to produce comprehensive audit findings that include
quantifiable impact, identify areas of opportunity for education,
as well as a process improvement plan. Salary Range: Annual Rate
Minimum $59,200.00 Midpoint -$86,700.00 Maximum $114,200.00
Required Qualifications: Ability to maintain a work pace
appropriate to the workload Must demonstrate customer service
skills appropriate to the job Excellent written and verbal
communication skills in English Ability to establish and maintain
effective working relationships across the Health System , COM, UCI
Research Administration and other UC System campuses Competent
knowledge and experience with Microsoft Office computer
applications, i.e. Word, Excel Familiarity of audit software
packages Must possess the skill, knowledge and ability essential to
the successful performance of assigned duties Must possess a
current Coding Certification (CPC, COC, or AHIMA equivalent) Three
years experience in hospital billing, technical charging practices.
Must possess experience reviewing and interpreting CMS, Commercial
and Government payer coding and payment requirements. Experience in
providing both verbal and written feedback or education directly to
clinical and/or billing staff regarding coding, charging,
documentation, payor authorization, and claim processing
requirements. Three years' auditing experience working in acute
care hospital with split billed setting Preferred Qualifications:
Knowledge of University and Medical Center organizations, policies,
procedures and forms Conditions of Employment: The University of
California, Irvine (UCI) seeks to provide a safe and healthy
environment for the entire UCI community. As part of this
commitment, all applicants who accept an offer of employment must
comply with the following conditions of employment: Background
Check and Live Scan Legal Right to Work in the United States
Smoking and Tobacco Policy Drug Free Environment The following
additional conditions may apply, some of which are dependent upon
business unit or job specific requirements. California Child Abuse
and Neglect Reporting Act The University of California, Irvine is
an Equal Opportunity/Affirmative Action Employer advancing
inclusive excellence. 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 nondiscrimination 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 eec@uci.edu or at (949)
824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.
Keywords: UC Irvine Health, Orange , Revenue Integrity Auditor - Revenue Integrity - Remote - 37897-1A, Accounting, Auditing , Orange, California
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