"Outpatient Rev Cycle HC Anl 3-Health Information-FT-Day"

Position Summary: The Outpatient Coding Auditor reports to the Outpatient Coding Manager and is primarily responsible for conducting rigorous departmental and interdepartmental coding audits to ensure adherence to Federal and State regulations and identifying coding discrepancies in acute care outpatient services. Review records, conferences with physicians and medical center staff to capture accurate documentation. Conduct quality and CPT/APC payment reviews; audit documentation for discrepancies, coding errors, and billing issues; and provide feedback and educational support to outpatient coding staff and external departments. Assists in the development and enforcement of outpatient coding policies. Engage in ongoing education to stay up-to-date with coding guidelines, regulatory requirements, and billing regulations.

Required Qualifications:

• Thorough understanding of the issues, processes, reporting instruments, metrics, analytics, and other tools and techniques involved with measuring and analyzing the revenue cycle
• Thorough knowledge of practices, procedures, and concepts of the healthcare revenue cycle and its component operations (e.g., billing, collections, charge capture, contractual adjustments)
• Strong analytical skills to assess and resolve outpatient coding system errors
• Proven ability to work with managers, serving as a technical resource, providing recommendations and advice on regulatory changes, industry trends and developments in revenue cycle management
• 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 three (3) years' outpatient coding/auditing experience in an acute care hospital
• In-depth knowledge of CPT, HCPCS, ICD-10-CM, and outpatient regulatory requirements
• Familiarity with EPIC and 3M 360 Encompass software
• Excellent written and verbal English communication skills
• Demonstrated attention to detail, organization, ability to effectively manage time and competing priorities, and see tasks through to completion
• Demonstrated ability to problem solve, analyze data for trends, and develop actions in response to findings
• Demonstrated ability to interpret and convey complex clinical financial information in a clear, concise manner
• Demonstrated ability to conduct coding education and training sessions effectively
• Commitment to maintaining high ethical and professional standards
• CCS certification
• Bachelor's degree in related area and / or equivalent experience / training
• Ability to work independently and be a self-starter
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System

Preferred Qualifications:

• Knowledge of University and medical center organizations, policies, procedures and forms
• Credentialed through the American Health Information Management Association (RHIT/RHIA)

Total Compensation: 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.

Learn more about compensation practices and benefits.