HB Outpatient Second Level Reviewer - Remote - 138000

University of California - San Diego Medical Centers; United States; Hybrid; USD 79,200 - 143,400; Full time

Job summary

The University of California - San Diego Medical Centers is seeking a Revenue Cycle Auditor to support medical coding compliance and education. With a commitment to patient care, this role involves auditing coding practices, training staff, and ensuring data integrity.

Candidates should have extensive auditing experience and strong communication skills. This position offers the potential for remote work and competitive pay ranging from $79,200 to $143,400 annually.

Qualifications

• Seven years of related auditing experience or Bachelor's degree plus three years of experience.
• Thorough knowledge of professional auditing standards.
• Strong interpersonal and communication skills.

Responsibilities

• Review, audit, and remediate coding deviations.
• Train coding staff and educate workforce on proper documentation.
• Oversee coding assignments and assure data integrity.

Skills

Auditing experience

Interpersonal communication

Knowledge of revenue cycle operations

Data analysis

Education

Bachelor's Degree in related area

Job description

UCSD Layoff from Career Appointment: Apply by 1/9/26 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance.

Candidates hired into this position may have the ability to work remotely.

This position will remain open until filled.

Job Description

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.

Responsible for review, audit, and remediation of any deviation from compliant coding, training the coding staff, and educating other workforce members in coding, grouping, and proper documentation. Oversees the generation and approvals of queries to assure a timely and appropriate response. Assures that all coding assignments and workflow achieves the intended result. Represents coding leadership at optimization, CDI, and other interdisciplinary meetings. Assure the highest level of data integrity, denial avoidance due to coding, and the highest quality of external data released to HEDIS, CMS and Vizient.

Minimum Qualifications

• Seven (7) years of related auditing experience i.e. auditing experience in large academic hospital system, education/training, or a Bachelor's Degree in related area plus three (3) years auditing experience i.e. auditing experience in large academic hospital system, education/training.
• Thorough knowledge of the audit profession, theories and systems of internal control, and professional auditing standards.
• Gathers, organizes and performs analysis for moderately complex audit assignments. Working on mastering more advanced audit concepts and applications in the completion of assignments.
• Strong interpersonal and communication skills to present sensitive information with diplomacy and in a clear and concise manner. Presents to a wide variety of audiences, including senior management and external agencies.
• May require specialized expertise in enterprise software and relational databases.

Preferred Qualifications

• Current Credentials as RHIT or RHIA, or CCS, or combination.
• Experience and proven success in 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.
• Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including ICD‑10, CPT, HCPCS coding, Risk Adjustment/HCC and query identification, writing, and monitoring.
• Minimum of three (3) years Outpatient Facility auditing experience of facility coders to include Emergency Department (facility & profee), Infusion Center, Observation, and/or Same Day Surgery.
• Experience working for Level I Trauma & Academic/Research Facility is a plus.
• Interaction with physicians.

Special Conditions

• Must be able to work various hours, days, shifts, on‑call and locations based on the 24‑hour Medical Center's business needs.
• Employment is subject to a criminal background check and pre‑employment physical.

Pay Transparency Act

Annual Full Pay Range: $79,200 - $143,400 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $37.93 - $68.68

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).