Rev Cycle HC Analyst 3 (Inpatient) - Health Information - F/T - Days

UCI Health; Orange (CA); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Vacation time

Retirement plans

Job summary

UCI Health is seeking a Coding Auditor to maintain high-quality coded data through concurrent and retrospective audits, and to support management with trend reports. The role requires collaboration with the Coding Manager to address deficiencies and educate physicians and staff.

The successful candidate will perform audits, generate actionable insights, and contribute to data quality initiatives across the health system.

Qualifications

• Minimum of 2 years of coding audit experience.
• Knowledge of anatomy and physiology, disease process and medical terminology.
• Knowledge of ICD-10, PCS codes and CPT codes.
• Demonstrate interpersonal and team skills, and ability to communicate effectively orally and in writing.

Responsibilities

• Maintain coded data quality through ongoing quality review and assessment of patient records.
• Perform concurrent audits and retrospective audits; prepare reports for management review.
• Contributes to educational/training opportunities for physicians and staff to address coding deficiencies identified.

Skills

PC skills

Encoding/abstracting

Prospective payment systems

Interpersonal communication

Education

RHIT/RHIA credential

Job description

Who We Are

UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties.

Who We Are

UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties.

As Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association.

Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through excellence in patient care, research and medical education.

Your Role on the Team

Position Summary

This position reports to the Coding Manager and is responsible for maintaining coded data quality through ongoing quality review and assessment of patient records. Performs concurrent audits. Prepares reports for management review, identifies trends and takes appropriate actions in response. Conducts retrospective audits. Conducts individual coding audits. In conjunction with the Coding Manager contributes to the development of educational/training opportunities for physicians and staff to address coding deficiencies identified. Incumbent is responsible for maintaining coded data quality through ongoing quality review and assessment of patient records. Performs concurrent audits. Prepares reports for management review, identifies trends, and takes appropriate actions in response. Conducts retrospective audits. Conducts individual coding audits. In conjunction with Coding Manager, contributes to the development of educational/training opportunities for physicians and staff to address coding deficiencies identified.

Required Qualifications

What It Takes to be Successful

• User level experience using personal computers, particularly with encoding, abstracting and prospective payment grouper systems
• Strong knowledge of prospective payment systems and corporate compliance programs
• Skill, knowledge and ability essential to the successful performance of the job duties
• 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 of 2 years of coding audit experience
• Knowledge of anatomy and physiology, disease process and medical terminology
• Knowledge of ICD-10, PCS codes and CPT codes
• Demonstrate interpersonal and team skills, and ability to communicate effectively orally and in writing.
• Ability to work independently and be a self starter
• Ability to meet deadlines and respond well to frequent changes in regulation
• Ability to maintain a work pace appropriate to the workload
• Ability to generate reports for management review that present audit results in a clear manner
• Ability to establish and maintain effective working relationships across the Health System
• Ability to analyze data for trends and develop actions in response to findings

Preferred Qualifications

• Credentialed through the American Health Information Management Association (RHIT/RHIA)

Total Rewards

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. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions Of Employment

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment
• Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

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
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement

The University of California is an Equal Opportunity Employer. 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 Anti-Discrimination 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 [e-mail] or at [phone], Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization