Patient Records Abstractor 3 - PB Financial Services - FT Days

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center , a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center , high-risk perinatal / neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center , gold level 1 geriatric emergency department and regional burn center . UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Your Role on the Team

Position Summary :

Under the general supervision of the Billing Manager, the incumbent independently performs highly complex and detailed coding for all inpatient and outpatient services, procedures and surgeries billed by the Physician Billing Group. Provides assistance to other staff including physicians with coding issues that extend from dictated reports, which include H&P, written ER reports, chart notes, procedures, clinic notes and encounter forms, error billing reports and various other sources. Coding is to be done to maximize reimbursement, and in compliance with University, Medicare, HCFA, Commercial insurance and all other related entities' strict guidelines and policies.

What It Takes to be Successful

Required Qualifications :

• User level experience with PC and MS Office applications, e.g.) Word, Excel, Outlook. Demonstrated skill / experience working with computerized reports to abstract information. Ability to analyze coding / denial and or system data to effectively implement problem solving skills.
• Skill, knowledge and ability to exercise a sound professional coding judgment consistent with government and private payer requirements to ensure all codes / modifiers are appropriate and assure maximum reimbursement.
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Knowledge of 3rd party payers and government regulations and compliance programs to assist collectors with coding questions / issues.
• Extensive working knowledge of ICD-10, CPT and modifier coding systems and tools.
• Extensive knowledge of medical terminology. Extensive knowledge of anatomy and physiology.
• Excellent written and verbal communication skills in English
• Effective use with medical record information to ascertain appropriate billing codes. Ability to read and understand difficult to read writing in medical records to decipher appropriate CPT / ICD-9 / Modifier codes.
• Demonstrated skill / experience in medical professional fee billing to include Medi-Cal, Medicare, MSI, Champus, Tricare, Triwest and commercial insurance carriers.
• Demonstrated high level of reading and comprehension skills. Possess the skill to read and comprehend documents and takes appropriate action. Well-developed verbal and written communication skills to effectively develop communications to various stakeholders. Accurate typing and proofreading skills. Filing and record keeping skills.
• Demonstrated ability to work efficiently with minimal supervision, combined with initiative to system improvement. Demonstrated ability to work independently with only general supervision. Demonstrated possession of good organizational skills, while maintaining flexibility to respond to changing priorities. Skills to organize and prioritize workload coordinate multiple assignments simultaneously to meet and complete conflicting deadlines. Ability to maintain work standards and productivity standards set by the department. Ability to prioritize and work proficiently with multi-tasks as assigned by management.
• CPC or CCS certification required; CPC preferred.
• Basic accounting knowledge to understand credits debits and the ability to accurately audit patient ledgers.
• Ability to sit and code for a prolonged period of time during the day.
• Ability to maintain a work pace appropriate to the workload
• Ability to interact in a professional and diplomatic manner with conflicting perspectives. Effective interpersonal and professional communication skills to interact with staff, vendor and client in a diplomatic manner.
• Ability to establish and maintain effective working relationships across the Health System
• Ability to effectively and accurately extract, create, verify and or support appropriate CPT codes from dictations, reports or encounter forms leading to a timely collections of billing in a compliant method.

Preferred Qualifications :

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

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 :

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

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 eec@uci.edu or at (949) 824-0500, 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