Perioperative Services Billing Specialist (48X)

#LI-CC1 #CA-CC #48xAdminsupport

Under the general guidance of the Billing Supervisor, the incumbent is responsible for monitoring charge reports and addressing billing and coding issues to minimize reimbursement delays and denials. Responsibilities include submitting additions, changes, and deletions to the department's Charge Description Master (CDM) for Rate Review approval. The incumbent will be responsible for coding, abstracting, and billing medical supplies, implants, and surgical and anesthesia services. They will identify all billable services and assign and validate HCPCS and revenue codes for billing to government agencies, insurance companies, and patients.

The incumbent may serve as a resource and trainer for other abstractors, providing guidance on billing and coding questions, as well as system and procedure changes. Ensuring documentation accuracy and compliance with federal, state, and payer-specific rules, regulations, and requirements related to hospital charges is a critical part of the role. The incumbent will participate in project teams and task forces to review and analyze UCDHS billing and compliance policies and procedures, assessing their impact on the Division's billing practices.

In support of coding quality review, the incumbent will collaborate with the supervisor to address any discrepancies between coding and documentation. Key responsibilities include collecting case information, analyzing documentation, identifying discrepancies, and preparing and entering charges into the online charge entry system. Additionally, the incumbent will utilize reports to monitor adherence to required policies and procedures and perform audits and reconciliation processes for charges entered.

Apply By January 30, 2025

Minimum Qualifications

• High School Diploma or equivalent
• Three years recent acute care hospital billing experience
• Experience applying UB04 and revenue codes as it pertains to billing. Application of ICD9, ICD-10, CPT, HCPCS coding principles.

Preferred Qualifications

• Certified Professional Coder (CPC)
• Epic Resolute experience.
• Hospital billing experience.
• Experience with Government payers i.e. Medicare.

Key Responsibilities

• 55% - Processing Billing and Clinical Charge Entry
• 35% - Processing Billing and Clinical Charge Entry
• 10% - Education, Communication, and Special Projects

Department Overview

Perioperative Services is a large division comprised of departments including the Operating Rooms, Pre-Op and Post Anesthesia Care Unit (PACU) Departments, Pre-Anesthesia Clinic, Anesthesia, Sterile Processing Department, GI Lab and Interventional Pulmonary Procedural Department.

Position Information

• Salary or Pay Range: $38.69 - $48.13
• Salary Frequency: Hourly
• Salary Grade: 113
• UC Job Title: PAT RCDS ABSTRACTOR 3
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift Hours: 8 hours
• Location: 48X (4868XST)
• Union Representation: EX-Patient Care Technical
• Benefits Eligible: Yes
• Hybrid/Remote/Onsite: This position is 100% on-site
• This is not an H1-B sponsorship opportunity.

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

* High quality and low-cost medical plans to choose from to fit your family's needs
* UC pays for Dental and Vision insurance premiums for you and your family
* Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
* Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Access to free professional development courses and learning opportunities for personal and professional growth
* WorkLife and Wellness programs and resources
* On-site Employee Assistance Program including access to free mental health services
* Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
* Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
* Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here
* UC Davis cares about building a community, which is why we provide resources to enhance diversity, equity and inclusion as well as Employee Resource Groups (ERGs) to support our staff

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Continuous 6 to 8+ Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Continuous 6 to 8+ Hours
• Complex problem solving/reasoning - Continuous 6 to 8+ Hours
• Ability to organize & prioritize - Continuous 6 to 8+ Hours
• Communication skills - Continuous 6 to 8+ Hours
• Numerical skills - Continuous 6 to 8+ Hours
• Constant Interaction - Continuous 6 to 8+ Hours
• Customer/Patient Contact - Continuous 6 to 8+ Hours
• Multiple Concurrent Tasks - Continuous 6 to 8+ Hours

Special Requirements

• This is a critical position, as defined by UC policy and local procedures, and as such, employment is contingent upon successful completion of background check(s), including but not limited to criminal record history background check(s)
• This offer is contingent upon your successful completion of an Employment Misconduct Disclosure review where you will be required to disclose any final administrative or judicial decisions within the last seven years determining that you 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.

Diversity, Equity, Inclusion and Belonging

At UC Davis, we're solving life's most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don't just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds and you belong here. As you consider joining UC Davis, please explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected. The University of California, Davis is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

For the University of California's Affirmative Action Policy, please visit: https://policy.ucop.edu/doc/4010393/PPSM-20

For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification. Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role! Don't meet all the requirements? We still encourage you to apply! #YouBelongHere