This position is a contract/limited position with the possibility of extension/career conversion.
UCSD Layoff from Career Appointment: Apply by 10/13/2022 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 10/24/2022 Eligible Special Selection clients should contact their Disability Counselor for assistance.
This position offers a hybrid work arrangement, which includes a combination of onsite and remote work.
The Department of Orthopaedic Surgery is a vibrant and growing Orthopaedic Surgery Department of 48 full-time faculty and 50 voluntary faculty, 4 physicians on MSP contracts, 32 trainees, and 34 staff that supports and participates in the academic, clinical, and research mission of UC San Diego. The Department generates over $12M in clinical revenue, and $5M (NIH & other) in research grants and contracts, with total annual expenditures exceeding $30M. The Department is a comprehensive orthopaedic group located in San Diego that offers a full spectrum of musculoskeletal clinical care, specializing in foot and ankle, hand, joint reconstruction, physical medicine and rehabilitation, spine, sports, and trauma. Research expertise includes advancements in muscle metabolism and physiology, neuromuscular bioengineering, intervertebral disc, and musculoskeletal physiology and epidemiology.
Under the direction of the Vice Chair for Administration, the Clinical Revenue Analyst will work independently and serve as an expert on professional fee coding and revenue management, funds flow management, provider education and documentation, and efficiency enhancement for the Department of Orthopaedic Surgery. Incumbent audits and reviews provider documentation and coding throughout billing process for accuracy, and acts as liaison with the health system and faculty practice group to mitigate queries and resolve billing delays. Assesses bill areas and funds flow for accuracy. Develops and implements provider education programs and opportunities, provides feedback and guidance to providers and ensures compliance to governmental, UC, compliance, and payor guidelines.
Position to oversee billing credentialing, clinical productivity reporting, and professional billing and revenue reports. Clinical Revenue Analyst manages related operations and projects, acting as a trusted advisor and partner to provider organizations to support clinical excellence and optimal revenue cycle and funds flow performance. Ensures all charges are captured by utilizing reports or processes on a daily basis and following up accordingly. Performs coding quality reviews on a monthly basis. Recommend, specify, develop, and supervise the implementation of policy changes that affect department Professional Fee income. Completes other duties as assigned.
7 years of relevant experience or a Bachelor's degree in related area and/or equivalent experience/training plus three (3) or more years of relevant experience.
Thorough knowledge of financial analysis and reporting techniques, and / or human resources policies and procedures for staff and academic employees. Experience in a provider educator role and the completion of billing packets and associated training.
Knowledge of a variety of administrative operational activities such as event planning, basic fundraising processes, risk management planning, website design, accounting and payroll, and contracts and grants regulations and guidelines.
Interpersonal skills including verbal and written communication, active listening, critical thinking, persuasiveness, advising and counseling skills. To include decision making and problem solving skills for a complex surgical department and for customers at all levels including physicians and staff.
Strong skills in short-term planning, analysis, problem-solving, and customer service. With the ability to track trends and make recommendations based on those results.
Thorough knowledge of University rules and regulations, processes, protocols and procedures for budget, accounting and fund management, and / or personnel management.
Solid knowledge of common University-specific computer application programs. With proven experience and working know of epic, billing software and spreadsheet programs such as excel.
Ability to use discretion and maintain confidentiality.
Proficient knowledge of claims requirements for all insurance carriers. This is to include billing, documentation and follow-up criteria inclusive of appeals process.
Experience creating budgets and tracking productivity and o
UC San Diego is an academic powerhouse and economic engine, recognized as one of the top 8 public universities by U.S. News and World Report. Innovation is central to who we are and what we do. Here, students learn that knowledge isn't just acquired in the classroom - life is their laboratory. UC San Diego's rich academic portfolio includes six undergraduate colleges, five academic divisions and five graduate and professional schools. The university's award-winning scholars are experts at the forefront of their fields with an impressive track record for achieving scientific, medical and technological breakthroughs.