UCSF

Public health sciences university in San Francisco

Outpatient Coding Assistant Director

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeEmeryville, CA, USA$98.3k - $180kIn-person

About the Job

Requirements

A bachelor's degree in a related area and/or equivalent experience or training.
At least 5 years in a health information management or coding management position.
Certified Coding Specialist (CCS) or Certified Coding Specialist–Physician-based (CCS-P) coding certification from AHIMA or AAPC.
Strong knowledge of healthcare coding, revenue cycle operations, concepts, and policies and their organizational impact, including ICD-10-CM, CPT 4, and HCPCS coding, billing, reimbursements, and charge capture.
Strong project management skills, including organizing and managing multiple priorities, meeting deadlines, and delegating assignments efficiently.
Demonstrated leadership and managerial skills, including creating and maintaining a goal-oriented climate of teamwork and cooperation across departments to support effective problem solving, conflict resolution, organizational values, and achievement of targets and objectives.
Strong critical-thinking, project-management, and problem-solving skills, including troubleshooting, analyzing and interpreting complex data and systems, identifying problems, and implementing solutions.
Strong written, verbal, and interpersonal communication skills to prepare and present reports and convey complex information and instructions clearly, concisely, and specifically.
Ability to cultivate commitment to quality, teamwork, collaborative problem-solving, and achievement of objectives.

Responsibilities

Direct all outpatient coding operations across multiple coding specialties, including surgery, ancillary, emergency department, and HCC coding.
Set annual strategy and goals for outpatient coding staff, identifying priorities, revenue opportunities, educational needs, and DNB expectations.
Establish departmental goals, performance standards, and strategic priorities for outpatient coding services.
Lead the outpatient coding compliance program, including RAC audit response, coding quality initiatives, and regulatory readiness activities.
Serve as a member of the Coding senior leadership team and participate in departmental strategic planning and operational decision-making.
Develop and implement coding policies, procedures, and operational standards impacting coding operations across UCSF Health.
Provide leadership for major coding transformation initiatives, workflow redesign, and organizational performance improvement efforts.
Establish processes, metrics, and monitoring systems to maximize reimbursement, and provide recommendations and corrective action as appropriate.
Ensure implementation of health information and coding policies, establish and revise procedures as needed, and research best practices to maintain currency with industry trends.
Ensure timely follow-up on aging accounts, answer coding questions, trend findings, and work with other departments to address ongoing issues.
Apply human resource management skills in staff selection, development, and evaluation.
Foster teamwork and quality customer service to support daily revenue cycle operations, interdepartmental collaboration, and timely achievement of objectives.
Recommend staffing changes, recruit and onboard employees, verify new hires meet standards, update position descriptions, conduct performance evaluations, and define development goals.
Collaborate with leadership across medical center business units, including decision support, reimbursement, billing, medical records, and clinical units, to propose standardization of criteria and measurements, improve workflows, coordinate activities, and resolve issues.
Partner with information technology on enhancements and new systems for efficient billing, accounts receivable, and patient accounting processes.
Partner with Compliance to implement RAC audit findings, establish corrective actions, and provide coder education.
Drive implementation of organizational best practices in partnership with the Clinical Documentation Integrity program and related Apex Programs to achieve optimum overall performance.
Drive strategic and value programs within UCSF Health HIMS to support continuous improvement, innovation, and high-value patient care.
Oversee projects and process-improvement initiatives at each HIMS location.
Ensure operations support retention and security of patient care information and interface with clinical, research, legal, and reimbursement departments across UCSF and BCHO.

Desired Qualifications

An associate's degree in health information management.
RHIA or RHIT certification from AHIMA.
Ability to work effectively with leadership to establish operational goals and provide technological upgrades, tools, and systems that maximize revenues.
Strong knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management, including using them to identify trends, produce reliable forecasts and projections, and create reports, dashboards, and presentations.
Strong knowledge of relevant information technology, including systems, tools, applications, processes, and methodologies.

Typically manages multiple or all units in the health information management department. Ensures operations are in place for retention and security of patient care information. Interfaces with departments from across the organization such as clinical, research, legal and reimbursement.

Under the direction of UCSF HIMS Leadership and in partnership with the Clinical Documentation Integrity program and related Apex Programs, this position is accountable for driving the implementation of the organizational best practices at UCSF HIMS Health to achieve optimum overall performance.

This position is accountable for driving strategic and value programs within UCSF Health HIMS to support a culture of continuous improvement, innovation, and high-value patient care. This position is responsible for overseeing projects and process improvement initiatives at each of the HIMS locations.

Ensures operations are in place to support the retention and security of patient care information. Interfaces with departments across UCSF and BCHO, including clinical, research, legal, and reimbursement.

Department Overview

The Health Information Management and Coding department is a dynamic group of individuals working towards a common goal of excellence. UCSF has a robust outpatient coding department that oversees same-day surgeries, observation, the emergency department, and simple visit coding.

REQUIRED QUALIFICATIONS

Bachelor’s degree in a related area and/or equivalent experience/training.
5+ years in a health information management or coding management position
CERTIFICATION: Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician-based (CCS-P) coding certification for AHIMA or AAPC
Strong knowledge of healthcare coding, revenue cycle operations, concepts, and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues, including ICD-10-CM, CPT 4, and HCPCS coding, billing, reimbursements, and charge capture.
Strong project management skills with the ability to organize, manage multiple priorities, meet deadlines, and delegate assignments efficiently.
Demonstrated leadership and managerial skills, with the ability to create and maintain a goal-oriented climate of teamwork and cooperation across departments for effective problem solving, conflict resolution, support for organizational values, and consistent achievement of targets and objectives
Strong critical-thinking, project-management, and problem-solving skills, with the ability to troubleshoot, analyze, and interpret complex data and systems, to quickly identify problems and implement solutions.
Strong written, verbal, and interpersonal communication skills to prepare and present reports and convey complex information and instructions in a clear, concise, and specific manner. Ability to cultivate a strong commitment to quality, teamwork, collaborative problem-solving, and achievement of objectives.

REQUIRED CERTIFICATION

Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician-based (CCS-P) coding certification for AHIMA or AAPC

PREFERRED QUALIFICATIONS

Associate’s degree in health information management
CERTIFICATION: RHIA, RHIT certification from AHIMA
Ability to work effectively with leadership on establishing operational goals and providing for technological upgrades, tools and systems to maximize revenues.
Strong knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management and their use to identify trends, produce reliable forecasts and projections, and create reports, dashboards, and presentations.
Strong knowledge of all relevant information technology, including systems, tools, applications, processes, and methodologies.

% of time	Essential Function (Yes/No)	Key Responsibilities (To be completed by Supervisor)
70	Y	Directs all outpatient coding operations across multiple coding specialties, including surgery, ancillary, emergency department, and HCC coding. Sets annual strategy and goals for the outpatient coding staff, identifying key priorities, increase revenue opportunities, educational needs, and DNB expectations. Establishes departmental goals, performance standards, and strategic priorities for outpatient coding services. Leads the outpatient coding compliance program, including RAC audit response, coding quality initiatives, and regulatory readiness activities. Serves as a member of the Coding senior leadership team and participates in departmental strategic planning and operational decision-making. Develops and implements coding policies, procedures, and operational standards impacting coding operations across UCSF Health. Provides leadership for major coding transformation initiatives, workflow redesign, and organizational performance improvement efforts. Establishes processes, metrics and monitoring systems to maximize reimbursement. Provides recommendations and corrective action as appropriate. Ensures implementation of all health information and coding policies; establishes and revises procedures as needed. Researches best practices to maintain currency with industry trends. Ensures timely follow up on aging accounts, answers coding questions, trends findings and works with other departments to address ongoing issues.
15	Y	Applies proven human resource management skills in staff selection, development, and evaluation. Fosters a strong culture of teamwork and quality customer service to all constituencies to ensure the quality of daily revenue cycle operations, effective interdepartmental collaborations, and the timely achievement of objectives. Recommends changes in staffing, performs recruiting and onboarding, verifies new hires meet standards. Updates position descriptions. Conducts performance evaluations and defines development goals.
15	Y	Collaborates with leadership from business units across the medical center (decision support, reimbursement, billing, medical records, clinical units, etc.), to propose new or revised standardization of criteria and measurements, improve workflows, coordinate activities, and resolve issues. Partners with information technology on enhancements and new systems for efficient billing, AR and patient accounting processes. Partners with Compliance to implement RAC audit findings, establish corrective actions, provide coder education.
100%		(To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.)

Budgeted Job Salary Range: 98,300 - 180,000

About the Company

UCSF

Public health sciences university in San Francisco

UC San Francisco is a public research university in San Francisco focused solely on health sciences, combining professional education with biomedical research and patient care. Its schools of dentistry, medicine, nursing and pharmacy train clinicians and scientists, while teams investigate cancer, immunology, genomics and neuroscience. UCSF Medical Center and Benioff Children's Hospitals connect clinical care with faculty research and training, and university clinics serve patients across Northern California. Founded in 1864, UCSF is the University of California campus dedicated to graduate and professional education and biomedical research, based in San Francisco.

Company size: 10,001+
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: 1864

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