Demo

MANAGER, CODING OUTPUT SPECIALTY - HEALTH INFORMATION - FT

University of California, Irvine
Irvine, CA Full Time
POSTED ON 4/15/2025
AVAILABLE BEFORE 5/15/2025

Overview :

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 Americas 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 Countys 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.

Responsibilities : Position Summary :

Incumbent is responsible for managing the coordination of accurate and compliant Outpatient Specialty Area coding (Radiation Oncology & Interventional Radiology / Cardiovascular) of pertinent medical information to include diagnoses and procedures performed with adherence to established coding guidelines of ICD-10, CPT, HCPCS and HCC's, governmental and third-party payers guidelines. Incumbent oversees and maintains overall responsibility for an assigned group of employees in the Outpatient Specialty Coding Unit, assists in determining strategic priorities and planning for unit operations. The incumbent uses technical coding subject matter expert (SME) skills to serve as a resource for the organization to ensure compliance with regulatory requirements and official coding guidelines. Is knowledgeable of the Outpatient Perspective Payment System, and local and national coverage determination guidelines as well as E&M level assignment. Participates in provider education when documentation opportunities for improvement are identified. Assist with claims denial review and appeals when appropriate. Participates in the audit projects and provides education to the coding team based on the audit findings.

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 .

Required Qualifications :

  • Strong knowledge of ICD-10, CM and CPT coding, Prospective Payment Systems, and case mix optimization
  • Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
  • Must demonstrate customer service skills appropriate to the job
  • Excellent written and verbal communication skills in English
  • Demonstrated coding management experience
  • Continuing membership with the AHIMA
  • CCS or CPC Coding Credential
  • Ability to maintain a work pace appropriate to the workload
  • Ability to compile, interpret and evaluate statistical and medical data

Preferred Qualifications :

  • Training in performance improvement methodologies, preferably Lean or Six Sigma
  • Strong computer skills to include working knowledge of MS Office, Access, Excel, Word and Power Point
  • RHIA, CCS-P, CPC-H, CDIP, or ACDIS certification
  • Knowledge of University and medical center organizations, policies, procedures and forms
  • Demonstrated coding management experience in an academic medical center
  • Certification as an ICD-10 trainer through AHIMA
  • BS or MS degree in HIM
  • 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 :

  • Background Check and Live Scan
  • Legal Right to Work in the United States
  • Vaccination Policies
  • Smoking and Tobacco Policy
  • Drug Free Environment
  • 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, Irvine 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, protected veteran status, or other protected categories covered by the UC nondiscrimination 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.

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