November 19, 2024

University of California, Irvine

Irvine

FULL TIME

Assistant Director of Chargemaster Operations - Revenue Integrity - FT Days

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 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.

Responsibilities:

Position Summary:

The incumbent is responsible for providing oversight and leadership in the management of the Enterprise health system, as well as the development and maintenance of the hospital and professional Chargemasters. This role aims to optimize charge capture through the implementation of strategic pricing strategies and the management of annual coding and pricing updates across the integrated healthcare system. The incumbent will oversee a multi-site and multidisciplinary Chargemaster with an emphasis on accuracy, revenue integrity, compliance, ensuring adherence to established policies and procedures, state and government regulations, and payer requirements. The incumbent will develop and implement controls, ensuring charging is accurate and appropriate and stays abreast of emerging technology and changes in the industry. Manages comprehensive financial audits of all systems and ensures charging related to interfaces is correct. Ensures the highest level of accuracy, integration and functionality in all charge generating applications across the health system, in accordance with governmental and third-party regulations. Provides direction and interprets complex coding and regulatory guidelines to facilitate informed business decisions concerning charging policies and procedures.

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:

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Must demonstrate customer service skills appropriate to the job
Minimum 5 years in a leadership/managerial position in a revenue based, health care related industry such as admissions, registration, self-pay customer service unit, hospital billing office, large multi-physician office
Knowledge of HIPAA
Extensive knowledge of correct coding principles of CPT/HCPC, modifiers, revenue codes, DRG and APCS
Extensive knowledge of automated patient accounting functions, payer reimbursement as it relates to charges, third party billing requirements, and split claim billing
Experience in technical report writing, complex analyses and data conversion into different formats
Excellent written and verbal communication skills in English
CPC, CPC-H, and/or Revenue Cycle Certification
Bachelor’s Degree in Business, Finance, Accounting, or related discipline
Ability to read, correctly interpret, and implement process and procedures in accordance with governmental and commercial payor regulations
Ability to maintain a work pace appropriate to the workload
Ability to implement and evaluate automated processes and flows as they relate to hospital charges
Ability to effectively work with all levels of health system personnel including directors and physicians
5 years’ experience working with hospital Charge Description Master

Preferred Qualifications:

Working knowledge of academic healthcare center policies and procedures related to revenue cycles
Experience working knowledge of revenue cycle processes in an integrated multi-system environment

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.