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FPRMO Biller Coder - Revenue Management-FPO (ANL 1)

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POST DATE 9/16/2016
END DATE 10/21/2016

University of California - San Francisco Medical Centers San Francisco, CA

San Francisco, CA
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Entry Level (0 - 2 years)
Bachelors Degree


Job Title

FPRMO Biller Coder - Revenue Management-FPO (ANL 1)

Job ID


Job Code


Job Family

Professional Support Staff



Weekly Hours

40 ; 100%

Appointment Type



Revenue Management-FPO


8-hour Days

Full/Part Time


Union Information

This classification is not represented by a union

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Our legacy of unsurpassed patient care and unceasing mission to integrate high-tech medical research with clinical operations has led to our prestigious standing as one of the top 10 hospitals in the nation according to U.S. News & World Report. As a premier health care institution dedicated to advancing health worldwide, UCSF Medical Center can also be the best place to advance and shape your career.

The medical center's employees are one of the most important reasons why we are recognized as one of the nation's best hospitals. To work at UCSF Medical Center is to be part of an institution that provides the highest caliber of care to patients; a nurturing, dynamic and team-oriented atmosphere in which to best use your skills and talents.

Job Summary

The UCSF Faculty Practice Revenue Management Operations (FPRMO) team is the entity which oversees professional fee charge capture, coding, and ensures that claims are sent out to payors with as few errors as possible so that our claims are paid correctly and in a timely manner. The FPRMO currently oversees this process for many of the UCSF Health Departments with charges exceeding $1 billion per year, approaching $1.5 billion.

The Analyst is a key member of the FPRMO s revenue management unit. With direction and supervision by the Revenue Manager, the Analyst is responsible for coding claims, ensuring that charges are free of billing errors, and that claims submitted are compliant with all internal, governmental and payor-specific rules. In addition to the primary role of coding and clearing coding-related system edits, other duties that may be assigned include working with providers to correct documentation deficiencies, charge entry into APeX (UCSF s electronic medical record), auditing to ensure that charges are correctly triggered for billing, and other duties as assigned.

The analyst must be knowledgeable about clinical workflow operations that are relevant to billing operations and work closely with practice providers and other clinical operations staff on integrating and proactively resolving issues that may delay or result in billing processing errors. To that end, analysts must have strong written and verbal communication skills and be able to articulately present findings and issues, and develop solutions that meet both clinical operating and billing needs. Analysts are expected to respond to inquiries from providers, Departments, and other team members in a clear and timely manner.

The flexibility to orient and work at all UCSF Medical Center locations is required.

Required Qualifications

* Minimum three months to one year of related work experience in Profee billing and in healthcare setting

* Must be a Certified Professional Coder or hold similar coding certification

* Strong and demonstrated computer skills in a Windows based environment (MS Windows operating system, MS Excel, Word, PowerPoint, Outlook)

* Strong interpersonal and problem solving skills; as demonstrated in team based experience and strong verbal communication skills; experience communicating/facilitating discussions with a variety of colleagues: physicians, nursing and other clinical providers, clinical administrative managers and staff.

* Strong demonstrated written and verbal communication skills

* Strong demonstrated analytical skills in assessing processes as well as review and analysis of data and develop recommendations from these analyses

* Ability to work independently, exercise appropriate judgment, and function effectively as a member of the billing unit team

* Ability to work with tact and diplomacy, and with the professional integrity required in working with sensitive and confidential clinical information

* Ability to prioritize workload and meet productivity and accuracy targets and meet timelines

* Must complete training and required UCSF APeX certification in designated modules for billing unit analysts as well as other UCSF training requirements as determined by the Department of Pediatrics

* Strong interpersonal and problem solving skills

* The flexibility to orient and work at all UCSF Medical Center locations is required

Preferred Qualifications

* Prior experience with EPIC electronic medical record system or with other EHR systems

* BA degree from an accredited college or university or equivalent training/experience

* Demonstrated experience in developing written materials for dissemination


* Must be a Certified Professional Coder or hold similar coding certification

Living Pride Standards

Service Excellence

* Demonstrates service excellence by following the Everyday PRIDE Guide with the UCSF Medical Center standards and expectations for communication and behavior. These standards and expectations convey specific behavior associated with the Medical Center s values: Professionalism, Respect, Integrity, Diversity and Excellence, and provide guidance on how we communicate with patients, visitors, faculty, staff, and students, virtually everyone, every day and with every encounter. These standards include, but are not limited to: personal appearance, acknowledging and greeting all patients and families, introductions using AIDET, managing up, service recovery, managing delays and expectations, phone standards, electronic communication, team work, cultural sensitivity and competency.

* Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits team work skills to positively acknowledge and recognize other colleagues, and uses personal experiences to model and teach Living PRIDE standards.

* Exhibits tact and professionalism in difficult situations according to PRIDE Values and Practices

* Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.

* Demonstrates an understanding of and adheres to safety and infection control policies and procedures.

* Assumes accountability for improving quality metrics associated with department/unit and meeting organizational/departmental targets.

Work Environment

* Keeps working areas neat, orderly and clutter-free, including the hallways. Adheres to cleaning processes and puts things back where they belong. Removes and reports broken equipment and furniture.

* Picks up and disposes of any litter found throughout entire facility.

* Posts flyers and posters in designated areas only; does not post on walls, doors or windows.

* Knows where the Environment of Care Manual is kept in department; corrects or reports unsafe conditions to the appropriate departments.

* Protects the physical environment and equipment from damage and theft.

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex,