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Associate Director Revenue Cycle Compliance u0026 Audit

Location
San Francisco, CA, United States

Posted on
Jul 15, 2020

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:,ActualValueFromSolar:null},{QuestionName:Job Summary,AnswerValue:JOB OVERVIEWu003cbr/u003eReporting to the Director of Revenue Cycle Compliance, the Associate Director of Revenue Cycle Compliance u0026 Audit is responsible for developing, implementing and leading the compliance initiatives of the Revenue Cycle Compliance audit program for hospital and professional revenue cycles of the UCSF Healthcare Compliance Program. The Associate Director works to ensure there is an audit program and oversight in place to maintain compliance with all local, state and federal health care rules, regulations and administrative requirements applicable to the UCSF revenue cycle. Identifies compliance issues, interprets relevant laws, statutes and policies, and recommends and/or leads corrective action plans or projects. u003cbr/u003eu003cbr/u003eLeads a team of subject matter experts focused on compliance audit activities to address organization revenue cycle risks. Collaborates with stakeholders and operational leadership to assure that the key elements of an effective compliance program are operationalized within the UCSF revenue cycle.u003cbr/u003eu003cbr/u003eASSOCIATE VICE CHANCELLOR, ETHICS AND COMPLIANCE PROGRAM u003cbr/u003eThe UCSF Healthcare Compliance Program is responsible for implementation of an “effective compliance program,” consistent with the U.S. Federal Sentencing Guidelines and guidance of the HHS Office of the Inspector General. The Program is responsible for the promotion of a comprehensive approach to compliance with health care laws, regulations, and policies across the UCSF healthcare enterprise, which includes a leading academic medical center, outpatient clinics, professional services, and clinical schools. The Program develops, implements, and enforces University policy related to UCSF clinical operations and supports methods of preventing and detecting inappropriate, improper, and fraudulent conduct in the furnishing of health care services.u003cbr/u003eu003cbr/u003eABOUT UCSF u003cbr/u003eThe University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences.,VerityZone:jobdescription,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Organization,AnswerValue:Campus,VerityZone:location,QuestionType:select,ActualValueFromSolar:null},{QuestionName:Req Number,AnswerValue:55536BR,VerityZone:autoreq,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Location,AnswerValue:Laurel Heights,VerityZone:formtext8,QuestionType:single-select,ActualValueFromSolar:null},{QuestionName:Job Title,AnswerValue:Associate Director, Revenue Cycle Compliance u0026 Audit,VerityZone:formtext10,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Appointment Type,AnswerValue:Career,VerityZone:formtext12,QuestionType:radio,ActualValueFromSolar:null},{QuestionName:Percentage,AnswerValue:100%,VerityZone:formtext13,QuestionType:Text,ActualValueFromSolar:null},{QuestionName:Shift Length,AnswerValue:8 Hours ,VerityZone:formtext14,QuestionType:Radio,ActualValueFromSolar:null},{QuestionName:Shift,AnswerValue:Days,VerityZone:formtext15,QuestionType:Checkbox,ActualValueFromSolar:null},{QuestionName:Work Days,AnswerValue:Monday - Friday, 8:00 am - 5:00 pm,VerityZone:formtext16,QuestionType:Text,ActualValueFromSolar:null},{QuestionName:Required Qualifications,AnswerValue:• Bacheloru0027s degree in healthcare or related field, and/or equivalent combination of education and training/experience in a healthcare revenue cycle setting or related experienceu003cbru003e• One or more of the following certifications: RHIA, RHIT, CCS, CCS-P or CPCu003cbru003e• Ten or more years of progressive health care compliance, revenue cycle, or related work experienceu003cbru003e• Experience developing, implementing and managing revenue cycle compliance auditing and monitoring program with demonstrated ability to develop and enforce related corrective action plansu003cbru003e• Expert knowledge of ICD-10-CM/PCS and CPT/HCPCS coding guidelines/conventions and applying in varied clinical settings (i.e. hospital, ED, clinic, etc.) and/or multi-specialty areasu003cbru003e• Advanced knowledge of Medicare and Medicaid program rules and regulations and experience applying to coding and billing of hospital and professional servicesu003cbru003e• Experience researching, interpreting and comprehending federal and state rules and regulations applicable to hospital and professional revenue cycle compliance requirementsu003cbru003e• Experience writing, developing and implementing health care revenue cycle compliance workplan, policies, procedures, and standardsu003cbru003e• Expert knowledge of compliance policies, practices, theories, and standardsu003cbru003e• Strong interpersonal skills with demonstrated ability to negotiate and convey complex recommendations in a clear, concise and timely manner with all members of the organizationu003cbru003e• Demonstrated leadership and people management skillsu003cbru003e• Ability to effectively prioritize and manage multiple projects and work responsibilities, solve problems and set attainable deadlines for self and othersu003cbru003e• Ability to supervise support and professional analyses functions for the revenue cycle compliance audit programu003cbru003e• Ability to demonstrate professional judgment in the supervision of projects and staffu003cbru003e• Ability to work independently and within a team environmentu003cbru003e• Demonstrated leadership, fiscal and operations management skills, with the ability to collaborate effectively with clinical, business, and technical personnel at all levels, and external agenciesu003cbru003e• Demonstrated critical-thinking and problem-solving skills, with the ability to quickly identify problems and implement solutionsu003cbru003e• Demonstrated project management, interpersonal and communications skills to promote, support and introduce revenue cycle compliance activities across a broad spectrum of departmentsu003cbru003e• Demonstrated abilities to prepare and present reports, work effectively with outside agencies, and convey complex information and instructions in a clear, concise, and specific manneru003cbru003e• Ability to travel locally up to 20%, as needed, within the UCSF geographical area to the various clinical locations and administrative offices u003cbru003e• Ability to work flexible schedule, as needed,VerityZone:formtext3,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Preferred Qualifications,AnswerValue:• Certification in Health Care Compliance (CHC) by Health Care Compliance Association (HCCA)u003cbru003e• Experience in an academic and/or trauma level 1 medical center settingu003cbru003e• Experience with Epic electronic health record systemu003cbru003e• Clinical experience or other clinical professional credential,VerityZone:formtext4,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:License/Certification,AnswerValue:• One or more of the following certifications: RHIA, RHIT, CCS, CCS-P or CPC,VerityZone:formtext5,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Position Type,AnswerValue:Full Time,VerityZone:formtext6,QuestionType:radio,ActualValueFromSolar:null},{QuestionName:Department Name,AnswerValue:Associate Vice Chancellor / Ethics and Compliance,VerityZone:formtext17,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Equal Employment Opportunity,AnswerValue:The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. 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