HB Second Level Reviewer - Remote

Payroll

Title:

AUDIT PROFL 3

Department: HEALTH INFORMATION MANAGEMENT

Hiring Pay Scale: $83,000 - $124,300 / Year

Worksite:
Remote

Appointment Type:
Career

Appointment Percent: 100%

Union:
Uncovered

Total Openings: 1

Work Schedule:

Days, 8 hour shifts, Monday
- Friday

Apply Now

UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.

UCSD Layoff from Career Appointment:
Apply by 12/02/25 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Reassignment Applicants:
Eligible Reassignment clients should contact their Disability Counselor for assistance.

Candidates hired into this position may have the ability to work remotely.

UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world — one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.

Responsible for review, audit, and remediation of any deviation from compliant Inpatient facility coding, training the coding staff, and educating other workforce members in coding, grouping, and proper documentation. Oversees the generation and approvals of queries to assure a timely and appropriate response. Assures that all coding assignments and workflow achieves the intended result. May represent coding leadership at optimization, CDI, and other interdisciplinary meetings.

Assure the highest level of data integrity, denial avoidance due to coding, and the highest quality of external data released to HEDIS, CMS and Vizient.

• Seven (7) years of related auditing experience i.e. auditing experience in large academic hospital system, education/training, OR a Bachelor’s Degree in related area plus three (3) years auditing experience i.e. auditing experience in large academic hospital system, education/training.
• Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.

• Current Credentials as RHIT or RHIA, or CCS, or combination.
• Experience and proven success in practices, procedures, and concepts of the of the healthcare revenue cycle and its component operations, including ICD-10, SOI/ROM, HAC, PSI and query identification, writing, and monitoring.
• Minimum of three (3) years Inpatient Facility auditing experience of coders.
• Experience working for Level I Trauma & Academic/Research Facility is a plus.
• Interaction with physicians.

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.

Pay Transparency Act

Annual Full Pay Range: $79,200 - $143,400 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $37.93 - $68.68

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

If employed by the University of California, you will…