Billing and Coding Specialist

Job Opening ID: 54313

Reports To: Insurance and Billing Supervisor

Working Title: Billing and Coding Specialist

Department: Student Health

Bargaining Unit: EX

FLSA: Non-Exempt

Payroll Job Code: 004663

Job Location: UCI Campus- Irvine

Percent of Time: 100%

Work Schedule: 8-5, M-F

Employee Class: Career

The UC Irvine Student Health Center is a comprehensive outpatient clinic staffed with licensed primary care physicians, psychiatrists, licensed clinical social workers, dentists, physician assistants, registered nurse practitioners, and registered nurses. Medical specialists from various disciplines including dermatology, orthopedics/sports medicine, gynecology, internal medicine, and ENT provide on-site consultation on a regular basis. Student Health also offers basic radiology and clinical laboratory services, insurance consultation, and an on-site pharmacy, making SHC a comprehensive and convenient clinic dedicated to serving students.

Under the direction of the Insurance and Billing Supervisor, the Billing and Coding Specialist is responsible for the timely review and submission of medical claims to insurance carriers. Making sure that CPT codes for procedures and diagnoses are consistent with Provider clinical notes. Responsible for claim payment posting and follow ups for unpaid or denied claims. This position also serves as a medical coding resource for SHC medical staff and Insurance staff.

In addition to the salary range listed below, 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.

$26.71 - $29.47 (Hourly Rate) Expected Pay Range within the Full Salary Range $26.71 - $33.21 (Hourly Rate)

Minimum five years of experience in a related position or field. Knowledge of several different coding systems, including Level 1 HCPCS and Level 2 HCPCS. Cash handling experience and working knowledge of general accounting - A/R, Billing and Collections. General knowledge of Health Insurance Portability and Accountability Act (HIPAA). Working knowledge of health insurance coverage and reimbursement. Strong mathematical abilities. Effective oral, written and interpersonal communication skills. Intermediate knowledge of Microsoft Office applications - Word and Excel.

Degree in medical billing or healthcare administration are highly desired. Completion of a medical billing training or certification program offered by a medical training institute or a diploma in medical billing.

This position's schedule is M-F and during traditional work hours, however, weekend or non-traditional work hours may be required for special projects or busy times of the year, or when strict deadlines must be met. In the case of extended hours, this position may be required to work those hours. Employment in this position is contingent upon successful completion of a Department of Justice (DOJ) Live Scan background check, verification and continued monitoring or licensure as it applies to the position, and successful completion of our background review or credentialing process, as appropriate to the position. The employee must comply with OSHA, CA/OSHA, and CDC recommendations and requirements regarding vaccination and testing of healthcare employees. This includes, but may not be limited to; current hepatitis B immunizations, annual flu vaccinations, and annual tuberculosis screening. The employee must comply with CDPH and UC COVID-19 Vaccine Policy, by providing proof of Full Vaccination or submitting a request for Exception. Per the UC Ethics Briefing, the employee is responsible for reporting any and all potential conflicts of interest to their supervisor in a timely manner.

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 advancing inclusive excellence. 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 Human Resources at @UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact Human Resources at @ or [emailprotected].

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