Revenue Cycle Director jobs in Santa Barbara, CA

The Revenue Cycle Management Analyst III ensures accurate and appropriate outpatient medical coding and documentation through coaching, training, and monitoring of clinicians. Monitors training success through encounter audits and ensures corrective action plans are implemented and adhered to. Serves as the local expert on Official Coding and Documentation Guidelines and other internal and external regulatory requirements (e.g. Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), etc.).  They will provide specialty specific training to clinicians on documentation of services and appropriate coding of level of service, diagnosis CPT, ICD-9, and HCPCS coding.  They will also perform annual coding and/or billing audits. 

Required Skills & Qualifications:  

• Bachelor's Degree in business administration, Public Health, Finance or related field
• 5 years of recent relevant experience
• Advanced knowledge of the ICD-10-CM and CPT-4 Classification systems, HCPCS, and Evaluation and Management coding guidelines and thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical professional service specialties. 
• Ability to conduct various coding audits
• Working knowledge of relevant federal and state regulations, Medicare and Medicaid guidelines and compliance issues. Time management and project management skills.

Sansum Clinic Offers:

• Paid time off
• 8 paid holidays per year
• Affordable Medical, Dental and Vision insurance
• 403b retirement plan
• Life Insurance
• Flexible Spending Account