Health Information Coder 3

University of California San Francisco; San Francisco (CA); On-site; USD 125,000 - 150,000; Full time

Job summary

The University of California San Francisco seeks a skilled Health Information Coder III. This senior-level role involves evaluating patient records, assigning appropriate coding, and ensuring compliance with guidelines. Applicants should have advanced coding knowledge and certifications, with a focus on quality and productivity standards.

Benefits

14 Paid Holidays

Adoption assistance

Pet Insurance

Legal Insurance

Sign-on Bonus Eligible

Qualifications

• 3+ years’ experience inpatient DRG coding and abstracting.
• Must pass initial knowledge assessment with 90% score.
• Maintain knowledge of current medical terminology and coding guidelines.

Responsibilities

• Retrieve and analyze medical records for appropriate documentation.
• Evaluate clinical data for inpatient cases and assign coding.
• Participate in coding audits and provide training.

Skills

Advanced knowledge of ICD-10-CM

Advanced knowledge of ICD-10-PCS

Advanced knowledge of CPT

Proven excellent communication skills

Ability to analyze information

Ability to meet deadlines

Education

Certified Coding Specialist (CCS)

Registered Health Information Technician (RHIT)

Registered Health Information Administrator (RHIA)

Tools

Advanced Electronic Health Record (EHR)

Windows

Word

Excel

Job description

Join UCSF: Exceptional Benefits, Extraordinary Impact

Sign-on Bonus Eligible

• 14 Paid Holidays in addition to Vacation/PTO and Sick Time

Home and Family : Adoption assistance, Pet Insurance, Legal Insurance, and more!

The Health Information Coder III is a senior-level inpatient coder with an advance knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses-Related Groups. Cases are coded to comply with the official guidelines for coding and reporting, practice standards, and code of ethics for HIMS coders. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services.

The employee will work eight (8) hours per day, excluding meal periods, on five (5) consecutive days within a workweek. The workweek schedule is set between the employee and the manager and may be scheduled to start any day of the week based on manager approval.

Key Responsibilities:

• Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow-up as appropriate.
• Evaluate full episode of care of clinical data for inpatient cases and assign appropriate codes using ICD-10-CM and ICD-10-PCS classification systems. Includes assessment of the condition and diagnosis to conclude the coding of clinical data and DRG assignment. Meet external requirements for HCAI, HCFA, The Joint Commission, NCQA, and payor data requirements.
• Accurately input codes and abstract data into thecurrent coding databases.
• Participate in coding audits and coding educational sessions, and provide feedback and training.
• Meet or exceed department production standards for the DRG coding level.
• Meet or exceed department quality standards for the DRG coding level.
• Maintain knowledge of current medical terminology, disease processes, anatomy & physiology, and current DRG coding guidelines.
• Follow up and clarify physician documentation (dictation and clinical notes).
• Report to a lead or manager.
• Interact with internal and external UCSF Health staff and customers.
• Satisfactory time and attendance

*Sign-on Bonus eligibility- Candidate cannot be a current UC employee. The candidate cannot have been employed by the University during the 12 months before the proposed rehire date. Candidate position classification cannot be Senior Management Group (SMG). Candidate must meet any additional UC location eligibility requirements.

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

The salary range for this position is $60.26 - $75.12 (Hourly Rate).

• Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) certification
• 3+ years’ experience inpatient DRG coding and abstracting.
• Advanced knowledge of medical terminology, medical abbreviations, disease processes, anatomy and physiology.
• Advanced knowledge of the ICD-10-CM, ICD-10-PCS, and CPT classification systems.
• Must pass the initial knowledge assessment test with a score of 90.0% or must have 6 months recent inpatient DRG coding experience with UCSF with 95% accuracy rate.
• Must meet daily production requirement with minimal accuracy rate of 95%.
• Advanced Electronic Health Record (EHR) and encoder skills
• Advanced computer skills, including Windows, Word, and Excel.
• Proven excellent communication and cooperative skills.
• Ability to analyze information, make decisions, and exercise independent judgment.
• Ability to follow written directions.
• Ability to prioritize work and manage time effectively.
• Ability to meet deadlines and perform well under pressure.

Preferred Qualifications

• Knowledge of HIMS database systems.
• Knowledge of HIMS procedures.

License/Certification

• Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) certification

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

The University of California is an Equal Opportunity Employer. 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 status under state or federal law.

Organization

Health

Job Code and Payroll Title

004733 HEALTH INFO CODER 3

Job Category

Administrative Support

Bargaining Unit

American Federation of State, County and Municipal Employees - Patient Care Technical Unit (AFSCME-EX)