Medical Coder

University of California, San Francisco; San Francisco (CA); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Health Information Coder III to join their dynamic team. This role is crucial for ensuring accurate coding of inpatient cases using ICD-10 classification systems. You will work in a fully remote environment, collaborating with healthcare professionals to uphold high standards of coding accuracy and compliance. The position offers a unique opportunity to contribute to innovative patient care while engaging in continuous learning and professional growth. If you are passionate about healthcare coding and looking for a rewarding career, this role is perfect for you.

Qualifications

• 3+ years of experience in inpatient DRG coding in an academic teaching hospital.
• Must pass coding assessments with high accuracy rates.

Responsibilities

• Analyze medical records and assign appropriate codes using ICD-10-CM and ICD-10-PCS.
• Participate in coding audits and provide training.

Skills

Inpatient DRG coding

Medical terminology

Communication skills

Problem-solving

Time management

Education

High school graduation

CCS, RHIT or RHIA certification

Tools

EHR systems

Windows

Microsoft Word

Microsoft Excel

Job description

Talent Sourcing Partner, University of California San Francisco

Health Information Coder III

HIMS

Full Time

79235BR

Job Summary

The Health Information Coder III is a senior level inpatient coder with the knowledge and skill set to utilize the ICD-10-CM and ICD-10-PCS classification systems to code acute academic, teaching inpatient cases. The skill set extends to knowledge and comprehension of code sequences into Diagnoses Related Groups on acute academic, teaching inpatient cases. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. 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. There is minimal review of coding for quality.

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.

DUTIES AND ESSENTIAL JOB FUNCTIONS

• 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 current 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.

OTHER FUNCTIONS AND RESPONSIBILITIES

• Demonstrate understanding of DRG coding mission within UCSF Health.
• Demonstrate understanding of DRG coding, AR, and data submission information flow.
• Ability to solve problems and troubleshoot computer issues.
• Perform data searches.
• Maintain patient confidentiality and IT security.
• Treat others with respect and work well on a team.
• As requested, train others.
• Follow safety and infection control guidelines.
• Maintain equipment and work area.
• Comply with the UCSF Health dress code.
• Other duties as assigned.

Required Qualifications

• High school graduation.
• CCS, RHIT or RHIA certification.
• 3+ years’ experience in inpatient DRG coding and abstracting in an academic teaching hospital.
• Must pass the initial knowledge assessment test with a score of 86.6%, and score 90% on the DRG coding competence assessment test or must have 6 months recent inpatient DRG coding experience with UCSF with 95% accuracy rate.
• Must meet daily production requirements with a minimal accuracy rate of 95%.
• Basic EHR and encoder skills.
• Basic 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.
• Knowledge of medical terminology, medical abbreviations, disease processes, anatomy and physiology.
• Knowledge of the ICD-10-CM, ICD-10-PCS, and CPT classification systems.

Preferred Qualifications

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

License/Certification

• CCS, RHIT or 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 San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

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)

Employee Class

Percentage

100%

Location

Campus

Work Style

Fully Remote

Shift

Variable

8 Hours

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.