Patient Records Abstractor 4

UC Davis Health; Sacramento (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

UC Davis Health is seeking a Patient Records Abstractor 4 to ensure accurate coding and compliance in medical records. This full-time remote position requires expertise in coding guidelines and effective communication with clinical staff. Join a team dedicated to data accuracy and patient care.

Benefits

Health Plans

Dental

Vision

Paid Leave

Education Reimbursement

Wellness Programs

Retirement Options

Qualifications

• Several years of acute care coding experience.
• Knowledge of OSHPD, UHDDS, CMS documentation requirements.

Responsibilities

• Review, abstract, and code inpatient and outpatient records.
• Participate in educational activities related to coding.

Skills

Communication

Data Security

Medical Terminology

Education

AHIMA Certified Coding Specialist – Physician-based (CCS-P)

CCS

AAPC Certified Professional Coder (CPC)

Certified Outpatient Coder (COC)

Job description

Join to apply for the Patient Records Abstractor 4 role at UC Davis Health

Job Summary

The Patient Records Abstractor 4 (PRA) performs abstraction of medical services provided by UCDH and affiliates under the general direction of the Supervisor. The PRA identifies all billable services (IP Professional, Outpatient professional and facility, Hospital Service Departments, Freestanding, and Ancillary Services), CPT-4, ICD-10, and HCPCS codes for billing purposes to government agencies, insurance companies, and patients. The PRA is responsible for the accuracy of procedure and diagnosis coding relative to documentation and standards. The PRA ensures compliance with all federal, state, and carrier-specific rules, regulations, and requirements related to professional fee services.

Apply By Date: May 16, 2025, at 11:59PM

Minimum Qualifications

• AHIMA Certified Coding Specialist – Physician-based (CCS-P), CCS, AAPC Certified Professional Coder (CPC), or Certified Outpatient Coder (COC)
• Several years of acute care, ED, and/or ASU coding experience, including DRG, APC assignment
• Knowledge of OSHPD, UHDDS, CMS, JCAHO documentation requirements, ICD-9-CM, DRG, APC, CPT guidelines
• Ability to interpret handwritten/transcribed medical records and enter accurate data
• Understanding of medical terminology, disease processes, anatomy, and physiology
• Knowledge of regulations related to patient information and medical records
• Understanding of third-party payor reimbursement and multi-medical specialties
• Effective communication skills with clinical and administrative staff
• Ability to handle data security, exercise judgment, and manage multiple priorities
• Stay current with coding manuals and guidelines updates

Preferred Qualifications

• CCS-P or CPC certification highly preferred

Key Responsibilities

• Review, abstract, and code inpatient, outpatient, and ambulatory surgery records to ensure data quality and optimize reimbursement (90%)
• Support the coding unit (5%)
• Participate in educational activities related to coding and abstracting (5%)

Department Overview

The HIM Department manages medical records and clinical databases to support patient care, research, and education. It includes teams like Inpatient/Outpatient Clinical Documentation, Coding Operations, Quality Analysts, Clinical Analysts, and Provider Advocates, all working together to ensure data accuracy, compliance, and operational efficiency.

Position Details

• Salary: $48.64 - $60.44/hour
• Full-time, 100% remote, day shift
• Benefits eligible

Benefits

UC Davis offers comprehensive benefits including health plans, dental, vision, paid leave, education reimbursement, wellness programs, retirement options, and more. Details are available on the UC Davis benefits page.

Physical and Mental Demands

• Physical: occasional standing, walking, lifting, bending, and frequent keyboard use
• Mental: sustained attention, organization, communication, and handling multiple tasks

Work Environment & Special Requirements

• Remote work; position contingent on background checks, compliance with policies, and possibly drug screening or medical evaluations
• Must adhere to UC Davis tobacco-free policy
• Mandatory reporting obligations and background disclosure required

Diversity, Equity, Inclusion

UC Davis values diversity and encourages applications from all qualified individuals. We promote an inclusive environment and adhere to equal opportunity policies. More info on our principles and policies is available on our website.