Remote Medical Coder – Patient Records & Billing

University of California - San Francisco; Emeryville (CA); On-site; USD 65,000 - 95,000; Full time

Job summary

University of California - San Francisco seeks a Patient Record Abstractor to act as a Medical Coder for physician practices. You will review patient records and clinical documentation to assign standardized codes for diagnoses, procedures, and services in a remote capacity.

The role supports the Faculty Practice Revenue Management Operations (FPRMO) with coding across diverse specialties and locations, ensuring accurate reimbursement and compliant data.

Qualifications

• 2-5 years of revenue cycle professional fee coding experience or equivalent experience/training.
• Strong communication skills with the ability to interpret and convey complex clinical finance information in a clear, concise manner.
• Ability to prepare informative reports and presentations.
• Strong analytical and problem-solving skills with the ability to evaluate workflows and systems and propose solutions.
• Strong interpersonal skills with the ability to collaborate effectively on complex projects in a team environment with staff from a wide variety of business and clinical areas.
• Ability to pass all classes related to UCSF Medical Center computer systems and UCSF coding and billing applications, which may include off-site billing systems from partner hospitals.
• Demonstrated intermediate knowledge of medical terminology, CPT, ICD-10 coding conventions, and clinical documentation requirements.
• Prior experience in a healthcare-related setting.
• Knowledge of federal, state, and commercial carrier coding and billing standards.
• One of the following certifications or an equivalent licensure as evaluated by FPRMO management: CPC, CCS-P, CCA, CCS, RHIT, RHIA.

Responsibilities

• Work in moderate work queues daily as defined by UCSF leadership.
• Work in simple work queues as needed.
• Work RFI and edit work queues as needed.
• Maintain or exceed a 95% accuracy rate.
• Maintain productivity standards as defined by UCSF leadership.
• Work proactively with divisions in areas of specialization to assure appropriate revenue cycle practices and compliance with internal and external regulations.
• Code intermediate procedures/accounts requiring advanced knowledge in charge capture, workflow, hospital operations, authorizations, and the revenue cycle.
• Resolve Claims Manager and Epic edits to ensure correct coding of services provided, including review of documentation for correct coding, evaluation and management (E/M) leveling, diagnosis coding, bundling issues, and modifier usage.
• Apply dashboards and processes for continuous analysis of moderate revenue cycle functions of diverse scope.
• Audit data input to support revenue cycle management.
• Complete coding work reports, reconcile charge lists, create charge sessions, update DEPs, follow up on credential requests, and perform related coding activities.
• Verify and correct statistical data abstracted and compiled by lower-level staff, reconcile output statistics, and perform medical coding.
• Review APeX PB Charge Edit and RFI work queues daily or as assigned, address payor inquiries requiring department review, and resolve claim edits to ensure timely billing.
• Proactively review assigned work queues and collaborate with faculty and ancillary providers regarding required documentation changes and updates.
• Run reports related to assigned charges, including missing charge reports, error reports, and other reports supporting charge capture, error resolution, and throughput.
• Under supervision, analyze charge integrity, reconciliation, and charge linkages from ancillary charging systems for the medical center/health system.

Skills

Revenue cycle

Medical coding

CPT coding

ICD-10-CM

Communication skills

Analytical thinking

Job description

University of California - San Francisco seeks a Patient Record Abstractor to act as a Medical Coder for physician practices. You will review patient records and clinical documentation to assign standardized codes for diagnoses, procedures, and services in a remote capacity.

The role supports the Faculty Practice Revenue Management Operations (FPRMO) with coding across diverse specialties and locations, ensuring accurate reimbursement and compliant data.