Remote Medical Coder — Pulmonology & Oncology

UCSF Health, AG; San Francisco (CA); Remote; USD 145,019,000 - 180,550,000; Full time

Job summary

UCSF is seeking a Medical Coder to support Faculty Practice Revenue Management Operations (FPRMO) fully remote. The role codes diagnoses, procedures, and services using CPT, ICD-10-CM, and HCPCS to ensure accurate reimbursement and high-quality data.

You will collaborate with clinicians and staff, stay current on coding updates, and participate in regular audits. The position supports UCSF faculty across locations with a focus on process improvements and data integrity.

Qualifications

• 2–5 years of professional fee/revenue cycle coding experience or equivalent.
• Hands-on coding experience in Pulmonary procedures OR Hematology/Oncology procedures.
• Epic/APeX experience.
• Intermediate knowledge of CPT, ICD-10-CM coding conventions, and clinical documentation requirements.
• Knowledge of federal, state, and commercial payer coding and billing standards.
• Strong analytical, problem-solving, communication, and collaboration skills.

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.
• Code intermediate procedures/accounts that require advanced knowledge in charge capture, workflow, hospital operations, authorizations, and revenue cycle.
• Resolve Claims Manager and Epic edits to ensure correct coding of services provided, including review of documentation for correct coding and 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 other coding working reports, reconcile charge lists, create charge sessions, update DEPs, and follow up on credential requests.
• Perform verification and correction of statistical data abstracted and compiled by lower-level staff, reconciliation of output statistics, and medical coding.
• Review APeX PB Charge Edit and RFI work queues daily/as assigned, address inquiries from payors that require department review, and resolve claim edits to ensure timely billing.
• Proactively review assigned work queues and reach out to faculty and ancillary providers for necessary documentation changes and updates.
• Run necessary reports related to moving assigned charges through their respective work queues, including missing charge reports, error reports, and other reports related to 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

Analytical skills

Communication

Collaboration

Problem-solving

Tools

Epic/APeX

Job description

UCSF is seeking a Medical Coder to support Faculty Practice Revenue Management Operations (FPRMO) fully remote. The role codes diagnoses, procedures, and services using CPT, ICD-10-CM, and HCPCS to ensure accurate reimbursement and high-quality data.

You will collaborate with clinicians and staff, stay current on coding updates, and participate in regular audits. The position supports UCSF faculty across locations with a focus on process improvements and data integrity.