Remote Patient Records Abstractor II

University of California San Diego; United States; Remote; USD 43,000 - 57,000; Full time

Job summary

UC San Diego Health seeks a Patient Records Abstractor II to remotely review and analyze medical records, identifying documentation deficiencies and ensuring compliance with TJC standards and HIM policies.

Responsibilities include liaisoning with providers and management, monitoring deficiencies via EHR systems, and supporting physician billing and coding with accurate documentation. Remote work may be available.

Qualifications

• High School or GED with knowledge of medical terminology.
• Completion of AHIMA or AAPC accredited Health Information Tech/Management or Coding Program.
• Certified Professional Coder (CPC-A) or AHIMA RHIT credential.
• Experience coding physician, outpatient, inpatient, or surgical claims.
• Experience in hospital/physician office environment.

Responsibilities

• Review and analyze medical records to identify documentation deficiencies and ensure compliance with TJC standards, Title 22, and HIM policies.
• Serve as a liaison between deficiency analysis staff, management, clinicians, and stakeholders to facilitate timely and accurate completion of medical records.
• Assign required documentation and track deficiencies using EHR and legacy systems to meet timeframes.
• Support physician billing and coding by accurate assignment of billing-related documentation.
• Route deficiency notifications to providers and coordinate with HIM, clinical and coding teams.

Skills

High school diploma

Medical terminology

Communication skills

HIPAA knowledge

Education

AHIMA Certification or AAPC Certification

CPC-A

RHIT

High School Diploma or GED

Tools

Epic

Job description

UC San Diego Health seeks a Patient Records Abstractor II to remotely review and analyze medical records, identifying documentation deficiencies and ensuring compliance with TJC standards and HIM policies.

Responsibilities include liaisoning with providers and management, monitoring deficiencies via EHR systems, and supporting physician billing and coding with accurate documentation. Remote work may be available.