Only the job description changed.
| Previous Job Description | Current Job Description | ||||
|---|---|---|---|---|---|
| n | 1 | Job Description: | n | 1 | Location: Remote - Fully Off-Site |
| 2 | Location: Remote – Fully Off-Site Employment Duration: 3 months Schedule: Full-Time | Day Shift Pay | 2 | Employment Duration: 3 months | ||
| > | Range: $53.12–$66.18/hour The Patient Record Abstractor fulfills a role as a Medical Coder for UCSF’ | ||||
| > | s physician practices. The position reviews patient records, discharge summaries, operative reports, | ||||
| > | and other clinical documentation to assign standardized codes for diagnoses, procedures, and servic | ||||
| > | es. The role applies national and international coding classifications to ensure records reflect the | ||||
| > | care delivered, supporting accurate reimbursement and reliable clinical data. It requires knowledge | ||||
| > | of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Cl | ||||
| > | inical Modification (ICD-10-CM), and Healthcare Common Procedure Coding System (HCPCS). The position | ||||
| > | operates within a healthcare records or billing team and requires close liaison with clinicians, cl | ||||
| > | inical coders, and administrative staff to resolve documentation queries. The coder must maintain cu | ||||
| > | rrency with coding updates, compliance requirements, and professional standards and participate in r | ||||
| > | egular audits to monitor coding quality. Expectations include timely processing of case volumes whil | ||||
| > | e maintaining high accuracy, adherence to confidentiality and information governance standards, and | ||||
| > | contribution to process improvements that enhance data quality and coding efficiency. Key Responsibi | ||||
| > | lities: Work in complex work queues daily as defined by UCSF Leadership. Work in moderate and simple | ||||
| > | work queues as needed. Work RFI and edit work queues as needed. Maintain or exceed a 95% accuracy r | ||||
| > | ate. 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 interna | ||||
| > | l and external regulations. Code complex procedures/accounts requiring advanced expertise in charge | ||||
| > | capture, workflow, hospital operations, authorizations, and revenue cycle. Resolve Claims Manager an | ||||
| > | d Epic edits to ensure correct coding of services provided, including review of documentation for co | ||||
| > | rrect coding and E/M leveling, diagnosis coding, bundling issues, modifier usage, and related matter | ||||
| > | s. Apply dashboards and processes for continuous analysis of complex revenue cycle functions of dive | ||||
| > | rse scope. Audit data input to support revenue cycle management. Complete other coding working repor | ||||
| > | ts, reconcile charge lists, create charge sessions, update DEPs, and follow up on credentialing requ | ||||
| > | ests. Serve as the lead on applicable billing, coding, and revenue cycle regulations and effectively | ||||
| > | communicate these regulations to all levels of faculty, management, and staff. Demonstrate the abil | ||||
| > | ity to teach and train the team in designated areas of specialty/subspecialty expertise. Stay curren | ||||
| > | t on upcoming coding audits, regulations, trends, OIG initiatives, and applicable carrier initiative | ||||
| > | s as they pertain to the subspecialties led by the coder to provide pertinent information and tools | ||||
| > | to the team, minimize risk, and enhance education efforts. Proactively research and review coding di | ||||
| > | rectives by the OIG, CMS, the current intermediary, and national and local insurance carriers. Analy | ||||
| > | ze complex coding data and identify trends in revenue cycle operations. Summarize data and present r | ||||
| > | eports to leadership. | ||||
| 3 | Schedule: Full-Time | Day Shift | ||||
| 4 | Pay Range: $53.12-$66.18/hour | ||||
| 3 | 5 | ||||
| t | 4 | Qualifications: | t | 6 | The Patient Record Abstractor fulfills a role as a Medical Coder for UCSF’s physician practices. Th |
| > | e position reviews patient records, discharge summaries, operative reports, and other clinical docum | ||||
| > | entation to assign standardized codes for diagnoses, procedures, and services. | ||||
| 5 | Required Qualifications: - 5+ years of professional fee/revenue cycle coding experience or equivalen | 7 | |||
| > | t experience/training. - Hands-on professional coding experience in Interventional Radiology. - Adva | ||||
| > | nced knowledge of medical terminology, CPT, ICD-10 coding conventions, and clinical documentation re | ||||
| > | quirements. - Knowledge of federal, state, and commercial payer coding and billing requirements. - A | ||||
| > | bility to interpret complex coding and clinical finance information and communicate effectively acro | ||||
| > | ss clinical and business teams. - Ability to successfully complete required UCSF computer systems an | ||||
| > | d coding/billing application training. Required certification/licensure: - CPC, CCS-P, CCA, CCS, RHI | ||||
| > | T, RHIA, or equivalent licensure approved by FPRMO management. Preferred Qualifications: - Bachelor’ | ||||
| > | s degree in a related area and/or equivalent experience/training. - Prior experience in an Academic | ||||
| > | Medical Center. - Prior experience with Epic. - Prior experience with Encoder Pro. | ||||
| 8 | The role applies national and international coding classifications to ensure records reflect the ca | ||||
| > | re delivered, supporting accurate reimbursement and reliable clinical data. It requires knowledge of | ||||
| > | Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clini | ||||
| > | cal Modification (ICD-10-CM), and Healthcare Common Procedure Coding System (HCPCS). | ||||
| 9 | |||||
| 10 | The position operates within a healthcare records or billing team and requires close liaison with c | ||||
| > | linicians, clinical coders, and administrative staff to resolve documentation queries. The coder mus | ||||
| > | t maintain currency with coding updates, compliance requirements, and professional standards and par | ||||
| > | ticipate in regular audits to monitor coding quality. | ||||
| 11 | |||||
| 12 | Expectations include timely processing of case volumes while maintaining high accuracy, adherence t | ||||
| > | o confidentiality and information governance standards, and contribution to process improvements tha | ||||
| > | t enhance data quality and coding efficiency. | ||||
| 13 | |||||
| 14 | Key Responsibilities: | ||||
| 15 | * Work in complex work queues daily as defined by UCSF Leadership. | ||||
| 16 | * Work in moderate and simple work queues as needed. | ||||
| 17 | * Work RFI and edit work queues as needed. | ||||
| 18 | * Maintain or exceed a 95% accuracy rate. | ||||
| 19 | * Maintain productivity standards as defined by UCSF Leadership. | ||||
| 20 | * Work proactively with divisions in areas of specialization to assure appropriate revenue cycle pr | ||||
| > | actices and compliance with internal and external regulations. | ||||
| 21 | * Code complex procedures/accounts requiring advanced expertise in charge capture, workflow, hospit | ||||
| > | al operations, authorizations, and revenue cycle. | ||||
| 22 | * Resolve Claims Manager and Epic edits to ensure correct coding of services provided, including re | ||||
| > | view of documentation for correct coding and E/M leveling, diagnosis coding, bundling issues, modifi | ||||
| > | er usage, and related matters. | ||||
| 23 | * Apply dashboards and processes for continuous analysis of complex revenue cycle functions of dive | ||||
| > | rse scope. | ||||
| 24 | * Audit data input to support revenue cycle management. | ||||
| 25 | * Complete other coding working reports, reconcile charge lists, create charge sessions, update DEP | ||||
| > | s, and follow up on credentialing requests. | ||||
| 26 | * Serve as the lead on applicable billing, coding, and revenue cycle regulations and effectively co | ||||
| > | mmunicate these regulations to all levels of faculty, management, and staff. | ||||
| 27 | * Demonstrate the ability to teach and train the team in designated areas of specialty/subspecialty | ||||
| > | expertise. | ||||
| 28 | * Stay current on upcoming coding audits, regulations, trends, OIG initiatives, and applicable carr | ||||
| > | ier initiatives as they pertain to the subspecialties led by the coder to provide pertinent informat | ||||
| > | ion and tools to the team, minimize risk, and enhance education efforts. | ||||
| 29 | * Proactively research and review coding directives by the OIG, CMS, the current intermediary, and | ||||
| > | national and local insurance carriers. | ||||
| 30 | * Analyze complex coding data and identify trends in revenue cycle operations. | ||||
| 31 | * Summarize data and present reports to leadership. | ||||