Health Information Coder II
Job Summary The Health Information Coder II is a middle-level coder with the knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, and CPT classification systems to code acute academic, teaching same-day surgery cases, special procedure cases, observation cases, and any non-office-procedure cases. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. There is minimal review of coding for quality.
DUTIES AND ESSENTIAL JOB FUNCTIONS
- Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow-up as appropriate.
- Evaluate full episode of care for ambulatory surgery cases, special procedures cases, observations cases and any non-office procedure cases and assign appropriate codes using ICD-10-CM, ICD-10-PCS and CPT classification systems. Includes assessment of the condition and diagnosis to conclude about the coding of clinical data. Meet external requirements for HCAI, HCFA, The Joint Commission, NCQA and payor data requirements.
- Accurately input codes and abstract data into current coding databases.
- Participate in coding audits and coding educational sessions and provide feedback and training.
- Meet or exceed department production standards for the coding level.
- Meet or exceed department quality standards for the coding level.
- Maintain knowledge of current medical terminology, disease processes, anatomy & physiology, and current coding guidelines.
- Follow up and clarify physician documentation (dictation and clinical notes).
- Report to a lead or manager.
- Interact with internal and external UCSF Health staff and customers.
- Satisfactory time and attendance.
OTHER FUNCTIONS AND RESPONSIBILITIES
- Demonstrate understanding of the coding mission within UCSF Health.
- Demonstrate understanding of coding, AR, and data submission information flow.
- Ability to solve problems and troubleshoot computer issues.
- Perform data searches.
- Maintain patient confidentiality and IT security.
- Treat others with respect and work well on a team.
- As requested, train others.
- Follow safety and infection control guidelines.
- Maintain equipment and work area
- Comply with the UCSF Health dress code.
- Other duties as assigned.
The final salary and offer components are subject to additional approvals based on UC policy.
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
The salary range for this position is $57.39 - $71.51 (Hourly Rate).
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Required Qualifications
- High school graduation.
- Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification
- 3+ years' experience in same-day surgery, outpatient special procedure, observation, and non-office procedure coding and abstracting in an acute academic, teaching health care facility.
- Must pass the initial knowledge assessment test with a score of 86.6%, and score 90% on the DRG coding competence assessment test or must have 6 months of recent inpatient DRG coding experience with UCSF with a 95% accuracy rate
- Must meet daily production requirements with a minimal accuracy rate of 95%.
- Basic EHR and encoder skills.
- Basic computer skills, including Windows, Word and Excel.
- Proven excellent communication and cooperative skills.
- Ability to analyze information, make decisions, and exercise independent judgment.
- Ability to follow written directions.
- Ability to prioritize work and manage time effectively.
- Ability to meet deadlines and perform well under pressure.
- Knowledge of medical terminology, medical abbreviations, disease processes, anatomy, and physiology.
- Knowledge of the ICD-10-CM, ICD-10-PCS and CPT classification systems.
Preferred Qualifications
- Knowledge of HIMS database systems.
- Knowledge of HIMS procedures.
License/Certification
- Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification
About UCSF At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.
Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Job Code and Payroll Title 004734 HEALTH INFO CODER 2 Job Category Administrative Support Bargaining Unit American Federation of State, County and Municipal Employees - Patient Care Technical Unit (AFSCME-EX) Location San Francisco, CA |
University of California - San Francisco Campus and Health
Oct 30, 2024