Health Information Coder III

3 weeks ago


San Francisco, California, United States University of California , San Francisco Full time
Job Summary

The University of California, San Francisco is seeking a highly skilled Health Information Coder III to join our team. As a senior-level inpatient coder, you will utilize the ICD-10-CM and ICD-10-PCS classification systems to code acute academic, teaching inpatient cases.

You will have the knowledge and skill set to comprehend code sequences into Diagnoses Related Groups on acute academic, teaching inpatient cases. Your work will involve coding and abstracting cases to comply with official guidelines for coding and reporting, practice standards, and code of ethics for HIMS coders.

The focus of your work will be on a range of all primary hospital services, with minimal review of coding for quality. You will work eight hours per day, excluding meal periods, on five consecutive days within a workweek.

Duties and Essential Job Functions
  1. Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow-up as necessary.
  2. Evaluate full episodes of care of clinical data for inpatient cases and assign appropriate codes using ICD-10-CM and ICD-10-PCS classification systems.
  3. Accurately input codes and abstract data into current coding databases.
  4. Participate in coding audits and coding educational sessions and provide feedback and training.
  5. Meet or exceed department production standards for the DRG coding level.
  6. Meet or exceed department quality standards for the DRG coding level.
  7. Maintain knowledge of current medical terminology, disease processes, anatomy, and physiology, and current DRG coding guidelines.
  8. Follow-up and clarify physician documentation (dictation and clinical notes).
  9. Report to a lead or manager.
  10. Interact with internal and external UCSF Health staff and customers.
  11. Satisfactory time and attendance.
Other Functions and Responsibilities
  1. Demonstrate understanding of DRG coding mission within UCSF Health.
  2. Demonstrate understanding of DRG coding, AR, and data submission information flow.
  3. Ability to solve problems and troubleshoot computer issues.
  4. Perform data searches.
  5. Maintain patient confidentiality and IT security.
  6. Treat others with respect and work well on a team.
  7. As requested, train others.
  8. Follow safety and infection control guidelines.
  9. Maintain equipment and work area.
  10. Comply with the UCSF Health dress code.
  11. Other duties as assigned.


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