Full employer posting
New Hires are eligible for a Sign-On Bonus Patient Record Abstractor fulfills a role as a Medical Coder for UCSF’s physician practices. They review patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. They apply national and international coding classifications to ensure records reflect the care delivered, supporting accurate reimbursement and reliable clinical data.
They have knowledge of Current Procedural Terminology (CPT), Internal Classification Diseases, 10th edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedural Coding System (HCPCS). The role operates within a healthcare records or billing team and requires close liaison with clinicians, clinical coders, and administrative staff to resolve documentation queries. Coders must maintain currency with coding updates, compliance requirements, and professional standards, and participate in regular audits to monitor coding quality.
Expectations include timely processing of case volumes while maintaining high accuracy, adherence to confidentiality and information governance standards, and contribution to process improvements that enhance data quality and coding efficiency. ***Note: We are offering a new hire sign-on bonus of $2,000. All new external hires who have not worked for a UC in the last 12 months are eligible. The bonus is payable after 30 days of continuous employment Department Overview The Faculty Practice Revenue Management Operations (FPRMO) department is responsible for physician-based coding for UCSF faculty.
Our team ensures accurate code assignment for professional services delivered across UCSF locations, affiliated community hospitals, off-license practices, and ambulatory clinics. We support a diverse group of providers, including physicians, nurse practitioners, and advanced practice providers, across a wide spectrum of specialties within an academic medical center environment. These specialties include Neurosurgery, Cardiovascular services, OB/GYN, Gender Reassignment, Rheumatology, and Plastic Surgery.
FPRMO plays a critical role in the revenue cycle by delivering precise and compliant coding for approximately 1.6 million patient encounters annually, supporting both regulatory requirements and optimal reimbursement. Responsibilities % of time Essential Function (Yes/No ) Key Responsibilities (To be completed by Supervisor) 90% Works in Moderate work queues daily were defined by UCSF Leadership. Works in simple work queues as needed.
Works RFI and edit work queues as needed. Maintain or exceeds 95% accuracy rate. Maintain productivity standards as defined by UCSF Leadership.
Works proactively with divisions in areas of specialization assure appropriate revenue cycle practices and compliance with internal and external regulations. Code intermediate procedures/ accounts which 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.
This includes review of documentation for correct coding and E/M leveling, diagnosis coding, bundling issues, modifier usage, etc. Applies dashboards and processes for continuous analysis of moderate revenue cycle functions of diverse scope. Audits data input to support revenue cycle management.
Completes other coding working reports, reconciling charge lists, creating charge sessions, updating DEPs, following up on credential requests, etc. 10% Revenue Cycle Analysis Perform such duties as verification and correction of statistical data abstracted and compiled by lower level staff, reconciliation of output statistics, and medical coding. Reviews APeX PB Charge Edit and RFI work queues on a daily basis/as assigned and addresses inquiries from payors that require department review, and resolves any claim edits in these work queues to ensure timely billing.
Proactively reviews assigned work queues to reach out to faculty and ancillary providers for necessary documentation changes and updates. Runs all necessary reports related to moving assigned charges along in their respective work queues. For instance, missing charge reports, error reports, and other reports related to charge capture, error resolution and throughput.
Under supervision, analyzes charge integrity, reconciliation and charge linkages from ancillary charging systems for the medical center / health system. 100% (To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.) Required
Minimum two years professional fee coding experience or equivalent experience/training Strong communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations. Strong analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems and propose innovative solutions.
Strong interpersonal skills, with the ability to collaborate effectively on complex projects in a team environment with staff from a wide variety of business and clinical areas. Must be able to pass all classes related to the UCSF Medical Center’s computer systems as well as related UCSF coding and billing applications. May include off-site billing systems from partner hospitals.
Demonstrated intermediate knowledge of medical terminology, CPT, ICD-10 coding conventions, and clinical documentation requirements. Prior experience in healthcare related setting. Knowledge of Federal, State, and Commercial carrier’s coding and billing standards.
Required Licenses and/or
Certified Professional Coder (CPC), Certified Coding Specialist—Physician Based (CCS-P), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or licensure equivalent to be evaluated by FPRMO management.
Secondary coding certification such as Certified Interventional Radiology Coder (CIRC), Certified Emergency Department Coder (CEDC), etc.
Full time · Day shift
About the role
Patient Record Abstractor fulfills a role as a Medical Coder for UCSF’s physician practices. They review patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services.