The Health Information Coder II is a middle level coder with the knowledge and skill set to utilize the ICD-10-CM, and CPT/HCPCS classification systems, 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 coders. 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.

Key responsibilities

1. Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow-up as appropriate.
2. 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, and CPT classification systems. Meet external requirements for HCAI, HCFA, The Joint Commission, NCQA and payor data requirements.
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 coding level.
6. Meet or exceed department quality standards for the coding level.
7. Maintain knowledge of current medical terminology, disease processes, anatomy & physiology, and current 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.

*Sign-on Bonus eligibility - Candidate cannot be a current UC employee. The candidate cannot have been employed by the University during the 12 months before the proposed rehire date. Candidate position classification cannot be Senior Management Group (SMG). Candidate must meet any additional UC location eligibility requirements.

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