[Hiring] Pediatric Medical Coder @UCSF

Role Description

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), International Classification of 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.
• Contribution to process improvements that enhance data quality and coding efficiency.

The Faculty Practice Revenue Management Operations (FPRMO) department is responsible for physician-based coding for UCSF faculty. The team ensures accurate code assignment for professional services delivered across UCSF locations, affiliated community hospitals, off-license practices, and ambulatory clinics.

FPRMO supports 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
• 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.

Qualifications

• Knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
• Experience in medical coding and healthcare billing.
• Ability to work collaboratively with clinicians and administrative staff.
• Strong attention to detail and accuracy.

Requirements

• Maintain or exceed a 95% accuracy rate.
• Maintain productivity standards as defined by UCSF leadership.
• Work proactively with divisions in areas of specialization.
• Code intermediate procedures/accounts requiring advanced knowledge.
• Resolve Claims Manager and Epic edits to ensure correct coding.
• Audit data input to support revenue cycle management.
• Complete coding work reports and reconcile charge lists.
• Verify and correct statistical data abstracted by lower-level staff.
• Review APeX PB Charge Edit and RFI work queues daily.
• Run reports related to assigned charges.

Benefits

• Competitive salary range of $50.61–$63.01/hour.
• Fully remote work opportunity.
• Full-time schedule with day shift.

Company Description

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences.

• Home to five Nobel laureates.
• Brings together leading experts in nearly every area of health.