The Health Information Coder III is a senior‑level inpatient coder who utilizes the ICD‑10‑CM and ICD‑10‑PCS classification systems to code acute academic, teaching inpatient cases. The coder applies knowledge of code sequences and Diagnoses‑Related Groups, and abstracts records in compliance with UCSF Health policies, coding guidelines, practice standards, and the HIMS coder code of ethics. The focus of coding and abstracting is on a range of all primary hospital services, with minimal review for quality.
Responsibilities and Essential Job Functions
Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow‑up as appropriate.
Required Qualifications
High school diploma or equivalent
Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) certification
3+ years of inpatient DRG coding and abstracting experience in an academic teaching hospital
Must pass initial knowledge assessment with a minimum score of 86.6%
Must meet daily production requirements with a minimum accuracy rate of 95%
Basic EHR and encoder skills
Basic computer skills, including Windows, Word, and Excel
Proven excellent communication and teamwork skills
Ability to analyze information, make decisions, and exercise independent judgment
Ability to follow written directions
Ability to prioritize work, manage time effectively, and meet deadlines
Ability to perform well under pressure
Knowledge of medical terminology, abbreviations, disease processes, anatomy, and physiology
Knowledge of 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), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) certification
Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
Salary Information
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.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
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