University of California , San Francisco
San Francisco, CA, USA
Job Summary The Health Information Coder II is a middle-level coder with the knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, and CPT classification systems to code acute academic, teaching 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 coder. 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. DUTIES AND ESSENTIAL JOB FUNCTIONS Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow-up as appropriate. Evaluate full episode of care for ambulatory surgery cases, special procedures cases, observations cases and any non-office procedure cases and assign appropriate codes...