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Health Information Coder III

Job in San Francisco, San Francisco County, California, 94199, USA
Listing for: University of California - San Francisco Campus and Health
Full Time position
Listed on 2025-12-10
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding, Medical Records
Job Description & How to Apply Below

Job Summary

The Health Information Coder III is a senior level inpatient coder with the knowledge and skill set to utilize the ICD-10-CM and ICD-10-PCS classification systems to code acute academic, teaching inpatient cases. The skill set extends to knowledge and comprehension of code sequences into Diagnoses Related Groups on acute academic, teaching inpatient 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. The employee will work eight (8) hours per day, excluding meal periods, on five (5) consecutive days within a workweek. The workweek schedule is set between the employee and the manager and may be scheduled to start any day of the week based on manager approval.

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 of clinical data for inpatient cases and assign appropriate codes using ICD‑10‑CM and ICD‑10‑PCS classification systems. Includes assessment of the condition and diagnosis to conclude the coding of clinical data and DRG assignment. Meet external requirements for HCAI, HCFA, The Joint Commission, NCQA and payor data requirements.
  • Accurately input codes and abstract data into current coding databases.
  • Participate in coding audits and coding educational sessions and provide feedback and training.
  • Meet or exceed department production standards for the DRG coding level.
  • Meet or exceed department quality standards for the DRG coding level.
  • Maintain knowledge of current medical terminology, disease processes, anatomy & physiology, and current DRG coding guidelines.
  • Follow‑up and clarify physician documentation (dictation and clinical notes). Report to a lead or manager.
  • Interact with internal and external UCSF Health staff and customers.
  • Satisfactory time and attendance.
  • Other Functions and Responsibilities
  • Demonstrate understanding of DRG coding mission within UCSF Health.
  • Demonstrate understanding of DRG coding, AR, and data submission information flow.
  • Ability to solve problems and troubleshoot computer issues.
  • Perform data searches.
  • Maintain patient confidentiality and IT security.
  • Treat others with respect and work well on a team.
  • As requested, train others.
  • Follow safety and infection control guidelines.
  • Maintain equipment and work area.
  • Comply with the UCSF Health dress code.
  • Other duties as assigned.
  • Salary and Compensation

    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  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 $60.26 - $75.12 (Hourly Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit (Use the "Apply for this Job" box below)..html

    Department Description

    The Health Information Management and Coding department is a dynamic group of individuals, working towards a common goal of excellence. UCSF has a robust outpatient coding department which oversees same day surgeries, observation, emergency department, and simple visit coding.

    Required Qualifications
    • High school graduation.
    • Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) certification.
    • 3+ years’ experience inpatient DRG coding and abstracting in an academic, teaching hospital.
    • Must pass the initial knowledge assessment test with a score of 86.6%, and score 90% on the DRG coding competence assessment test or must have 6 months recent inpatient DRG coding experience with UCSF with 95% accuracy rate.
    • Must…
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