远程医疗编码员 – 呼吸科 / 血液肿瘤科（ProFee）
Remote Medical Coder – Pulmonology / Hematology-Oncology (ProFee)
雇佣时长：3个月（可能延长）
工作地点：远程办公 – 全程非现场
工作时间：全职，白天班次
部门：教师实践收入管理运营（FPRMO）
薪资范围：每小时50.61–63.01美元
医学编码员支持UCSF的医师实践。该职位审查患者记录、出院摘要、手术报告和其他临床文档，以分配标准化的诊断、程序和服务代码。该职位应用国家和国际编码分类，确保记录反映所提供的护理，支持准确的报销和可靠的临床数据。
该职位需要掌握现行操作术语（CPT）、疾病国际统计分类第十版临床修改版（ICD-10-CM）和医疗常见操作编码系统（HCPCS）。该职位在医疗记录或账单团队中运作，需要与临床医生、临床编码员和行政人员密切联系以解决文档查询。编码员必须保持对编码更新、合规要求和专业标准的了解，并参与定期审计以监控编码质量。期望包括及时处理病例数量，同时保持高准确性，遵守保密和信息治理标准，并为提高数据质量和编码效率的流程改进做出贡献。
教师实践收入管理运营部门负责UCSF教师的基于医师的编码。该团队确保UCSF各地点、附属社区医院、非许可诊所和门诊诊所提供的专业服务的准确编码。FPRMO支持神经外科、心血管服务、妇产科、性别重置、风湿病学和整形外科等专科的医生、护士执业者和高级执业提供者。该部门每年为约160万例患者就诊提供精确且合规的编码，支持监管要求和最佳报销。
主要职责：
- 按照UCSF领导层定义的中等工作队列每天工作。
- 按需处理简单工作队列。
- 按需处理RFI和编辑工作队列。
- 保持或超过95%的准确率。
- 按照UCSF领导层定义的生产率标准工作。
- 在专业领域内主动与各科室合作
查看英文原文
Employment Duration: 3 Months (w/ potential for extension)
Workplace: Remote – Fully Off-Site
Schedule: Full-Time, Day Shift
Department: Faculty Practice Revenue Management Operations (FPRMO)
Salary Range: $50.61–$63.01/hour
The Medical Coder fulfills a role supporting UCSF’s physician practices. The position reviews patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. The role applies national and international coding classifications to ensure records reflect the care delivered, supporting accurate reimbursement and reliable clinical data.
The position requires knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedure 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, and contribution to process improvements that enhance data quality and coding efficiency.
The Faculty Practice Revenue Management Operations 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 physicians, nurse practitioners, and advanced practice providers across specialties including Neurosurgery, Cardiovascular services, OB/GYN, Gender Reassignment, Rheumatology, and Plastic Surgery. The department provides precise and compliant coding for approximately 1.6 million patient encounters annually, supporting regulatory requirements and optimal reimbursement.
Key Responsibilities:
- Work in moderate work queues daily as defined by UCSF Leadership.
- Work in simple work queues as needed.
- Work RFI and edit work queues as needed.
- Maintain or exceed a 95% accuracy rate.
- Maintain productivity standards as defined by UCSF Leadership.
- Work proactively with divisions in areas of specialization to assure appropriate revenue cycle practices and compliance with internal and external regulations.
- Code intermediate procedures/accounts that require advanced knowledge in charge capture, workflow, hospital operations, authorizations, and revenue cycle.
- Resolve Claims Manager and Epic edits to ensure correct coding of services provided, including review of documentation for correct coding and E/M leveling, diagnosis coding, bundling issues, and modifier usage.
- Apply dashboards and processes for continuous analysis of moderate revenue cycle functions of diverse scope. Audit data input to support revenue cycle management.
- Complete other coding working reports, reconcile charge lists, create charge sessions, update DEPs, and follow up on credential requests.
- Perform verification and correction of statistical data abstracted and compiled by lower-level staff, reconciliation of output statistics, and medical coding.
- Review APeX PB Charge Edit and RFI work queues daily/as assigned, address inquiries from payors that require department review, and resolve claim edits to ensure timely billing.
- Proactively review assigned work queues and reach out to faculty and ancillary providers for necessary documentation changes and updates.
- Run necessary reports related to moving assigned charges through their respective work queues, including missing charge reports, error reports, and other reports related to charge capture, error resolution, and throughput.
- Under supervision, analyze charge integrity, reconciliation, and charge linkages from ancillary charging systems for the medical center/health system.
Originally posted on Himalayas