远程儿科医疗编码员 – PICU/新生儿科（ProFee）
Remote Pediatric Medical Coder – PICU / Neonatology (ProFee)
职位：远程办公
工作时长：3个月
工作时间：全职 | 白班
薪资范围：每小时50.61–63.01美元
患者记录摘要员担任 UCSF 医生诊所的医疗编码员角色。他们审查患者病历、出院总结、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。他们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。他们了解当前操作术语（CPT）、国际疾病分类第十版临床修改版（ICD-10-CM）和医疗通用操作编码系统（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。
医学系实践收入管理运营（FPRMO）部门负责 UCSF 教职员工的基于医生的编码。该团队确保在 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 支持一个多样化的提供者群体，包括医生、护士执业者和高级执业提供者，在学术医疗中心环境中涵盖广泛的专科。这些专科包括神经外科、心血管服务、妇产科、性别重置、风湿病学和整形外科。
FPRMO 在收入周期中发挥关键作用，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进行工作。
查看英文原文
Location: Fully Remote
Employment Duration: 3 months
Schedule: Full-Time | Day Shift
Pay Range: $50.61–$63.01/hour
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, and 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, and 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.
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 requiring advanced knowledge in charge capture, workflow, hospital operations, authorizations, and the revenue cycle.
- Resolve Claims Manager and Epic edits to ensure correct coding of services provided, including review of documentation for correct coding, evaluation and management (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 coding work reports, reconcile charge lists, create charge sessions, update DEPs, follow up on credential requests, and perform related coding activities.
- Verify and correct statistical data abstracted and compiled by lower-level staff, reconcile output statistics, and perform medical coding.
- Review APeX PB Charge Edit and RFI work queues daily or as assigned, address payor inquiries requiring department review, and resolve claim edits to ensure timely billing.
- Proactively review assigned work queues and collaborate with faculty and ancillary providers regarding required documentation changes and updates.
- Run reports related to assigned charges, including missing charge reports, error reports, and other reports supporting 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