Health Information Coder 3

UCSFEmeryville, CA
$67 - $84Remote

About The Position

The Health Information Coder III is a senior level inpatient coder with an advanced knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses Related Groups. 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. UCSF’s Health Information Management department maintains health records for all inpatient, outpatient, and same-day surgery services. These records are protected under HIPPA and California state law, ensuring privacy and confidentiality. The coding department at UCSF is responsible for translating detailed clinical documentation, such as diagnoses, procedures, and services into standardized alphanumeric codes that can be understood by all parts of the healthcare system. Its main purpose is to ensure accurate communication, billing, compliance, and data use across hospitals, clinics, insurers, and public health agencies.

Requirements

  • Advanced knowledge and skill set in ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems.
  • Advanced knowledge and comprehension of code sequences into Diagnoses Related Groups.
  • Knowledge of official guidelines for coding and reporting.
  • Knowledge of practice standards and code of ethics for HIMS coder.
  • Knowledge of UCSF Health policies and procedures for abstraction.

Responsibilities

  • Utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems.
  • Comprehend code sequences into Diagnoses Related Groups.
  • Code cases to comply with official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder.
  • Abstract cases according to UCSF Health policies and procedures.
  • Focus coding and abstracting on a range of all primary hospital services.
  • Translate detailed clinical documentation, such as diagnoses, procedures, and services into standardized alphanumeric codes.
  • Ensure accurate communication, billing, compliance, and data use across hospitals, clinics, insurers, and public health agencies.
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