Professional Fee Coding Auditor & Educator
About The Position
The Patient Records Abstractor 4 fulfills a role as a Medical Coder for UCSF’s physician practices. This 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 accurately reflect the care delivered, supporting compliant reimbursement and reliable clinical data. This position also serves as a Coding Educator responsible for providing education and training for physicians, staff, and other providers on professional fee coding and clinical documentation standards. Responsibilities include conducting coding quality reviews, analyzing findings, and providing follow-up education to coding staff and providers. The incumbent outlines and annotates applicable laws and coding compliance mandates and delivers written and verbal training, teaching, and policy guidance. The role operates within a healthcare records or billing team and requires close collaboration with clinicians, clinical coders, and administrative staff to resolve documentation queries. The incumbent is expected to maintain current knowledge of coding updates, compliance requirements, and professional standards while participating in regular audits to monitor coding quality and support process improvements.
Requirements
- Medical Coding experience
- Knowledge of national and international coding classifications
- Understanding of compliant reimbursement and reliable clinical data
- Ability to provide education and training on professional fee coding and clinical documentation standards
- Experience in conducting coding quality reviews and analyzing findings
- Ability to outline and annotate applicable laws and coding compliance mandates
- Skills in delivering written and verbal training, teaching, and policy guidance
- Ability to collaborate with clinicians, clinical coders, and administrative staff
- Up-to-date knowledge of coding updates, compliance requirements, and professional standards
- Experience in participating in regular audits
Responsibilities
- Review patient records, discharge summaries, operative reports, and other clinical documentation.
- Assign standardized codes for diagnoses, procedures, and services.
- Apply national and international coding classifications.
- Provide education and training for physicians, staff, and other providers on professional fee coding and clinical documentation standards.
- Conduct coding quality reviews.
- Analyze findings from coding reviews.
- Provide follow-up education to coding staff and providers.
- Outline and annotate applicable laws and coding compliance mandates.
- Deliver written and verbal training, teaching, and policy guidance.
- Collaborate with clinicians, clinical coders, and administrative staff to resolve documentation queries.
- Maintain current knowledge of coding updates, compliance requirements, and professional standards.
- Participate in regular audits to monitor coding quality and support process improvements.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
