Role Description The Coding Specialist performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts and reports as assigned. - Coding surgeries directly - Use PMD - Pull up auto note and fill out work - 13-15 cases an hour Qualifications - Surgery Coding - General Surgery coding - Breast surgery coding - Gastro surgery coding - GYN coding - Clinical Coding - Detail Oriented - Confident - Good at collaborating with team - Not afraid to ask questions Requirements - Entry Level - Contract to Hire position based out of Dallas, TX Benefits - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Company Description We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership.

Role Description 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. 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. Qualifications - Knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedural Coding System (HCPCS). - Ability to maintain currency with coding updates, compliance requirements, and professional standards. Requirements - Timely processing of case volumes while maintaining high accuracy. - Adherence to confidentiality and information governance standards. - Contribution to process improvements that enhance data quality and coding efficiency. Benefits - Comprehensive benefits package. - Opportunities for professional development. - Supportive work environment. Company Description The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. - Home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging, and stem cells. - Supports a diverse group of providers across a wide spectrum of specialties within an academic medical center environment. - Delivers precise and compliant coding for approximately 1.6 million patient encounters annually.

Role Description Reviews, accurately assigns, and abstracts professional and outpatient facility diagnostic and procedural codes to encounters using designated coding classification independently. Supports ongoing training and development of staff. - Develop efficient workflows to organize and prioritize complex coding work to ensure compliance with regulatory requirements and hospital targets. - Utilize designated coding classification systems and guidelines to ensure accurate code selection; consider the utilization of resources during patient encounters to reflect the appropriate codes. - Proactively identify documentation gaps or inconsistencies that may impact code assignment; initiate coding queries or tasks to clarify documentation and ensure accurate code assignment. - Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise. Qualifications - High School Diploma or GED - 4 years of relevant work experience - Certifications: - Certified Coding Associate - American Health Information Management Association (AHIMA) - Certified Coding Specialist - American Health Information Management Association (AHIMA) - Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA) - Certified Outpatient Coder - American Academy of Professional Coders - Certified Professional Coder - Outpatient - American Academy of Professional Coders - Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Requirements - Advanced knowledge in medical professional and outpatient facility coding - Advanced understanding of medical terminology and documentation - Advanced critical thinking skills - Advanced compliance knowledge Benefits - Comprehensive benefits package which may include health, disability, retirement, and/or wellness offerings to enhance well-being and professional growth. Company Description Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

Role Description Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and in addition hospital professional services. Maintains a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. - Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process. - Monitors and validates physician charge capture. - Self-motivated with the ability to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information. - Participates in coding team meetings and serves as a subject matter expert. - Reviews medical documentation from physicians and other healthcare providers; assigns modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. - Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, or standards. - Provide accurate and timely international classification of disease – tenth edition – clinical modification (ICD-10) - CM coding of diagnoses, Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) coding, and in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. - Review and audit medical record documentation accurately to reflect healthcare coding and to substantiate appropriate service reimbursement. - Convey coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation. - Computer skills, the ability to interpret, analyze and abstract data/documentation, have good problem-solving skills, be self-motivated and have good time management and organizational skills. Qualifications - Associate degree in Health Information Technology or Certification in Coding required. - Specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in International Statistical Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding schemes, medical terminology or human anatomy/physiology is preferred. - Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required. - If the associate is not certified at hire, the associate must be so within one year of the date of hire. Requirements - Flexible Schedule Benefits - Salary Range: $20.50 - $33.00 - Work Shift: 8 Hours - Day Shifts (United States of America) - Scheduled Weekly Hours: 40 - Union Position: No