The Patient Records Abstractor 3 (PRA) performs abstracting of medical services provided by UCDHS and affiliates under the general direction of the Supervisor. The PRA identifies all billable services, CPT-4, ICD-10, and HCPCS codes for billing purposes to government agencies, insurance companies and patients. The PRA is responsible for the accuracy of above procedure and diagnosis coding relative to corresponding documentation and standards. The PRA will ensure compliance to all federal, state and carrier specific rules, regulations and requirements related to professional fee services are adhered to.
Apply By Date: November 16, at 11:59 PM
Minimum Qualifications: For full consideration, applicants are encouraged to upload their license, certification, and educational degree/diploma if required for the position
- American Health Information Management Association (AHIMA) Certified Coding Specialist - Physician-based (CCS-P) or Certified Coding Specialist (CCS), or American Association of Professional Coders (AAPC) Certified Professional Coder (CPC) Certification
- High School diploma or equivalent
- Working knowledge and experience abstracting and coding using ICD-10 and CPT-4 codes
- Comprehensive knowledge of medical diagnostic and procedure terminology
- Knowledge of disease processes, anatomy and physiology necessary for assigning accurate codes
- Ability to follow ICD-10 and CPT guidelines in assigning codes to visits and procedures
- Ability to follow CMS and UCDHS teaching physician guidelines in applying evaluation and management codes
- Knowledge of Federal, State and local government regulations and requirements, which pertain to patient care information
- Knowledge of third-party payor reimbursement requirements and reimbursement methodologies
- Ability to interpret and communicate professional fee coding information to physicians and other UCDHS staff
- Ability to manage time schedules, deadlines, multiple requests, priorities and maintain productivity. Excellent written and oral communication skills
- Problem solving and decision making skills to independently define a problem, identify the resources available, create viable solutions and to take the necessary action
- Organizational skills to maintain work area and in progress/pending work /patient lists, in such a way that the information is easily retrievable
- Abides by the American Health Information Managements Association's established code of ethical principles to safeguard the public and contribute within the scope of the profession to quality and efficiency in health care, thus promoting ethical conduct
- Abides by all compliance principles regarding fraud and abuse in the reimbursement environment.
Key Responsibilities
- 40% - Analyze Records and Documents to Determine Nature of Professional Services Rendered
- 40% - Assign Appropriate Diagnosis and Procedure Codes
- 10% - Physician Feedback
- 5% - Monthly Reconciliation Review
- 5% - Daily Reconciliation Review
Department Overview
This position is part of centralized coding unit which codes for inpatient professional charges, ancillary services, multi-specialty hospital based clinic services, and community physician group locations.
POSITION INFORMATION
- Salary or Pay Range: $38.69 - $48.13
- Salary Frequency: Hourly
- Salary Grade: 113
- UC Job Title: PAT RCDS ABSTRACTOR 3
- Number of Positions: 1
- Appointment Type: Staff: Career
- Percentage of Time: 100% Full-Time
- Shift Hours: Day shift (08 hours)
- Location: Remote Worksite (REMOTE)
- Union Representation: EX-Patient Care Technical
- Benefits Eligible: Yes
- Hybrid/Remote/Onsite: This position is 100% remote
- THIS IS NOT AN H-1B VISA OPPORTUNITY
Benefits
Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.
If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html
* High quality and low-cost medical plans to choose from to fit your family's needs
* UC pays for Dental and Vision insurance premiums for you and your family
* Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
* Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Access to free professional development courses and learning opportunities for personal and professional growth
* WorkLife and Wellness programs and resources
* On-site Employee Assistance Program including access to free mental health services
* Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
* Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
* Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here
* UC Davis cares about building a community, which is why we provide resources to enhance diversity, equity and inclusion as well as Employee Resource Groups (ERGs) to support our staff
Physical Demands
- Standing - Occasional Up to 3 Hours
- Walking - Occasional Up to 3 Hours
- Sitting - Frequent 3 to 6 Hours
- Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
- Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
- Bending/Stooping - Occasional Up to 3 Hours
- Squatting/Kneeling - Occasional Up to 3 Hours
- Twisting - Occasional Up to 3 Hours
- Reaching overhead - Occasional Up to 3 Hours
- Keyboard use/repetitive motion - Frequent 3 to 6 Hours
Mental Demands
- Sustained attention and concentration - Frequent 3 to 6 Hours
- Complex problem solving/reasoning - Occasional Up to 3 Hours
- Ability to organize & prioritize - Frequent 3 to 6 Hours
- Communication skills - Frequent 3 to 6 Hours
- Numerical skills - Occasional Up to 3 Hours
- Constant Interaction - Frequent 3 to 6 Hours
- Customer/Patient Contact - Frequent 3 to 6 Hours
- Multiple Concurrent Tasks - Frequent 3 to 6 Hours
Work Environment
- This position requires work on a computer
Special Requirements
- This is a critical position, as defined by UC policy and local procedures, and as such, employment is contingent upon successful completion of background check(s), including but not limited to criminal record history background check(s)
Diversity, Equity, Inclusion and Belonging
At UC Davis, we're solving life's most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don't just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds and you belong here. As you consider joining UC Davis, please explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected. The University of California, Davis is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.
For the University of California's Affirmative Action Policy, please visit: https://policy.ucop.edu/doc/4010393/PPSM-20
For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination
Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification. Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role! Don't meet all the requirements? We still encourage you to apply! #YouBelongHere #CA-SB