Billing Abstractor

Under the general guidance of the Billing Supervisor, the incumbent is responsible for monitoring charge reports and addressing billing and coding issues to minimize reimbursement delays and denials. Responsibilities include submitting additions, changes, and deletions to the department's Charge Description Master (CDM) for Rate Review approval. The incumbent will be responsible for coding, abstracting, and billing medical supplies, implants, and surgical and anesthesia services. They will identify all billable services and assign and validate HCPCS and revenue codes for billing to government agencies, insurance companies, and patients.

The incumbent may serve as a resource and trainer for other abstractors, providing guidance on billing and coding questions, as well as system and procedure changes. Ensuring documentation accuracy and compliance with federal, state, and payer-specific rules, regulations, and requirements related to hospital charges is a critical part of the role. The incumbent will participate in project teams and task forces to review and analyze UCDHS billing and compliance policies and procedures, assessing their impact on the Division's billing practices.

In support of coding quality review, the incumbent will collaborate with the supervisor to address any discrepancies between coding and documentation. Key responsibilities include collecting case information, analyzing documentation, identifying discrepancies, and preparing and entering charges into the online charge entry system. Additionally, the incumbent will utilize reports to monitor adherence to required policies and procedures and perform audits and reconciliation processes for charges entered.

Apply By June 11, 2025 at 11:59 PM

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• High school diploma, GED, or equivalent experience/training.
• Three years recent acute care hospital billing experience
• State and Federal rules and regulations related to billing Insurance Claims.
• Demonstrated knowledge of UB04 and revenue codes as it pertains to billing.
• Extensive knowledge in ICD9, ICD-10, CPT, HCPCS coding principles.
• Knowledge of Hospital payer contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's.
• Strong attention to detail, quality, and thoroughness to complete work in timely and accurate manner.
• Independent critical thinking skills and initiative to recognize, identify and solve problems recognizing potential impact to others, patients, internal and external customers.
• Skill using computers for email, spreadsheets, and word processing software.
• Ability to apply policy and procedure when making decisions.
• Ability to identify, analyze and report problems accurately and timely.
• Ability to exercise sound judgment to recognize situations that need to be escalated and notify supervisor or other management of unusual or unexpected situations.
• Ability to assist in planning and organizing workflow well; and to meet established turn-around-times, and deadlines.
• Ability to prioritize work to meet established turnaround times and administrative deadlines.
• Demonstrated ability to develop creative solutions to problems and tackle issues in a self-motivated manner in line with the direction of the project team and the organization.
• Ability to always maintain a satisfactory level of performance.
• Self-motivation and ability to work independently to complete work or projects as instructed in a timely, qualitative and productive manner.
• Awareness and sensitivity to the diversity, equity, and inclusion of others as part of a positive work culture.
• Ability to demonstrate sensitivity and acceptance of individual differences to achieve a common goal.
• Ability to communicate effectively in writing and verbally to the appropriate target audience.
• Ability to work with internal and external customers, coworkers and members of the hospital community in a professional, respectful and service oriented manner.

Preferred Qualifications

• Certified Professional Coder (CPC)
• Epic Resolute experience.
• Experience with Government payers i.e. Medicare.
• Five years recent acute care hospital billing experience

Key Responsibilities

• 55% - Processing Billing and Clinical Charge Entry
• 35% - Processing Billing and Clinical Charge Entry
• 10% - Education, Communication, and Special Projects

Department Overview

Perioperative Services is a large division comprised of departments including the Operating Rooms, Pre-Op and Post Anesthesia Care Unit (PACU) Departments, Pre-Anesthesia Clinic, Anesthesia, Sterile Processing Department, GI Lab and Interventional Pulmonary Procedural Department.

Position Information

• Salary or Pay Range: $38.69 - $48.13
• Salary Frequency: Hourly
• Salary Grade: 113
• UC Job Title: PAT RCDS ABSTRACTOR 3
• UC Job Code: 004717
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift (Work Schedule): 8 hours
• Location: Main Hospital (HSP001)
• Union Representation: EX-Patient Care Technical
• Benefits Eligible: Yes
• This position is 100% on-site
• This position is not eligible for H-1B visa sponsorship.

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

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

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal 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.

To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks