Patient Records Abstractor 3 Per Diem

Under general supervision of the CAO for the Department of Radiation Oncology or designee, incumbent independently performs coding of patient's records to provide accurate physician, technical, supply, surgical, and resident billing and reimbursement, while ensuring compliance. The incumbent's work is performed in a hospital-based outpatient clinic setting, which will include two or more of the following: professional fees, technical fees, multi-specialties, surgical, and/or resident staff coding and billing. Prior to submitting charges, the incumbent is required to review coding for all patient visits and procedures, identify all billable services, and discuss with the physician / provider when discrepancies occur between coding and documentation. Responsibilities include collecting visit information, analyzing documentation and identifying discrepancies. Prepares and enters charges to the online charge entry systems. Utilizes reports to monitor adherence to required policies and procedures. Responsible to view recirculating errors and resolve all discrepancies according to established guidelines. Incumbent will perform reconciliation processes for charges entered. Responsible to analyze data, identify trends, recommend solutions, and provide continuing education to both physicians and clinical staff. Will serve as an expert to address questions regarding current rules and regulations, compliance issues, and insurance requirements. This position must have knowledge of the following system applications: Access, lnvision, Mainframe, SAR, CICSP, EMR, Signature, Word, Excel, Word Perfect, Internet Explorer, Images, CITRIX, Quickview, RMS, Relay Health, Lotus Notes, E-TAR, CHOP, OnTrac, Stentor, Interpreting, Images, HIPAA Disclosures, Incident Reporting, and CCE.

Under general supervision of the CAO for the Department of Radiation Oncology or designee, incumbent independently performs coding of patient's records to provide accurate physician, technical, supply, surgical, and resident billing and reimbursement, while ensuring compliance. The incumbent's work is performed in a hospital-based outpatient clinic setting, which will include two or more of the following: professional fees, technical fees, multi-specialties, surgical, and/or resident staff coding and billing. Prior to submitting charges, the incumbent is required to review coding for all patient visits and procedures, identify all billable services, and discuss with the physician / provider when discrepancies occur between coding and documentation. Responsibilities include collecting visit information, analyzing documentation and identifying discrepancies. Prepares and enters charges to the online charge entry systems. Utilizes reports to monitor adherence to required policies and procedures. Responsible to view recirculating errors and resolve all discrepancies according to established guidelines. Incumbent will perform reconciliation processes for charges entered. Responsible to analyze data, identify trends, recommend solutions, and provide continuing education to both physicians and clinical staff. Will serve as an expert to address questions regarding current rules and regulations, compliance issues, and insurance requirements. This position must have knowledge of the following system applications: Access, lnvision, Mainframe, SAR, CICSP, EMR, Signature, Word, Excel, Word Perfect, Internet Explorer, Images, CITRIX, Quickview, RMS, Relay Health, Lotus Notes, E-TAR, CHOP, OnTrac, Stentor, Interpreting, Images, HIPAA Disclosures, Incident Reporting, and CCE. #CA-SB

Apply By Date 2/13/2025 by 11:59pm

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

• One (1) of the following Certifications offered through American Health Information Management Association (AHIMA) OR American Association of Professional Coders (AAPC):
  • Certified Coding Specialist - Physician-based (CCS-P)
  • Certified Coding Specialist (CCS)
  • Certified Professional Coder (CPC)
  • Certified Professional Coder Hospital (CPC-H)
• Must pass the following modules from the UCDH Work Skills Assessment: E&M. APC, CPT/ Work Comp., & ICD-9 prior to occupying position.
• Passing of the initial Coding Assessment at 90% or above in all categories (CPT, Modifiers, Procedures, ICD-9, Pharmaceuticals, and APCs), and meeting the PRA Expectations for Coding Assessments thereafter.
• No minimum education requirements
• At least two years of billing and coding experience.
• Demonstrated experience in preparing and interpreting financial reports and statistical data. Able to compile clinical billing data related to patient encounters.
• Complete working knowledge of abstracting and coding, using ICD-9 and CPT and HCPCS sufficient to identify diagnostic procedures, supplies and visit levels in accordance with required contract agreements and procedures with a goal of maximizing reimbursements for professional and technical charges within stated constraints.
• Ability to follow ICD-9, CPT and HCPCS guidelines related to their use in assigning single, and sequencing multiple, diagnosis and procedure codes for appropriate professional and technical reimbursement and data collection. Must be able to understand assignment of Evaluation and Management visit level utilizing Health Care Financing Administration guidelines for teaching hospitals.
• Ability to read handwritten, transcribed and Electronic Medical Record documents, interpret information and enter complete and accurate data into the appropriate charge entry system(s).
• Comprehensive knowledge of medical diagnostic and procedural terminology.
• Knowledge of disease processes, anatomy, and physiology necessary for assigning accurate codes. Knowledge of Cooperative Parties Guidelines pertinent to ambulatory coding.
• Knowledge of Federal, State and local government regulations and requirements which pertain to patient care information.
• Knowledge of third-party payer reimbursement requirements and an understanding of relative values for multi-medical specialties, encounters, and procedures in an outpatient setting.
• Ability to independently conduct research, determine relative data sources, perform quantitative analysis and develop thoughtful recommendations for procedural or system changes.
• Ability to communicate technical and clinical billing information to physicians and clinical staff.
• Remains current with periodic updates of all coding manuals and guidelines in accordance with Federal, State and local regulations.
• Ability to manage time schedules, deadlines, multiple requests, and priorities, and to maintain productivity.
• Abides by American Health Information Management 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

• 60% - REVIEW, ABSTRACT AND CODE OUTPATIENT RECORDS TO ENSURE DATA QUALITY AND TO OPTIMIZE REIMBURSEMENT
• 25% - CLINICAL CHARGE ENTRY
• 10% - TECHNICAL, LIAISON, AND EDUCATIONAL COORDINATION
• 5% - MISCELLANEOUS

Department Overview

The Departments of Radiation Oncology and Radiology serve over 70 clinical faculty, staff physicians and physicists. Each department is responsible for the administrative functions of both departments including School of Medicine finance, human resources, residency and fellow education, medical student and other observerships and faculty support. It is the responsibility of this particular team to manage all aspects of the School of Medicine enterprise at the direction of the respective chairs and work towards the missions of academia: patient care, education, research and teaching.

POSITION INFORMATION

• Salary or Pay Range: $43.25
• Salary Frequency: Hourly
• Salary Grade: 111
• UC Job Title: PAT RCDS ABSTRACTOR 3 PD
• UC Job Code: 004715
• Number of Positions: 1
• Appointment Type: Staff: Per Diem
• Percentage of Time: 20%
• Shift (Work Schedule): 8
• Location: Cancer Center (HSP093)
• Union Representation: Yes, EX-Patient Care Technical
• Benefits Eligible: No
• This position is 100% remote

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

• 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.
• Must be able to work occasional overtime.

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.

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

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