The Patient Record Abstractor IV dependently performs coding of patient's records to provide accurate physician, technical, supply, surgical, and resident billing and reimbursement, while ensuring compliance. The Patient Record Abstractor IV'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 Patient Record Abstractor IV 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.REQUIRED-Maintains certification for one of the following: CCS-P, CCS, CPC, or CPHC.-Ability to apply skills to any hospital-based clinic environment, maintaining a knowledge base for all types of outpatient coding and billing requirements.-Ability to frequently move from one clinic environment to another; stepping in to provide coding/billing support with minimal orientation/direction.-Complete working knowledge of abstracting and coding, using ICD-10 and CPT and HCPSC 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-10, 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 and transcribed documents, interpret information and enter complete and accurate data into charge entry system.-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.-Experience in preparing and interpreting financial reports and statistical data. -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 take the necessary action. -Filing skills to maintain information in alphabetical, chronological and numerical order such that data is current and easily retrievable.SPECIAL REQUIREMENT-Must pass the following modules from the UCDHS Work Skills Assessment: E&M, APC, CPT/ Work Comp., and ICD-10 prior to occupying position and have a CCS-P, CCS, CPC, or CPCH certification. -Passing of the initial Coding Assessment at 90% or above in all categories (CPT, Modifiers, Procedures, ICD-10, Pharmaceuticals, and APCs), and meeting the PRA Expectations for Coding Assessments thereafter. An active CCS, CCS-P, CPC, or CPC-H Certification is required. -Must be able to work occasional overtime.-THIS POSITION MAY BE SUBJECT TO A CRIMINAL BACKGROUND INVESTIGATION, DRUG SCREEN, LIVE SCAN FINGERPRINTING, MEDICAL EVALUATION CLEARANCE, AND FUNCTIONAL CAPACITY ASSESSMENT
Internal Number: 054895
About University of California Davis Medical Center
At the end of 2015, we launched a comprehensive and inclusive process to tap into the broad, diverse knowledge of our entire UC Davis Health community to stimulate new and unique ideas for our next strategic plan.Throughout 2016, hundreds of members of our UC Davis Health family, as well as external friends and partners, took part in conversations and provided valuable input into charting a long-term course for our future that will continue the momentum underway to solidify our position as a top-tier health care organization.With your valuable input and talents, I am excited to launch our six new strategic plan goals. Over the next few years, together we will:Lead Person-Centered Care in the best way, at the best time, in the best place, and with the best teamReimagine Education by cultivating diverse, transdisciplinary, life-long learners who will lead transformation in health care to advance well-being and equity for allAccelerate Innovative Research to improve lives and reduce the burden of disease through the discovery, implementation and dissemination of new knowledgeImprove Population Health through the use of big data and precision healthTransform Our Culture by engaging eve...ryone with compassion and inclusion, by inspiring innovative ideas, and by empowering each otherPromote Sustainability through shared goals, balanced priorities and investments in our workforce and in our communityAt a time when our industry is experiencing some of the most formidable changes ever, these are bold aspirations that will anchor us and provide us with clarity of purpose and a path forward. I am fully confident that we will achieve great success knowing we have a solid plan and areas of focus to guide us.I thank everyone who participated in the planning process for their great input and their dedication to our future success.