Coding Quality Analyst/Documentation Specialist

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Coding Quality Analyst/Documentation Specialist

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Job ID

88764

Location

Sacramento

Full/Part Time

Full Time

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Job Summary

#CA-KN

The Medical Records Department is comprised of eight different units with a staffing of over 171 FTEs whose primary purpose is to serve the interests of the individual patient by facilitating medical care, treatment, research and teaching through availability of well documented, current medical record and clinical data base. The Coding Unit is composed of 14 coder/abstractors who extract medical and demographic information from each patient record and convert that information into data which can be electronically stored, manipulated and retrieved. This data is used for medical research, hospital, and professional fee reimbursement. This unit also assures that all records are analyzed for deficiencies as identified by JCAHO, CMS. Title 22 and the medical staff. All data abstraction and coding is performed using OSHPD. JCAHO. CMA, UHDOS, and Title 22 documentation guidelines. Coded information is abstracted from the medical records of patients to generate a clinical patient data base for the facility. This position performs ongoing continuous quality review to assess the accuracy of ICD-9/10-CM and PCS. DRG, CPT and APC assignment. CQI data is to be collected and feedback is provided to individual coding staff and to supervision in individual and in aggregate format. May also assist in preparation of education and training of CPT and APC methodologies. Performs as back up coder as needed.

Apply By Date: 9/24/2026 at 11:59 pm - Interviews and recruiting process may occur at any time

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

• RHIA, RHIT, or CCS
• Bachelor's degree in related area and/or equivalent experience
• 5 years of acute care coding experience
• TECHNICAL SKILLS REQUIRED: Must have analytical skills necessary to perform continuous coding accuracy of ICD-9/10, DRG, CPT, modifiers, and APC assignments. Must have a good understanding of how ongoing CQI must be performed with confidentially and sensitivity in presenting negative feedback to coders. Assist in maintenance of files on each coder's performance as well as an aggregate file of overall coding performance. Must be able to display coding performance statistics upon request by supervisor. Experience with and knowledge of instructional notations and conventions of ICD-9/10, DRG, APC and CPT classification systems; and ability to follow the detailed guidelines related to their use in assigning single, and sequencing multiple, diagnosis and procedure codes for appropriate reimbursements and data collection. Ability to read handwritten and transcribed documents in the medical record, interpret information, and enter complete and accurate data into an on-line encoding system. Comprehensive knowledge of medical diagnostic and procedural terminology required. College level understanding of disease processes, anatomy and physiology necessary to assign accurate codes using the ICD-9/10 and CPT coding conventions. Knowledge of Federal, State and local government regulations and requirements which pertain to patient care information and requirements for a complete medical record for deficiency chart analysis.
• DECISION-MAKING/RESEARCH SKILLS REQUIRED: Ability to provide feedback to coding staff in a meaningful, positive manner exercising tactfulness and poise. Ability to communicate technical and clinical information concerning patient care and classification systems at different levels, i.e. physicians, ancillary, researchers and administrative personnel. Ability to apply policies and procedures regarding data security and confidentiality to protect the inappropriate release of information. Ability to exercise judgment with minimal supervision. Ability to be flexible, adaptable and follow many different guidelines which change annually.
• ORGANIZATIONAL SKILLS REQUIRED: Ability to assume responsibility for compilation of clinical data related to ongoing CQI of CPT and APC assignments in the unit. 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.
• PHYSICAL SKILLS REQUIRED: Ability to handle the stress and pressures of a job where there is noise from conversation and office machines. Ability to read text for long period of time from a book, medical record and/or computer terminal. Must have the strength and flexibility to retrieve charts from a restricted file area. Must be able to work occasional overtime. Must be able to adhere to hospital No-Smoking policy.

Preferred Qualifications

• ICD-10 CM/PCS knowledge and completion of training is desired.

Key Responsibilities

• 50% - REVIEWS CODED MEDICAL RECORDS TO ENSURE DATA QUALITY AND TO OPTIMIZE REIMBURSEMENT CONSIDERING CLINICAL DOCUMENTATION IMPROVEMENT TECHNIQUES
• 30% - System Support and Development
• 10% - Other Functions
• 10% - PARTICIPATES IN EDUCATIONAL EXPERIENCES CONCERNING CODING AND ABSTRACTING ISSUES

POSITION INFORMATION

• Salary or Pay Range: $9,747.48 - $20,107.44
• Salary Frequency: Monthly
• Salary Grade: 217
• UC Job Title: CLIN DOC SPEC 4 HX
• UC Job Code: 004902
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift (Work Schedule): 8 hours
• Location: Remote Worksite (REMOTE)
• Union Representation: HX-Healthcare Professionals
• Benefits Eligible: Yes
• 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 by visiting UCnet Benefits Page or Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees.

• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for dental and vision coverage for you and your family
• Retirement plans for eligible employees including Pension and other Retirement Saving Plans
• Supplemental insurance offered including additional life, short/long term disability, pet insurance, legal coverage, accident, critical illness and hospital indemnity
• Pregnancy and Parental Leave, Family & Medical Leave, Adoption Assistance and Pay for Family Care and Bonding for eligible employees
• Lactation Support Program and Family Care discounts and resources
• Employee Well-being resources and programming to support thriving in all aspects of employee's lives
• On-site Employee Assistance Program including access to free mental health services
• Generous amount of paid Holidays annually as outlined in the UC Policies or Collective Bargaining Agreements
• Paid Time Off/Vacation/Sick Time as outlined in the UC Policies or Collective Bargaining Agreements
• Continuing Education (CE) allowance and Staff Education Reimbursement Program for eligible employees
• Access to free professional development courses and learning opportunities for personal and professional growth
• Public Service Loan Forgiveness (PSLF) Qualified Employer and Student Loan Debt Counseling Program for eligible employees

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

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

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