Per Diem Professional Coder; PRA

Job Summary

Under the general direction of the Supervisor, incumbent performs abstracting of medical services provided by UCDHS and affiliates. Incumbent identifies all billable services (IP Professional, Outpatient professional and facility, Hospital Service Departments, Freestanding, and Ancillary Services), CPT-4, ICD-10, and HCPCS codes for billing purposes to government agencies, insurance companies and patients. Incumbent is responsible for the accuracy of above procedure and diagnosis coding relative to corresponding documentation and standards.

Incumbent 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: 1/19/2026 at 11:59 pm - Interviews and recruiting process may occur at any time

• American Health Information Management Association (AHIMA) Certified Coding Specialist-Physician-based (CCS-P) or Certified Coding Specialist (CSS), or American Association of Professional Coders (AAPC) Certified Professional Coder (CPC) Certification
• 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.

• Previous abstracting experience in one or more of the following specialties:
  Pediatrics, ENT, Pain, Internal Medicine, Dermatology, Radiology, or Surgical Pathology.

• 45% - Analyze Records and Documents to Determine Nature of Professional Services Rendered
• 45% - Assign Appropriate CPT, EM, Diagnosis, HCPCS and Modifiers
• 10% - Physician Feedback

The Coding and CDI Department is a critical part of the healthcare organization, dedicated to improving patient care, supporting research, and facilitating education through the efficient management of medical records and clinical databases. The department, which consists of over 200 Full-Time Equivalents (FTEs) across diverse units, is responsible for ensuring the accuracy, accessibility, and compliance of patient information, which is crucial for clinical decision-making, billing accuracy, and regulatory adherence.

The department includes key groups such as Inpatient and Outpatient Clinical Documentation Integrity (IP/OP CDI), All Coding Operations, the CDI Coding Quality Analyst Group, the Coding and CDI Clinical Analyst Team, and the Provider Advocate Team. Each of these teams plays a specialized role in supporting the organization's health information needs.

IP/OP CDI focuses on ensuring that clinical documentation accurately reflects the complexity and…