San Francisco, California, United States · Remote Solely
$122k–$277k/yr
Senior
Involves the evaluation of physician documentation, utilizing clinical expertise to ensure that the patient’s severity of illness and risk of mortality are accurately portrayed in the medical record for specificity and i…
Skills: Clinical Documentation, Medical Record Review, ICD-10 Coding, Critical Thinking, Interpersonal Communication
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San Francisco, California, United States · On-site
Mid level
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San Francisco, California, United States · On-site
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Skills: Case Management, Harm Reduction, Culturally Competent Care, Mental Health Screening, Motivational Interviewing
San Francisco, California, United States · On-site
$70k–$100k/yr
Mid level
As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, exce…
Health Information Coder 3 (1 of 4) (Sign on Bonus eligible)
Emeryville, California, United States · Remote Solely
$63/hr–$78/hr
Mid level
***New Hires are eligible for a Sign-On Bonus*** The Health Information Coder III is a senior-level inpatient coder with an advance knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification …
San Francisco, California, United States · On-site
$31/hr–$38/hr
Entry level
Employment Duration: 3 months (w/ potential for extension) The Medical Assistant supports efficient, timely patient care by assisting providers in the clinical setting and ensuring all ordered services are completed accu…
Skills: Customer Service, Vital Signs, Medical Procedures, Documentation, ICD-9 Codes
San Francisco, California, United States · On-site
$36/hr–$45/hr
Entry level
Under the supervision of the Patient Access Services Manager, the Admitting Representative is responsible for greeting patients, patient identification, check-in, patient registration, and coordinating escorts upon arriv…
Skills: Customer Service, Multitasking, Prioritization, Attention to Detail, PC Skills
San Francisco, California, United States · On-site
$95k–$203k/yr
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San Francisco, California, United States · On-site
$134k–$313k/yr
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Skills: Primary Care Nursing, Patient Flow Management, Staff Supervision, Clinical Assessment, Care Planning
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San Francisco, California, United States · On-site
$31/hr–$45/hr
Mid level
As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, exce…
Skills: Customer Service, Medical Terminology, Patient Scheduling, Insurance Verification, Epic
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Skills: Administrative Support, Onboarding, Scheduling, Calendaring, Microsoft Word
San Francisco, California, United States · On-site
$34/hr–$49/hr
Mid level
As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, exce…
Utilizes the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care. Functions as a member of the interdisciplinary and nursing teams; carries out established nursing p…
Skills: Nursing Process, Patient Assessment, Neonatal Care, Surgical Patient Care, Low Birth Weight Infant Care
Poison Center Clinical Coordinator Pharmacist (Madera, CA)
Madera County, California, United States · On-site
$193k–$226k/yr
Mid level
The California Poison Control System (CPCS) is a 24 hour-a-day informational hotline serving residents statewide in California. It is designated by the California Emergency Medical Services Authority and managed by the U…
Reporting to the Director, EIA Health Quality, Safety, Ambulatory, the Analyst’s primary responsibilities include: data collection, metric validation, performance and health outcome measurement, benchmarking, stratificat…
Skills: Data Analytics, Quality Improvement, Performance Measurement, Health Outcome Measurement, Metric Validation
Employment Duration: 6 months Work Style: Hybrid (2-3 days on-site) Uses skills as a seasoned and experienced administrative professional to assist in managing, planning, and administering operations for the priorities o…
Under the supervision of the MA Supervisor/Administrative Nurse Manager, the Hospital Asst III: performs patient care duties directed toward positive patient outcomes. Job duties include but are not limited to: checking …
Skills: Patient Care, Vital Signs Collection, Clinic Flow Coordination, Medical Documentation, Customer Service
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$122k–$277k/yr
Full-time
bachelor degree, professional certificate
Posted 34d ago
~40 hrs/week
Remote in San Francisco, California, United States
Responsibilities
Evaluates physician documentation to ensure patient severity of illness and risk of mortality are accurately reflected in medical records. Collaborates with physicians, clinical staff, and coding professionals to improve coding accuracy and clinical documentation integrity.
Requirements
Requires a Bachelor's degree in nursing or a related field and at least five years of clinical experience in ICU, CCU, ED, or Med Surg. Candidates must pass the Nuance pre-hire exam and possess advanced clinical and interpersonal skills.
Full job description
Involves the evaluation of physician documentation, utilizing clinical expertise to ensure that the patient’s severity of illness and risk of mortality are accurately portrayed in the medical record for specificity and increased coding accuracy. Interacts with physicians, clinical staff, and health information management professionals. Works with coding staff to ensure that documentation of discharge diagnoses and any co-existing co-morbidities are a complete reflection of the patient’s clinical status and care.
DEPARTMENT OVERVIEW:
The Clinical Documentation Specialist (CDS’) reports to a CDI Manager under the leadership of the System Director of CDI.
Clinical Documentation Integrity (CDI) is a team within the Department of Quality that reviews provider documentation and facilitates accurate representation of patients treated at UCSF Health. Through collaborative relationships with Faculty service lines, CDI supports best practices in clinical documentation integrity strategies with an emphasis on severity of illness, medical complexity and quality in the medical record. CDI closely follows Case Mix Index (CMI), risk adjusted outcomes and mortality ratings.
About UCSF
The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here.
Join us to find a rewarding career contributing to improving healthcare worldwide.
Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
Salary Information
The final salary and offer components are subject to additional approvals based on UC policy.
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
Clinical Documentation IntegrityCDIICD-10DRG SystemSeverity Of IllnessRisk Of MortalityCase Mix IndexMedicare Part AMedicare Part BCCDS CertificationNuanceHIMMedical CodingHealthcare QualityClinical Care Systems
About UCSF Department of Anesthesia and Perioperative Care
Pioneers in perioperative medicine. Dedicated to healing, teaching and discovering for more than 60 years.
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Founded
1958
Headquarters
San Francisco, CA
LinkedIn followers
1,340
The Department of Anesthesia and Perioperative Care at UC San Francisco is a pioneering leader in providing outstanding, state of the art healthcare that is equitable and inclusive. In alignment with the wider UCSF mission to advance health worldwide, we are committed to optimizing perioperative outcomes, training the next generation of anesthesiology leaders, and translating discoveries to benefit the health and life of our patients and the wide range of communities we serve.
Consistently ranked in the top ten nationally in NIH-funded research, important discoveries by our department include the first use of CPAP in premature infants, key contributions to the pharmacology of muscle relaxants and inhaled anesthetics, first demonstration of intraoperative transesophageal echocardiography, and many others [https://anesthesia.ucsf.edu/anesthesia-timeline-fullscreen]. We have robust research programs, spanning the range from ion channel structure and function, to clinical and translational research [https://anesthesia.ucsf.edu/welcome-ucsf-anesthesia-research].
Our trainees have become leaders across the country. We are particularly proud of our residency program [https://anesthesia.ucsf.edu/education-program-ucsf-department-anesthesia], which provides unequaled diversity of experience in a major university medical center (UCSF Helen Diller Medical Center at Parnassus Heights), the San Francisco Veterans Hospital, Zuckerberg San Francisco General Hospital, Mount Zion Hospital, the UCSF Orthopaedic Institute, and the UCSF Benioff Children's, Betty Irene Moore Women's and Bakar Cancer (NIH-designated Cancer Center) Hospitals in the Mission Bay neighborhood. We offer ACGME fellowships in Critical Care Medicine, Pain Medicine, Cardiac Anesthesia, Obstetric Anesthesia, Pediatric Anesthesia, Acute Pain and Regional Anesthesia, and many additional non-ACGME fellowships. Our faculty are dedicated to teaching, nurturing, and mentoring the next generation of leaders.
Pioneers in perioperative medicine. Dedicated to healing, teaching and discovering for more than 60 years.
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Founded
1958
Headquarters
San Francisco, CA
LinkedIn followers
1,340
The Department of Anesthesia and Perioperative Care at UC San Francisco is a pioneering leader in providing outstanding, state of the art healthcare that is equitable and inclusive. In alignment with the wider UCSF mission to advance health worldwide, we are committed to optimizing perioperative outcomes, training the next generation of anesthesiology leaders, and translating discoveries to benefit the health and life of our patients and the wide range of communities we serve.
Consistently ranked in the top ten nationally in NIH-funded research, important discoveries by our department include the first use of CPAP in premature infants, key contributions to the pharmacology of muscle relaxants and inhaled anesthetics, first demonstration of intraoperative transesophageal echocardiography, and many others [https://anesthesia.ucsf.edu/anesthesia-timeline-fullscreen]. We have robust research programs, spanning the range from ion channel structure and function, to clinical and translational research [https://anesthesia.ucsf.edu/welcome-ucsf-anesthesia-research].
Our trainees have become leaders across the country. We are particularly proud of our residency program [https://anesthesia.ucsf.edu/education-program-ucsf-department-anesthesia], which provides unequaled diversity of experience in a major university medical center (UCSF Helen Diller Medical Center at Parnassus Heights), the San Francisco Veterans Hospital, Zuckerberg San Francisco General Hospital, Mount Zion Hospital, the UCSF Orthopaedic Institute, and the UCSF Benioff Children's, Betty Irene Moore Women's and Bakar Cancer (NIH-designated Cancer Center) Hospitals in the Mission Bay neighborhood. We offer ACGME fellowships in Critical Care Medicine, Pain Medicine, Cardiac Anesthesia, Obstetric Anesthesia, Pediatric Anesthesia, Acute Pain and Regional Anesthesia, and many additional non-ACGME fellowships. Our faculty are dedicated to teaching, nurturing, and mentoring the next generation of leaders.