Insurance Billing and Coding Specialist (PAT RCDS ABSTRACTOR 2)

University of California - Davis
vision insurance, parental leave, paid time off, paid holidays, sick time, long term disability, tuition reimbursement
United States, California, Davis
Jan 05, 2026
Apply for Job Job ID 83488 Location Davis Full/Part Time Full Time Add to Favorite Jobs Email this Job Department Description Under general supervision of the Director of Administrative Services or designee, incumbent independently performs coding of patient's records to provide accurate physician, technical, supply billing, and reimbursement, while ensuring compliance. The incumbent's work is performed in an outpatient clinic setting, which will include two or more of the following: professional fees, technical fees, multi-specialties 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, counselor, and other provider when discrepancies occur between coding and documentation. Responsibilities include collecting visit information, analyzing documentation and identifying discrepancies. This position prepares and enters charges into the online charge entry systems, and utilizes reports to monitor adherence to required policies and procedures, resolving all errors and discrepancies according to established guidelines. Incumbent will perform reconciliation processes for charges entered. Responsible for analyzing data, identifying trends, recommending solutions, and providing continuing education to physicians, counselors, other providers, and clinical staff. The position will serve as an expert to address questions regarding current rules and regulations, compliance issues, and insurance requirements, fiscal and administrative services. Apply By Date January 19, 2026 at 11:59pm Qualifications Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position CCS, CCS-P, CPC, CPC-H Certification is mandatory. 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. Successful completion of an AAPC accredited course High school diploma or GED At least two years of billing and coding experience. Knowledge of third-party payer reimbursement requirements. Ability to communicate technical and clinical billing information to physicians and clinical staff. Complete working knowledge of abstracting and coding, using ICD-10, CPT and HCPCS sufficient to identify diagnostic procedures, supplies and visit levels. 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. 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. Ability to manage time schedules, deadlines, multiple requests, and priorities, and to maintain productivity. Preferred Qualifications Problem solving and decision-making skills to independently conduct research, define a problem, identify the resources available including relative data sources, perform quantitative analysis and develop thoughtful recommendations for procedural or system changes. Knowledge of health insurance plans and industry standards and ability to interpret insurance language. Skills and abilities to analyze and interpret payment reports, verify accuracy of payments, identify reasons for denial and pursue appeals. Ability and skills to address complaints/problems and critical thinking skills to identify potential resolutions. Key Responsibilities 60% - Review, Abstract and Code Outpatient Records To Ensure Data Quality and to Optimize Reimbursement 15% - Clinical Charge Entry 15% - Billing 5% - Technical, Liaison, And Educational Coordination 5% - Miscellaneous Department Overview SHCS has approximately 200 staff including managers, senior professionals, professional and support staff, student employees, and doctoral and post doc trainees. SHCS is accredited by AAAHC (Accreditation Association for Ambulatory Health Care), APA (American Psychological Association), and IACS (International Association for Counseling Services). For more information on the department, see https://shcs.ucdavis.edu. POSITION INFORMATION Salary or Pay Range: $35.91/hr. - $44.65/hr. Salary Frequency: Biweekly Salary Grade: STEPS UC Job Title: PAT RCDS ABSTRACTOR 2 UC Job Code: 004718 Number of Positions: 1 Appointment Type: Staff: Career Percentage of Time: 100% Shift (Work Schedule): Monday - Friday, 8am - 5pm Location: Davis, CA Union Representation: EX-Patient Care Technical Benefits Eligible: Yes This position is 100% on-site 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 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 Lifting/Carrying 26-50 lbs - Never 0 Hours Lifting/Carrying over 50 lbs - Never 0 Hours Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours Pushing/Pulling 26-50 lbs - Never 0 Hours Pushing/Pulling over 50 lbs - Never 0 Hours Bending/Stooping - Occasional Up to 3 Hours Squatting/Kneeling - Occasional Up to 3 Hours Twisting - Occasional Up to 3 Hours Climbing (e.g., stairs or ladders) - Never 0 Hours Reaching overhead - Occasional Up to 3 Hours Keyboard use/repetitive motion - Frequent 3 to 6 Hours Environmental Demands Chemicals, dust, gases, or fumes - Never 0 Hours Loud noise levels - Never 0 Hours Marked changes in humidity or temperature - Never 0 Hours Microwave/Radiation - Never 0 Hours Operating motor vehicles and/or equipment - Never 0 Hours Extreme Temperatures - Never 0 Hours Uneven Surfaces or Elevations - Never 0 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 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. 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 Opportunity Employer. All qualified applicants will be considered 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 #CA-SE