Risk Adjustment Coder
Job Summary
Employment Duration: 3 months
Location: Fully Remote
Openings: 2
The Health Information Coder I is an entry-level coder with a basic knowledge and skill set to utilize ICD-10-CM, CPT, and HCPCS classification systems to code across various healthcare settings, including outpatient, emergency department, and ancillary services.
This role ensures coding accuracy, compliance with regulatory guidelines, and adherence to UCSF policies, supporting proper reimbursement and revenue cycle integrity. The Coder I collaborates with healthcare providers, revenue cycle teams, and compliance departments to resolve documentation issues and maintain high standards of coding performance.
This position is hybrid and may require travel to UCSF Health for business purposes. The incumbent must be able to provide a safe and private home office environment for conducting UCSF business.
Key Responsibilities:
- Assign accurate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and services based on documentation in the medical record, with a focus on ICD-10-CM codes that map to CMS-defined Hierarchical Condition Categories (HCCs).
- Ensure ICD-10-CM and CPT coding compliance with federal regulations, payer policies, UCSF standards (including UCSF HCC Coding Guidelines), and industry guidelines, including LCD/NCD requirements.
- Review medical records and abstract necessary information to ensure documentation supports assigned codes for billing and reimbursement.
- Identify and add ICD-10-CM diagnosis codes supported by clinical documentation, with a focus on codes that map to HCC categories.
- Resolve coding edits, discrepancies, and denials in collaboration with appropriate departments to ensure accurate claim submission.
- Maintain productivity and quality benchmarks, achieving organizational accuracy standards and ensuring timely completion of coding assignments.
- Participate in ongoing education and training to stay updated on changes in ICD-10-CM, CPT, HCPCS, regulatory compliance, and CMS-HCC Risk Adjustment models.
- Work with revenue cycle teams, providers, and compliance staff to clarify documentation and coding-related issues.
- Participate in special projects as directed, including data attestations in payor data systems, targeted reviews of provider documentation, and preparation of training materials.
- Use electronic medical records, coding software, and hospital billing systems to perform daily coding activities.
- Interact with internal and external UCSF Health staff and customers.
- Maintain satisfactory time and attendance.
- Demonstrate understanding of ICD-10-CM, CPT, and HCPCS coding classification systems, with a focus on diagnoses that map to CMS-HCC categories.
- Perform data searches and troubleshoot computer issues.
- Maintain patient confidentiality and IT security.
- Treat others with respect and work effectively as part of a team.
- Train others as requested.
- Follow safety and infection control guidelines.
- Maintain equipment and work area.
- Comply with the UCSF Health dress code.
- Perform other duties as assigned.
The final salary and offer components are subject to additional approvals based on UC policy.
To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (https://tcs.ucop.edu/non-academic-titles)
Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.
For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Department Description UCSF's Temporary Employment Program (TEP) recruits and hires temporary employees for immediate clerical and technical support services to UCSF Departments and various off-campus locations. UCSF departments deploy temporary employees to work on special projects, fill in for regular employees who are on vacation or leave, or to temporarily fill a vacant position during recruitment. Frequently temporary employees become successful candidates for career and limited appointment positions. Required Qualifications
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- Certified Risk Adjustment Coder (CRC)
- High school graduation or G.E.D
- 1-3 years of healthcare coding or related healthcare experience
- Ability to meet daily production requirements with a minimum accuracy rate of 95%
- Basic EHR and encoder skills
- Basic computer skills, including Windows, Word, and Excel
- Ability to analyze information, make decisions, and exercise independent judgment
- Knowledge of medical terminology, medical abbreviations, disease processes, anatomy, and physiology
- Knowledge of ICD-10-CM, ICD-10-PCS, and CPT classification systems
- COC, CPC, CCS, CCS-P, RHIT, RHIA, or other coding certification, or agreement to obtain certification within six months of hire
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Preferred Qualifications
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- Knowledge of HIMS database systems.
- Knowledge of HIMS procedures.
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License/Certification
- Certified Risk Adjustment Coder (CRC)
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 at diversity.ucsf.edu
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. Job Code and Payroll Title 004735 HEALTH INFO CODER 1 Job Category Support Services, Temporary Employment Bargaining Unit American Federation of State, County and Municipal Employees - Patient Care Technical Unit (AFSCME-EX) Employee Class Temporary Employment Location San Francisco, CA |
University of California - San Francisco Campus and Health
Mar 04, 2026