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The Analyst II Coder, under the direction of the Revenue Manager/Associate Director, provides support in areas of revenue operations related to production coding, auditing, and training for their designated areas. Under general supervision, applies acquired skills as a revenue cycle analyst to perform charge capture and charge flow, PB coding, charge edit reviews, claim edits, RFIs, support setting up new charging practices/units, and reporting. Gaining expertise to act as a specialist for designated divisions. Manages a diverse range of 1,000 - 3,500 procedural code set combinations, plus Evaluation and Management services coding. Demonstrates core coding competency and proficiency in moderately complex duties, including Prof Fee and technical coding. Provides analysis to support department revenue cycle management and improve work queue design and management. Provides education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. The Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. Familiar with all applicable billing and coding regulations and effectively communicates these regulations to all levels of faculty, management, and staff. Applies broad knowledge of hospital operations, different payor guidelines, charge capture and work flows, Epic systems, authorizations, and charge trigger to assign codes based on review of clinical charts, evaluate and resolve denial issues, and identify areas of revenue cycle improvement. DUTIES & ESSENTIAL JOB FUNCTIONS
% of time |
Essential Function (Yes/No) |
Key Responsibilities (To be completed by Supervisor) |
60 |
Yes |
REVENUE CYCLE ANALYSIS AND PRODUCTION CODING
- Gaining expertise to act as a specialist for at least one to three designated divisions containing eight or more surgical subspecialties. Under general supervision, works proactively with assigned departments to assure appropriate revenue cycle practices and compliance with internal and external regulations.
- Performs direct abstract coding directly from internal and external surgical operative reports, inpatient and outpatient physician evaluation and management notes, and possibly internal or external physician laboratory testing interpretations.
- Code moderately complex accounts which requires diverse breath of expertise in charge capture, work flow, hospital operations, authorizations, and revenue cycle..
- Manages a diverse range of about 1000- 3500 coding combinations. Assign and sequence ICD-10 diagnosis codes, CPTs, and HCPCS codes based on review of inpatient and outpatient clinical documentation and diagnostic results. Also expected to know and apply all applicable modifiers to provide additional information about the medical procedure or service as appropriate by insurance carrier.
- Resolve Claims Manager and Epic Edits to ensure correct coding of services provided. This includes review of documentation for correct coding and E/M leveling, diagnosis coding, bundling issues, modifier usage, etc.
- Contributes to small to medium projects analyzing revenue cycle workflows to propose improvements in efficiencies and reimbursement. Assists in developing workflow improvements to maximize revenues.
Assists divisions with defining reporting and documentation requirements. Assists with identifying data sources, develops and delivers routine and ad hoc reports Coding and audits are to be done directly from physician documents whenever possible.
- Applies acquired skills to collaborate in gathering data, identifying trends, and performing financial analyses of revenue cycle operations.
- Under general supervision, applies dashboards and processes for continuous analysis of revenue cycle functions of moderate scope and complexity. Audits data input to support revenue cycle management.
- Analyzes coding, charge trigger, and authorizations
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20 |
Yes |
CHARGE EDIT RESOLUTION
- Reviews APeX PB Charge Edit and RFI work queues on a daily basis/as assigned and addresses inquiries from payors that require department review, and resolves any claim edits in these work queues to ensure timely billing.
- Proactively reviews assigned work queues to reach out to faculty and ancillary providers for necessary documentation changes and updates.
- Runs all necessary reports related to moving assigned charges along in their respective work queues. For instance, missing charge reports, error reports, and other reports related to charge capture, error resolution and throughput.
- Under supervision, analyzes charge integrity, reconciliation and charge linkages from ancillary charging systems for the medical center / health system.
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10 |
Yes |
PHYSICIAN AND STAFF EDUCATION
- Provide revenue cycle coding, charge trigger, authorizations, and billing reimbursement training and education to physicians, allied health providers (AHPs), and clinical staff
- Maintain knowledge of revenue cycle systems, processes and procedures to support other analysts on the team
- Provides feedback at round table discussions with other analysts and staff within the FPRMO
- Provide analysis and review of coding to include research and interpretation of government regulations and payor billing requirements for new and existing services
- Draft memos that provide input and explanation on coding documentation
- Develop reference guides for faculty, AHPs, and staff to assist them in ensuring that they document all necessary elements within their notes
- Partner with departmental resident/fellow education programs to develop presentations and materials to teach residents/fellows about proper documentation, how it impacts reimbursement, and how this will impact them when they become independently billable providers
- Responsible for developing and maintaining the accuracy of educational information that is posted on internal UCSF websites
- Research and respond to questions from physicians, AHPs, and staff in a timely manner
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5 |
Yes |
REVENUE CYCLE COMPLIANCE
- Research current trends in healthcare coding, charge capture, claim edits, billing, authorizations, reporting requirements and compliance. Keep departments up to date on regulations and events that impact physician coding and billing
- Review provider documentation to monitor coding accuracy and compliance with all CMS and payor guidelines
- Perform specialized audits of patient medical records and provide documentation feedback to providers in a timely and professional manner
- Identify issues related to billing denials and provide analysis to prevent future coding and billing issues
- Partner with the UCSF Compliance Office in researching how to document for services new to UCSF providers
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5 |
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VENDOR QUALITY CONTROL |
100% |
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Required Qualifications:
-Bachelor's degree in a related area OR four years of equivalent experience/training; and
-One or more years of revenue cycle professional fee coding experience or equivalent experience/training.
-Must have experience working with professional fee coding CPT, ICD-10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, as well as payor billing requirements.
-Working knowledge of the practices, procedures, and concepts of the healthcare revenue cycle. Knowledge of any or all of the following: billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
-Working knowledge of reporting instruments, metrics, and/or dashboard design.
-Detail-oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner.
-Proficiency in common database, spreadsheet, and presentation software.
-Demonstrated communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner.
-Ability to summarize and present reports and presentations.
-Demonstrated analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems.
-Demonstrated interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas.
-Knowledge of medical terminology, anatomy, and physiology. Note: We are not sponsoring on work Visa's at this time. Preferences:
-Prior working knowledge of the EPIC (Apex) system.
-Experience working directly with physicians, AHPs, and staff.
-Academic medical center experience.
-Advanced Coding Certification. License/Certification Required:
-Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or licensure equivalent to be evaluated by FPRMO management.
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.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Required Qualifications:
-Bachelor's degree in a related area OR four years of equivalent experience/training; and
-One or more years of revenue cycle professional fee coding experience or equivalent experience/training.
-Must have experience working with professional fee coding CPT, ICD-10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, as well as payor billing requirements.
-Working knowledge of the practices, procedures, and concepts of the healthcare revenue cycle. Knowledge of any or all of the following: billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
-Working knowledge of reporting instruments, metrics, and/or dashboard design.
-Detail-oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner.
-Proficiency in common database, spreadsheet, and presentation software.
-Demonstrated communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner.
-Ability to summarize and present reports and presentations.
-Demonstrated analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems.
-Demonstrated interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas.
-Knowledge of medical terminology, anatomy, and physiology. Note: We are not sponsoring on work Visa's at this time. Preferences:
-Prior working knowledge of the EPIC (Apex) system.
-Experience working directly with physicians, AHPs, and staff.
-Academic medical center experience.
-Advanced Coding Certification. License/Certification Required:
-Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or licensure equivalent to be evaluated by FPRMO management.
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University of California - San Francisco
45.00
Apr 29, 2026