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The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.

+ Application Opening: October 10, 2025

+ Application Deadline: Application filing will close on or after October 24, 2025

+ Salary: $134,576 - $171,834 Annually (Range A) (https://careers.sf.gov/classifications/?classCode=0922&setId=COMMN)

+ Appointment Type: Permanent Civil Service (https://careers.sf.gov/knowledge/role-types/)

+ Recruitment ID: PBT-0922-160949

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.

The position provides leadership and direction for multiple clinic-wide functions within the Health Information Management (HIM) – Mid Revenue Cycle Department, overseeing key functions that ensure accuracy, compliance, and integrity in medical records, documentation, and data. This role advances organizational goals by aligning operations with business development, decision support, outcomes analysis, information exchange, and health policy priorities. Reporting to the Executive Director of Health Information Management Services, the Manager oversees a team of over a dozen staff, ensuring effective operations and continuous performance improvement across the department.

The Health Information Management (HIM) Manager, Ambulatory Clinics (0922 Manager I) performs the following essential job functions:

+ Provides leadership and strategic direction across HIM - Mid-Revenue Cycle Department functions, ensuring alignment with organizational goals.

+ Organizes and prioritizes departmental work to ensure timely coding and compliance with regulatory requirements in coordination with Utilization Management, Patient Financial Services, and Revenue Integrity.

+ Manages workflows, policies, and procedures to prevent backlogs and maintain accuracy of key performance indicators, data processing, and reporting.

+ Conducts peer review of health information and outpatient cases to ensure coding compliance, reimbursement accuracy, and continuous quality improvement.

+ Oversees data integrity and compliance with standards set by The Joint Commission (TJC), HCAI, CMS, California Department of Public Health, and other regulatory bodies.

+ Identifies staff training needs, develops and implements education programs, and supports recruitment, mentoring, and performance management.

+ Provides strategic planning and decision support for business development, outcomes analysis, resource allocation, credentialing, and health policy initiatives.

The Health Information Management (HIM) Manager, Ambulatory Clinics (0922 Manager I) may perform other duties as assigned/required.

1. Education: Bachelor’s degree from an accredited college or university; AND

•​2. Experience: Three (3) years of professional medical coding experience; AND

3. License and Certification: Possession of a valid Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) credential.

EDUCATION SUBSTITUTION: Additional qualifying experience as described above may substitute for the required degree on a year-for-year basis up to a maximum of two (2) years. One year is equivalent to thirty (30) semester or forty-five (45) quarter units.

Applicants must meet the minimum qualification requirements by the final filing date unless otherwise noted.

One-year full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).

Desirable Qualifications:

The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring:

+ Hospital medical coding experience

+ Experience in health information operations in support of regulatory, compliance, accreditation, licensure, and quality requirements for health care services

+ Experience with electronic health record (eHR) systems, such as EPIC

+ Experience managing health information systems

+ Experience applying LEAN methodology to improve processes

+ Experience with health information workflows, clinical and document management systems, and system design principles

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.

Selection Procedures:

After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following:

Training and Experience (T&E) Evaluation (Weight: 100%)

Candidates that meet the minimum qualifications will be invited to participate in a Training and Experience evaluation that is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: knowledge of medical coding, clinical documentation integrity, and reimbursement methodologies; knowledge of procedures related to the sequencing of diagnoses, including but not limited to ICD-10-CM, PCS, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines, and other classification systems, as well as compliance with state Title 22 standards and Joint Commission record of care standards; ability to develop and maintain cooperative and effective working relations with coworkers and supervisors, demonstrating diplomacy, professionalism, and trustworthiness; oral and written communication skills, with the ability to lead groups, deliver presentations, and support LEAN methodology initiatives.

Candidates will be placed on the confidential eligible list in rank order according to their final score.

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Certification

The certification rule for the eligible list resulting from this examination will be the Rule of the List.

Eligible List/Score Report:

A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores, and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.

The duration of the eligible list resulting from this examination process will be six months and may be extended with the approval of the Human Resources Director.

How to apply:

Applications for City and County of San Francisco jobs are only accepted online at https://careers.sf.gov.

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link (https://sfdhr.org/ccsf-email-extensions) .

Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account.

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

Terms of Announcement and Appeal Rights:

This is a Position Based Test (PBT) administered in accordance with Civil Service Rule 111A.

Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state, or local laws, rules, or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/. The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications, and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.

Additional information regarding Employment with the City and County of San Francisco:

+ Information about the Hiring Process (https://careers.sf.gov/knowledge/process/)

+ Conviction History

+ Employee Benefits Overview (https://sfdhr.org/benefits-overview)

+ Equal Employment Opportunity

+ Disaster Service Workers (https://careers.sf.gov/knowledge/#:~:text=a%20later%20date.-,Disaster%20Service%20Workers,-By%20State%20law)

+ ADA Accommodation

+ Right to Work (https://careers.sf.gov/knowledge/#:~:text=Identification/Right%20to%20Work)

+ Copies of Application Documents

+ Diversity Statement (https://sfdhr.org/recruitment-details#diversitystatement)

+ Veterans Preference

+ Seniority Credit in Promotional Exams (https://sfdhr.org/recruitment-details#senioritycredit)

If you have any questions regarding this recruitment or application process, please contact the analyst Jerome Anabu at [email protected] or (628) 271-6813.

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.