Certified Medical Records Coder-Inpatient (Riverside)

For questions regarding this position please contact the Recruiter listed in the Supplemental Information section.

The County of Riverside - Riverside University Health System - Medical Records Department is seeking to fill a Certified Medical Records Coder position located in Riverside.

Under general supervision performs advanced coding and abstracting of inpatient medical record entries according to the most current edition of International Classification of Diseases - Clinical Modification System (ICD-CM) Procedure Coding System (PCS) and Current Procedural Terminology (CPT); performs other related duties as required.

The Certified Medical Records Coder - Inpatient classification performs the most complex coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an appropriate supervisory or manager level position.

The Certified Medical Records Coder - Inpatient is distinguished from the Certified Medical Records Coder - Outpatient in that the latter does not require an extensive knowledge of complex code and Diagnosis Related Group (DRG) assignment. Incumbents are expected to be familiar with the Inpatient Prospective Payment System (IPPS) inpatient coding guidelines and be able to work closely with the Clinical Documentation Team as well as physicians.

Meet the Team!
Riverside University Health System provides a wide range of primary and specialty care services across 13 Community Health Centers (CHCs) throughout Riverside County. As federally qualified health centers the CHCs operate on a sliding fee scale to ensure that some of the countys most vulnerable populations receive the care they need.

Whether its preventive care chronic disease management Express Care Mobile Health or integrated specialty and behavioral health services our teams are made up of dedicated healthcare professionals who are passionate about making a difference.

If youre committed to delivering compassionate care and eager to join a team that truly values community connection and making a meaningful difference RUHS is the place for you!

Learn more about our Community Health Centers by visiting

Examples of Essential Duties

Code medical record entries pertaining to diagnoses and procedures according to the most current edition of ICD-CM and when applicable PCS and CPT; enter information into the designated computer system.

Abstract patient information such as Admission Discharge and Transfer (ADT) type of surgery type of anesthesia length of stay and assist clinical providers as needed.

Query physicians when assistance is needed for proper identification of codes for diagnoses or procedures; communicate with physicians and others involved in the treatment of patients as needed.

Work with Clinical Documentation Improvement Team when there are conflicting diagnoses ambiguous inconsistent missing and unclear clinical documentation by the physician to support code assignment.

Assist and provide coding training to Certified Medical Record Coder - Outpatient as needed.

Recruiting Guidelines
OPTION I
Experience: Four years as a Certified Medical Records Coder - Outpatient with the County of Riverside.

OPTION II
Experience: Two years of inpatient medical record coding experience in an acute care setting using ICD-CM PCS and CPT coding. (Experience must have been within the last four years.)

ALL OPTIONS
Knowledge of: ICD-CM PCS and CPT classification coding systems and DRG assignment; the fundamentals of anatomy physiology and the study of diseases; standard clerical office procedures and equipment including Windows-based software use.

Ability to:Utilize the ICD-CM classification system to code medical record entries either by use of coding books or encoder product; abstract pertinent information from medical records; follow oral and written instructions; operate PC with Windows software coding software and abstract package; effectively communicate technical information to medical and administrative personnel; maintain effective working relationships with others.

Supplemental Information
Other Requirements
License/Certificate: Possession of current valid certification as a Certified Coding Specialist (CCS) Certified Professional Coder (CPC) Registered Health Information Administrator (RHIA) or a Registered Health Information Technician (RHIT) issued by American Health Information Management Association or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders.

Pre-Employment
All employment offers are contingent upon successful completion of both a pre-employment physical exam including a drug/alcohol test and a criminal background investigation which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment.)

Probationary Period
As an Approved Local Merit System all County of Riverside employees except those serving At Will are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding County Resolution or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

For questions regarding this recruitmentPlease contact at Anay Sanchez at or 951.955.5893. Please allow 1-2 business days for a response to general inquiries.

APPLICATION INFORMATION

Veterans Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify attach the required documents to your job application. Documents include a copy of your (or your spouses) Member-4 Form DD-214 indicating dates of service. For spousal preference and as applicable the following documents: a copy of your marriage certificate spouses death certificate a letter of spouses disability and/or letter of service-related death (if available) from the U.S. Veterans Administration. For privacy reasons it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans preference. For complete details and documentation requirements please review the Veterans Preference Policy C-3 here: Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation please visit the Disability Access Office web page located at: of Education
If using education to qualify or when requested by the recruiter upload a copy of any license(s) official/unofficial transcript(s) degrees and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.

If your education was completed outside of the United States you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators Inc. (AICE).

Work Authorization Requirement
Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs including H1-B visas and will not provide sponsorship for any employment-based visas.

Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race color religion sex national origin age disability sexual orientation gender gender identity gender expression marital status ancestry medical condition (cancer and genetic characteristics) genetic information or denial of medical and family care leave or any other non-job-related factors.

Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period
As an Approved Local Merit System all County of Riverside employees except those serving At Will are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding County Resolution or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.

Please read and follow any special application instructions on this posting. Click the Apply link located on this page to submit your application. For additional instructions on the application process examinations Veterans preference pre-employment accommodation or other employment questions please refer to our web site .

If you are experiencing technical problems you may contact the applicant support desk Monday through Friday 6 am to 5 pm Pacific Time at or toll-free 1-.