Certified Medical Records Coder-Inpatient

ABOUT THE POSITION

The County of Riverside

• Riverside University Health System-Medical Records Department is seeking Certified Medical Records Coders.The incumbents will be responsible for performing 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.

Candidates with acute hospitalexperience are encouraged to apply.

Applicants will be tested as part of the hiring process.

Work Schedule:5/40, M-F, Day Shift (rotating holidays required)

This position will offer a hybrid schedule, which will include working in the office and remotely from home at the department's discretion. The incumbent must be able to maintain an acceptable productivity standard set forth by the department. Interested candidates must be able to work the following shifts: swing, weekends, and some holidays.

Meet the Team!

Riverside University Health System-Medical Center consistently receives national recognition for its progressive and innovative care, as well as being known as one of the top employers in the region. The 439-bed Medical Center is a designated Stroke Center, Level I Trauma Center, and the only Pediatric ICU in the region. For more information on RUHS-Medical Center, please visitwww.ruhealth.org

EXAMPLES OF ESSENTIAL DUTIES

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.

MINIMUM QUALIFICATIONS

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.)

Other Requirements

License/Certificate:Possession of one of the current valid certification/s below:

Certified Coding Specialist (CCS)

or

Certified Professional Coder (CPC)

or

Registered Health Information Administrator (RHIA)

or

Registered Health Information Technician (RHIT)

issued by American Health Information Management Association

or Certified Professional Coder-Hospital (CPC-H)

orissued by the American Academy of Professional Coders.

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.

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.

SUPPLEMENTAL INFORMATION

Veterans' Preference:

The County has a Veterans Preference Policy. Upload a copy of your (or your spouse's) Member-4 Form DD-214 (or NGB-22) indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. 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. See the policy here:https://www.rivcocob.org/wp-content/uploads/2018/07/C-3-Veterans-Preference-Program.pdf

Employment Documents:

Upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account. 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 or (NACES) Association of International Credential Evaluators, Inc. (AICE).

What's Next?

The position is open to all applicants.

Applicants who are current County of Riverside employees and/or current employees of the County of Riverside's RUHS-Medical Center may be considered before other applicants depending on the volume of applications received.

Qualified applicants may be considered for future vacancies throughout the County.

Application Period

BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSTING MAY CLOSE WITHOUT NOTICE.

Applications received prior to the closing date will be considered based on the information submitted. Changes or alterations cannot be accepted. All applicants must submit a complete application by the closing date of this recruitment. No late applications will be permitted.

Include relevant work experience details on resume and/or application.

Applicants who fail to provide information demonstrating they possess the position requirements may not be considered further in the application process. A description of job duties directly copied from the job classification or job posting will not be considered.

Upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account. 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).

For further information regarding this posting, contact the recruiter:

Anay Sanchez at anasanchez@rivco.orgor call 951-955-5893.