Certified Medical Records Coder-Outpatient
About The Position
The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill a Certified Medical Records Coder position. The incumbents will be responsible for performing advanced coding and abstracting of outpatient medical record entries according to the most current edition of International Classification of Diseases Clinical Modification System (ICD-CM) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Outpatient classification performs 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 - Outpatient is distinguished from the Certified Medical Records Coder - Inpatient in that the latter requires extensive knowledge of complex code and Diagnosis Related Group (DRG) assignment. Certified Medical Records Coder - Outpatient is required to be well versed in outpatient coding guidelines, the Ambulatory Payment Classification (APC) System and CPT Code assignment. Candidates with acute hospital experience 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 requires new hires to work in the office for a minimum of 10 weeks. Following successful completion of this training period and based on performance, the department may allow a hybrid work schedule that includes a combination of in-office and remote work at the department's discretion. The incumbent must maintain productivity standards set by the department to be eligible for hybrid work. Interested candidates must be able to work the following shifts: swing, weekends, and some holidays. Important Requirement: To be considered for an interview, all candidates must upload a copy of their transcript(s), license(s), and/or certificate(s) as part of the application process. 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 visit www.ruhealth.org
Requirements
- Experience: One year of medical record coding experience in an acute care setting using ICD-CM and CPT coding, or outpatient, or Emergency Room coding. (Experience must have been within the last two years.)
- License/Certificate: Possession of current valid certification as a Certified Coding Specialist (CCS); or Certified Coding Specialist-Physician based (CCS-P); or Registered Health Information Administrator (RHIA); or a Registered Health Information Technician (RHIT) issued by American Health Information Management Association; or Certified Professional Coder (CPC); or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders.
- Knowledge of: ICD-CM and CPT classification coding systems; 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.
Nice To Haves
- Candidates with acute hospital experience are encouraged to apply.
Responsibilities
- Code medical record entries pertaining to diagnoses and procedures according to the most current edition of ICD-CM, and when applicable CPT; enter information into the designated computer system.
- Abstract patient information such as Admission, Discharge and Transfer (ADT), type of surgery, type of anesthesia, and attending physician.
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Executive, Legislative, and Other General Government Support
Education Level
No Education Listed
