Health Information Coder Trainee

San Bernardino County•San Bernardino, CA

11d•Onsite

About The Position

The Job San Bernardino County, Department of Public Health (DPH) is recruiting for Health Information Coder Trainees. Health Information Coder Trainees, under training conditions, abstract and code medical records according to the International Classification of Diseases and Current Procedural Terminology. Duties include reviewing charts (in paper or electronic format) and identifying procedures; abstracting and coding (or providing guidance on) patient charts, utilizing ICD-10-CM, CPT and HCPCS coding classifications; evaluating charts for completeness and accuracy in conformance with current-relevant standards and regulations; and contacting clinic/hospital staff to complete charts, make corrections, and/or clarify information for coding purposes. For more detailed information, refer to the Health Information Coder Trainee job description.

Requirements

Possess and maintain one of the following: RHIA: Registered Health Information Administrator (RHIA) issued by the American Health Information Management Association (AHIMA), RHIT: Registered Health Information Technician (RHIT) issued by the American Health Information Management Association (AHIMA), CCS: Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA), -or- CPC: Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC).
No experience required.
Must be able to present their legal right to work in the United States at the time of employment.
Must pass a background investigation which includes verification of employment history and education, fingerprinting, physical exam, and drug screening prior to appointment.
Travel throughout the County may be required and employees will be required to make provisions for such transportation.

Nice To Haves

Experience utilizing an automated encoder or abstracting system is highly desired.

Responsibilities

Abstract and code medical records according to the International Classification of Diseases and Current Procedural Terminology.
Review charts (in paper or electronic format) and identify procedures.
Abstract and code patient charts, utilizing ICD-10-CM, CPT and HCPCS coding classifications.
Provide guidance on coding patient charts.
Evaluate charts for completeness and accuracy in conformance with current-relevant standards and regulations.
Contact clinic/hospital staff to complete charts, make corrections, and/or clarify information for coding purposes.