HIM Coding & System Specialist

Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 6,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community.

Join the Southwest Healthcare Team!

Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 6,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community.

Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including:
Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Riverside Medical Clinics, and APEX Heart Specialists. For more information on how to join our dynamic team, please visit our website at

The Health Information Management (HIM) Coding and System Specialist collaborates with staff across the Region and is responsible for the daily operations of the Inpatient and Outpatient Bill-holds to assist the Coding section with achieving performance goals on a daily, weekly and monthly basis.

• Responsible for daily working the Inpatient & Outpatient Bill-holds to assist the Coding section with obtaining the Coding Team productivity standards. The Coding Team productivity standard is met when the average unbilled days are less than 4 days out for inpatient and 5 days out for outpatient coding. This will be assessed weekly, every Thursday, at the end of business day.
• Daily review Inpatient & Outpatient bill-holds to identify those accounts, which have not been coded to date.
• Research reasons why accounts remain on the unbilled reports (i.e. missing diagnosis, invalid diagnosis, no physician order, records not scanned, missing documentation, etc) and follow-up accordingly to facilitate timely completion. This process requires working with other departments and contacting provider offices by telephone and fax for completion of missing documentation and coding queries. Upon completion, notify the responsible coder for final coding.
• Works daily with the Physician Liaison Representative in order to ensure providers who have incomplete records affecting the bill-hold are added to the suspension process, facilitating timely record completion.
• Monitor and process daily the coding support work lists, within Coding application, for all records held or released with pending receipt of incomplete/missing documentation.
• Responsible for ensuring accurate data within the HIM Department as follows:
• Duplicate Patient Encounters – Researches duplicate encounter numbers when identified to validate if patient should have one encounter or two encounters. When appropriate, merges encounter data/charges in accordance with charging guidelines.
• Moving of Charges – Move charges daily when posted to the wrong account. Charges are moved to the correct account only after the accounts have been researched and charges found to be supported by record documentation. If the account has been coded or dropped, requests the Central Business Office (CBO) to re-bill the account.
• Corporate Coding Reports – Weekly…