Certified Medical Records Coder-Inpatient; Riverside

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.

Work Location:

7898 Mission Grove Pkwy Ste 200 Riverside, CA. 92508

This position offers a hybrid work schedule, which may include working both in the office and remotely, at the department’s discretion.

The selected candidate must maintain both the productivity and accuracy standards established by the department.

Employees may be required to work swing shifts, weekends, and some holidays depending on operational needs.

• Monday – Friday (5/80 schedule)
• Day Shift
• Typical hours:
  • 8:00 AM – 4:30 PM, or
  • 8:30 AM – 6:00 PM

• Sunday – Thursday
• Tuesday – Saturday

Schedules may vary based on departmental needs.

Employees may indicate their preferred schedule, when available.

Weekend shifts may be available but are not currently required.

Employees typical work 3–4 holidays per year, assigned through a rotation or draw system.

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 county’s most vulnerable populations receive the care they need.

Whether it’s 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 you’re 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 www.ruhealth.org

• 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…