Health Information Management Coder 3, Full Time

The HIM Coder 3 is a vital member of our mission.

In this role you will be responsible for assigning ICD-10-CM/PCS and CPT-4 codes for statistical and reimbursement requirements to inpatient and/or outpatient accounts. Adheres to official coding guidelines when coding with accuracy and completeness as supported by documentation. Interact with physicians and other areas when additional coding information is needed. Appropriately utilizes encoder and coding references.

Why are we the “Employer of first choice”?

We provide a world of opportunity for professional growth and personal advancement by making the health and financial security of our employee’s a top priority. We embrace our responsibility to the people who make us the largest private employer in the central San Joaquin Valley by offering comprehensive and affordable medical benefits as part of your employment with CMC.  We value giving you a choice in your health coverage by providing three medical plan options.  You will also be offered prescription drug, dental and vision coverage, paid time off, flexible spending accounts, life and disability insurance, discounts on many goods and services, and an employer matched Tax Sheltered Annuity Plan (403(b)).

Our team members enjoy additional benefits such as: education reimbursement, an employee gym, concierge service, and award winning cuisine. 

Based in Fresno, California, we are a multi-specialty healthcare system comprised of four hospitals; Community Regional Medical Center, Clovis Community Medical Center, Fresno Heart & Surgical Hospital, Community Behavioral Health Center. Additionally, our system includes other health care facilities and a physician residency program in conjunction with the University of California, San Francisco. Our primary service area is 15,000-square-miles, and we're home to the only combined, burn and Level 1 trauma center between Los Angeles and Sacramento. 

Community Medical Centers is an equal opportunity employer, Affirmative Action employer fully dedicated to achieving a diverse staff. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, veteran status, disability status, sexual orientation, gender identity, or any other protected status.

If you are looking to make a difference and value a purposeful, lasting career, we provide that in our 120 year old hospital system! For more information on why you should choose Community please click the link:https://www.communitymedical.org/

• Reviews chart thoroughly to ascertain all diagnosis and procedures.
• Codes all diagnoses and procedures in accordance to ICD-10-CM/PCS and CPT-4 coding practices, rules and guidelines for all inpatient services, observation and ambulatory accounts.
• Ensures records are coded within 4 days of discharge, including weekends and holidays.
• Meets code assignment productivity standard as established by the department.
• Maintains 99% rate of information correctly abstracted. Completes abstract competency annually.
• Meets quality standards of 95% overall accuracy for correct assignment of ICD-10-CM/PCS and CPT-4 codes.
• Meets quality standards of 98% on DRG assignment.
• Refers chart to Coding Educator if there is a question regarding diagnoses and/or procedure codes.
• Contacts responsible physician via coding query if additional information is needed to assign diagnosis/procedure codes.
• Ensures data quality and appropriate reimbursement allowable under the federal and state payment systems.
• Utilizes computerized coding/abstracting software competently and efficiently.
• Acts as a resource person to hospital staff for coding and may provide education regarding coding changes/issues.
• Maintains a good working relationship within the department, other departments and medical staff.
• Maintains knowledge base necessary for current coding practices and remain up to date with the following manuals: Administration, Health Information Management Services, Emergency Management and Safety.
• Performs performance improvement functions through data collection and documentation review.

Minimum required:

High School Diploma/GED. Completion of courses in Medical Terminology, Anatomy and Physiology. Five (5) years recent inpatient coding experience in an acute care setting. Proficient in ICD-10-CM/PCS and CPT-4 coding, DRG and APRDRG assignment.

Licenses/Certifications:

Minimum required:

Certified Coding Specialist (CCS).

Preferred: 

Certified Coding Specialist (CCS) along with either Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).