Top 46 Medical Records Coder Jobs in Pasadena, CA

Clinical Documentation Specialist - Clinical Doc Integrity - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
USC —Alhambra, CA
- $58.50 - $96.53 an hour
- 8 hour shift
- Nursing
- RN License
- Mid-level
Clinical Documentation Specialist - Clinical Doc Integrity - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Alhambra, CA
- $58.50 - $96.53 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
Health Info Coder II
Quest Diagnostics —Los Angeles, CA
- $52.79 an hour
- Contract
- Anatomy knowledge
- Mid-level
- In-person
Quick Apply
Coder
Providence —Santa Monica, CA
- $29.62 - $45.31 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Medical office experience
- Paid parental leave
- Paid holidays
12h
Medical Coder
Astrana Health, Inc. —Monterey Park, CA
- $22 - $26 an hour
- Email
- Hybrid work
- Research
- Mid-level
- Office
Quick Apply
Coder II - Full Time - Days - 8hr QVH West Covina, California
Emanate Health —West Covina, CA
- $33.95 - $48.55 an hour
- 8 hour shift
- Anatomy knowledge
- Hospital
- Customer service
Office Coordinator (Front Office + Billing)
Modern Support Services —Encino, CA
- From $70,000 a year
- Full-time
- Mid-level
- Office
- Associate's degree
- Paid time off
- Vision insurance
Quick Apply
Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
USC —Los Angeles, CA
- $33.00 - $54.02 an hour
- 8 hour shift
- Surgery
- 5 years
- Clinic experience
Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Los Angeles, CA
- $33.00 - $54.02 an hour
- 8 hour shift
- Background check
- Surgery
- 5 years
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)
UCLA Health —Los Angeles, CA
- $95,400 - $208,300 a year
- Anatomy knowledge
- Microsoft Outlook
- RN License
Medical Coder and Biller
NMed Consulting Inc —Los Angeles, CA
- From $32 an hour
- Full-time
- Mid-level
- In-person
- Medical terminology
Quick Apply
7d
HCC Coding Specialist
MedPOINT Management —Sherman Oaks, CA
- $75,000 - $95,000 a year
- Nursing
- Anatomy knowledge
- Microsoft Excel
4d
HEDIS Abstractor (LA Region)
Astrana Health, Inc. —Monterey Park, CA
- $27 - $33 an hour
- Email
- Hybrid work
- LVN
- HIPAA
- Mid-level
Quick Apply
Medical Biller
Medical Offices of Dr. Chester Zahn —San Gabriel, CA
- From $18 an hour
- Part-time
- In-person
- Entry level
- Health insurance
- 401(k)
Quick Apply
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)
USC —Alhambra, CA
- $95,680 - $158,230 a year
- 8 hour shift
- Remote
- Nursing
- RN License
- 5 years
Clinical Documentation Improvement Specialist Full Time Days
Hollywood Presbyterian —Los Angeles, CA
- $106,000 - $135,000 a year
- Full-time
- Acute care
- Medicine
- Hospital
Quick Apply
Case Manager - Care Coordination - Full Time 8 hours Day (Union, Non-Exempt)
Keck Medical Center of USC —Arcadia, CA
- $46.00 - $76.07 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
Clinical Documentation Improvement Specialist (CDI) II - Full Time, Days (CBO-Culver City)
NOR Healthcare Systems —Culver City, CA
- $93,800 - $128,950 a year
- Full-time
- RN License
- Customer service
- Computer literacy
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)
Keck Medical Center of USC —Alhambra, CA
- $95,680 - $158,230 a year
- 8 hour shift
- Remote
- Background check
- Nursing
- RN License
Case Manager - Care Coordination - Full Time 8 hours Days (Union, Non-Exempt)
Keck Medical Center of USC —Arcadia, CA
- $46.00 - $76.07 an hour
- 8 hour shift
- Background check
- Nursing
- RN License

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Clinical Documentation Specialist - Clinical Doc Integrity - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

USC -
Alhambra, CA

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Job Details

Full-time
$58.50 - $96.53 an hour

Qualifications

Collaborate with healthcare professionals
Inpatient experience
Fire Safety Certification
Coding for hospital billing
Physiology knowledge
Pathology
High school diploma or GED
Clinical documentation improvement
Acute care experience
Clinical documentation standards
DRG

Full Job Description

Job ID REQ20175927 Category Clinical Administration

The Clinical Documentation Specialist (CDS) provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of acute care services. Includes facilitation of appropriate physician documentation of care to accurately reflect patient severity of illness and risk of mortality. Improves the overall quality and completeness of clinical documentation by working closely with providers and the application of coding guidelines, evidence-based knowledge, analysis, in-depth review, interpretation, identification of opportunities, communication, and consistent follow-up and evaluation of concurrent and retrospective (as required) medical record documentation.

Essential Duties:

Identifies his/her respective service line(s) admissions in the CDI software/tool; and prioritizes reviews by age and payer. Completes his/her assignments by the end of the day
Conducts new inpatient admissions reviews and proper working DRG assignment within 2 working days.
Conducts follow up reviews and respective working DRG updates at least every 2 working days.
Achieves a physician response rate of 100% through CDI education and interaction with physicians, identifying non-responders and intervening as necessary. Follows the query escalation process when no response.
Identifies opportunities to improve documentation through physician query generation. Practice the mnemonic ‘MEAT’ (Monitored, Evaluated, Assessed or Treated) for building compliant and non-leading CDI queries. Applies evidence-based clinical criteria for clinical validation of diagnoses
Utilizes the CDI software properly for tracking of CDI metrics and to assure compliance: documentation of pertinent clinical findings, compliant/non-leading queries, completion of all the required fields for data integrity and professional communication with coders and other staff members
Directs a proper and complete CDI-Coding reconciliation process to accurate capture the complexity of the patients. Performs retrospective reviews and queries when necessary.
Performs other related duties as assigned.

Required Qualifications:

Req High school or equivalent
Req Specialized/technical training Graduate of an accredited school of registered nursing and/or foreign medical graduate.

Req 2 years Clinical documentation improvement experience.
Req 3 years Clinical experience in an acute care setting.

Req Demonstrates knowledge of ICD10-CM & PCS with respective coding guidelines & regulations for coding and reporting.
Req Proficient on Inpatient Prospective Payment System (IPPS) documentation requirements for proper APR and MS DRGs assignment.
Req Care delivery documentation systems and related medical record documentation.
Req Strong broad based clinical knowledge and understanding of pathology/physiology of disease processes.
Req Excellent written and verbal communication skills.
Req Excellent critical thinking skills.
Req Excellent interpersonal skills to build effective partnering relationships with physicians, nurses, and hospital staff.
Req Working knowledge of inpatient admission criteria.
Req Ability to work independently in a time oriented environment.

Preferred Qualifications:

Pref Working knowledge of Medicare reimbursement system and coding structures.

Required Licenses/Certifications:

Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
Req Registered Nurse - RN (CA Board of Registered Nursing) OR Foreign Medical Graduate. (or valid state of residence Registered Nurse license for out-of-state employees [working remotely])
Req Certification - Job Relevant Certified Clinical Documentation Specialist (CCDS); OR Certified Documentation Improvement Practitioner (CDIP)

The hourly rate range for this position is $58.50 - $96.53. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

Job ID REQ20175927 Posted Date 05/28/2026

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Refine Your Search

Medical Records Coder jobs in Pasadena, CA

Clinical Documentation Specialist - Clinical Doc Integrity - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Clinical Documentation Specialist - Clinical Doc Integrity - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Health Info Coder II

Coder

Medical Coder

Coder II - Full Time - Days - 8hr QVH West Covina, California

Office Coordinator (Front Office + Billing)

Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)

Medical Coder and Biller

HCC Coding Specialist

HEDIS Abstractor (LA Region)

Medical Biller

Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)

Clinical Documentation Improvement Specialist Full Time Days

Case Manager - Care Coordination - Full Time 8 hours Day (Union, Non-Exempt)

Clinical Documentation Improvement Specialist (CDI) II - Full Time, Days (CBO-Culver City)

Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)

Case Manager - Care Coordination - Full Time 8 hours Days (Union, Non-Exempt)

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