Top 23 Clinical documentation specialist Jobs in Fontana Ca

Certified Medical Records Coder-Inpatient (Riverside)
County of Riverside —Riverside, CA
- $70,044.85 - $104,320.89 a year
- Weekends as needed
- Hybrid work
- Background check
- Anatomy knowledge
- Mid-level
- Paid holidays
- Disability insurance
Certified Medical Records Coder-Outpatient (Swing/Weekend)
County of Riverside —Riverside, CA
- $64,311.76 - $95,813.52 a year
- Weekends as needed
- Background check
- Anatomy knowledge
- Mid-level
- Paid holidays
- Disability insurance
Home Health Intake and Medical Records Specialist - Full-Time - In Office
Abbot Home Health, Inc. —Rancho Cucamonga, CA
- $21 - $25 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
7h
Research Specialist II - RUHS Research Projects And Administration (Clinical Trials)
County of Riverside —Moreno Valley, CA
- $79,016.07 - $107,556.19 a year
- Day shift
- Background check
- Hospital
- HIPAA
- Paid holidays
- Disability insurance
Utilization Specialist PRN
Pacific Grove —Riverside, CA
- $31 - $50 an hour
- PRN
- CPR Certification
- Nursing
- RN License
- Employee assistance program
Credentialing Specialist
Western University of Health Sciences —Pomona, CA
- $25 - $28 an hour
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Health savings account
- AD&D insurance
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Job Posting Title Clinical Trial Psych Rater - German Speaking
IQVIA —Riverside, CA
- Part-time
- Remote
- Nursing
- Medicine
- Psychiatry
- Work from home
3d
Utilization Specialist Full-time
Pacific Grove —Riverside, CA
- $31 - $50 an hour
- Full-time
- Acute care
- CPR Certification
- Nursing
- Health savings account
- Paid holidays
Staff RN - ECMO Spec / FT, D/N
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule

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Certified Medical Records Coder-Inpatient (Riverside)

County of Riverside -
Riverside, CA

Apply Now

Job Details

$70,044.85 - $104,320.89 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Vision insurance
Life insurance

Qualifications

Anatomy knowledge
Inpatient experience
Windows
Medical coding experience in outpatient clinics
Medical record abstraction
Medical coding for surgical records
Clinical documentation standards
Managing patient records
DRG

Full Job Description

For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section.

ABOUT THE POSITION

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.

Candidates with acute hospital experience are encouraged to apply. Applicants will be tested as part of the hiring process.

Work Location: 7898 Mission Grove Pkwy Ste 200 Riverside, CA. 92508

Work Schedule
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.

Standard Schedule Options

Monday – Friday (5/80 schedule)
Day Shift
Typical hours:

o8:00 AM – 4:30 PM, or
o8:30 AM – 6:00 PM

Alternative Schedule Options

Sunday – Thursday
Tuesday – Saturday

Schedules may vary based on departmental needs. Employees may indicate their preferred schedule, when available.

Weekends
Weekend shifts may be available but are not currently required.

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

Meet the Team!
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

EXAMPLES OF ESSENTIAL DUTIES

Examples of Essential Duties

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 assignment.
Assist and provide coding training to Certified Medical Record Coder - Outpatient as needed.

MINIMUM QUALIFICATIONS

Recruiting Guidelines
OPTION I
Experience: Four years as a Certified Medical Records Coder - Outpatient with the County of Riverside.

OPTION II
Experience: Two years of inpatient medical record coding experience in an acute care setting using ICD-CM, PCS and CPT coding. (Experience must have been within the last four years.)

ALL OPTIONS
Knowledge of: ICD-CM, PCS and CPT classification coding systems and DRG assignment; the fundamentals of anatomy, physiology and the study of diseases; standard clerical office procedures and equipment, including Windows-based software use.

Ability to: Utilize the ICD-CM classification system to code medical record entries either by use of coding books or encoder product; abstract pertinent information from medical records; follow oral and written instructions; operate PC with Windows software, coding software and abstract package; effectively communicate technical information to medical and administrative personnel; maintain effective working relationships with others.

Supplemental Information
Other Requirements
License/Certificate: Possession of current valid certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or a Registered Health Information Technician (RHIT) issued by American Health Information Management Association, or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders.

Pre-Employment
All employment offers are contingent upon successful completion of both a pre-employment physical exam, including a drug/alcohol test, and a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment.)

Probationary Period
As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

SUPPLEMENTAL INFORMATION

For Questions Regarding this Recruitment,
Please contact Lisette Jimenez at 951-955-5561 or [email protected]. Please allow 1-2 business days for a response to general inquiries.

________________________________________________________________________________________

APPLICATION INFORMATION

Veteran's Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify, attach the required documents to your job application. Documents include a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service. For spousal preference, and as applicable, the following documents: a copy of your marriage certificate, spouse's death certificate, a letter of spouse's disability and/or letter of service-related death (if available) from the U.S. Veteran's Administration. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. For complete details and documentation requirements, please review the Veterans Preference Policy, C-3 here: https://rivcocob.org/board-policies

Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability

Proof of Education
If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.

If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators, Inc. (AICE).

Work Authorization Requirement
Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas.

Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.

Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period
As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.

Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For additional instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site, www.rc-hr.com.

If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at [email protected] or toll-free 1-855-524-5627.

Apply Now

Refine Your Search

clinical documentation specialist jobs in fontana ca

Certified Medical Records Coder-Inpatient (Riverside)

Certified Medical Records Coder-Outpatient (Swing/Weekend)

Home Health Intake and Medical Records Specialist - Full-Time - In Office

Research Specialist II - RUHS Research Projects And Administration (Clinical Trials)

Utilization Specialist PRN

Credentialing Specialist

Job Posting Title Clinical Trial Psych Rater - German Speaking

Utilization Specialist Full-time

Staff RN - ECMO Spec / FT, D/N

Staff RN - ECMO Spec / FT, nights

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I want to receive the latest job alert for clinical documentation specialist in fontana ca

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ABOUT THE POSITION

EXAMPLES OF ESSENTIAL DUTIES

MINIMUM QUALIFICATIONS

SUPPLEMENTAL INFORMATION

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