Kaiser Permanente·Fontana, California
The coder is responsible for assigning accurate diagnosis and procedure codes to patient health information records, primarily for inpatient and newborn records. They must ensure compliance with coding guidelines and interact with physicians to clarify documentation.
Under supervision, is primarily responsible for assigning accurate diagnosis and procedure codes to the patients health information record for Inpatient and Newborn records. May also be assigned the responsibility for assigning accurate diagnosis and procedure codes to the patients health information record for Outpatient records (Observation Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit - Cardiac Catheterization PCI Lab, Interventional Radiology, Extended Emergency & Emergency Departments, as well as other select records). This responsibility requires that the new coder be on-site for up to one calendar year and will require appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD-10CM, ICD-10PCS, and HCPCS/CPT.All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); Office of Statewide Health Planning and Development (OSHPD); National Correct Coding Initiative (NCCI), and Kaiser Permanente organizational/institutional coding directives.Ability to communicate with physicians in order to obtain clarification for diagnoses/procedures. Ability to understand the clinical content of the health record and abstract the data in the patient health information record data as well as perform other duties as assigned.
Minimum six (6) consecutive years of hospital licensed space experience as a Certified Hospital Coder. May also possess Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and AAPC Certified Outpatient/Professional Coder Certifications.
Candidates must have a minimum of six years of hospital coding experience and be certified as a Coding Specialist. Proficiency with personal computers and coding assessments is also required.
Market context
California hospital systems and regional facilities often look for experienced inpatient coders because accurate facility coding supports reimbursement, compliance, and throughput. This role is competitive because employers typically want deep hospital coding experience, a Coding Specialist certification, and strong assessment performance; on this platform, job requirements and benefits are AI-summarized from the original job description, saving you research time. Before applying, review your inpatient coding examples and be ready to show your PC proficiency and certification details.
