Job Description
This position is responsible for accurately assigning ICD-9-CM/ICD-10-CM diagnosis and procedure codes and CPT-4 procedure codes to inpatient and outpatient medical records using the 3M encoding software. The role includes assigning HCFA-DRG and APR-DRG groupers for inpatient records and abstracting clinical, financial, trauma, and quality management data into the organization’s health information system. Additionally, this position monitors accounts receivable, abstract and claims rejections, and other related billing reports. Inpatient hospital coding constitutes 70% or more of the total coding workload.
Experience Requirements
- Minimum of one (1) year of experience using ICD-10-CM/PCS and CPT-4 coding classification systems
- Working knowledge of encoder software, MS-DRG and APR-DRG groupers, and AHA Coding Guidelines
- Demonstrated proficiency in data entry and the ability to perform mathematical calculations accurately
Education, Licensure, and Certification
- High school diploma or GED accredited by the U.S. Department of Education required
- Successful completion of a formal training program in ICD-10-CM/PCS and CPT coding, anatomy and physiology, and medical terminology required
- Certified Coding Specialist (CCS) credential required
Position Details
This is a part time (20 hours per week) hybrid position, combining remote work with regular on-site responsibilities and presence required based on departmental needs and organizational priorities.
About Valley Children’s Healthcare
Valley Children’s Healthcare is an award-winning pediatric healthcare system located in Madera, California, in the heart of the affordable Central Valley. The organization operates one of the nation’s largest pediatric healthcare networks, including a 358-bed children’s hospital and multiple outpatient clinics. Valley Children’s offers access to three national parks and is within driving distance of California’s world-renowned coastline, providing an exceptional balance of professional opportunity and quality of life.