Medical Records Coder I/II - Open and Promotional, Redwood City, California

Created 01/15/2022
Reference 489396
Job type Full Time
Country United States
State California
City Redwood City
Salary $62,420.80 - $96,324.80 Annually
San Mateo County Health is seeking a Medical Records Coder for the San Mateo Medical Center to provide coding of services. Services provided at San Mateo County Health which require coding include inpatient, outpatient facility, emergency room, long term care, psychiatric, ancillary services, and clinic visits.

The Medical Records coder is responsible for review of medical records and coding encounters within set timeframes utilizing national, state, and local coding guidelines. Initial assignment will be onsite in the Health Information Management Department with remote coding available after completion of training.

The ideal candidate for the position will be familiar with most or all of the following: ICD-10 diagnosis and procedures, CPT procedures, HCPCS procedures, CCI edits, DRG, APC, MCC/CC, HCC coding, and modifiers; has at least two years' experience in facility and/or physician coding; ability to work independently with minimal supervision using sound independent judgement within established guidelines; embraces change; able to organize work, set priorities and meet critical deadlines; can communicate effectively (both verbal and written) and establish and maintain effective working relationships with those contacted in the course of work. Additionally, the ideal candidate is detail-oriented, enjoys working in a fast-paced environment, and is a team player.
Examples Of Duties

Duties may include, but are not limited to, the following:
  • Assign or verify correct International Classification of Diseases Clinical Modification System and Current Procedural Terminology (ICD10/CPT) codes to outpatient or inpatient medical records.
  • Utilize technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and ICD-10-CM/CPT procedures.
  • Review narrative records of patient treatments and surgical procedures to determine what information is appropriate for coding purposes and prepares case abstracts.
  • Enter coded medical records data on computer terminal; select diagnosis and operations codes from computer designated abstracting system.
  • Assist in implementing solutions to reduce back-end billing errors.
  • Track weekly and follow up on all accounts that cannot be coded.
  • Contact doctors, nurses, laboratory and other auxiliary personnel for information needed to complete, correct or clarify medical records and to resolve discrepancies.
  • Perform related duties as assigned.


Note: The level and scope of the knowledge and skills listed below are related to job duties as defined under Distinguishing Characteristics.

All Levels
Possession of at least one of the following certifications:

  • Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA).
  • Registered Health Information Technician (RHIT) issued by the American Health Information Management Association (AHIMA).
  • Registered Health Information Administrator (RHIA) issued by the American Health Information Management Association (AHIMA).
  • Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders (AAPC).
  • Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC).

Knowledge of:
  • ICD10 and CPT classification coding systems.
  • Fundamentals of anatomy, physiology, and the study of diseases.
  • Extensive medical terminology, and hospital accreditation and regulatory standards.
  • ICD10 coding guidelines and Ethical Coding standards.
  • NCCI edits and hospital modifiers (for the journey level Coders)
  • Standard clerical office procedures and equipment including Windows-based software use.

Skill/Ability to:
  • Competently select ICD10 to code diagnoses, treatments and procedures for outpatient or inpatient services either by use of coding books or encoder product.
  • Competently code procedure using CPT logic.
  • Abide by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
  • Maintain Continuing Education for certifications
  • Abstract pertinent information from medical records.
  • Follow oral and written instructions.
  • Operate computer and appropriate coding software and abstract package.
  • Effectively communicate technical information to medical and administrative personnel.
  • Maintain effective working relationships with others.

Education and Experience:

Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is:

I Level: Completion of the RHIT/RHIA program or 6 months experience in coding hospital related services.

II level: Three years of experience in coding hospital related services.


Open and Promotional. Anyone may apply. Current San Mateo County Health employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, SEIU or AFSCME represented extra-help/term position prior to the final filing date will receive five points added to their final passing score on this examination.

Applications for this position will only be accepted online. If you are currently on the County's website, you may click the " Apply" button. If you are not on the County's website, please go to to apply.

The supplemental application form must be submitted in addition to our regular employment application form.

The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a performance exam (weight: 100%) . All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination process. All examinations will be given in San Mateo County, California and applicants must participate at their own expense.

Deadline for Applications: Thursday, February 3 , 2022 11:59 P.M.
Application Screening: Week of February 14, 2022
Performance Exam:
Week of February 28, 2022

At the County of San Mateo, we welcome and celebrate the diversity of our employees, and strive to create a workplace where they feel valued every day. The County of San Mateo is proud to be an Equal Employment Opportunity Employer.

Analyst: Ximena Burns (011322) (Medical Records Coder II - E306)

Employer County of San Mateo, CA

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