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Inpatient Coding Quality Reviewer Jobs in California

Kaiser Permanente

Inpatient Coder

Redwood City, CA · On-site

$26.75 - $32.25/hr

The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery ... Demonstrated knowledge regarding the review of cases for coding quality and coding compliance.

Kaiser Permanente

Inpatient Coder

San Francisco, CA · On-site

$25.50 - $31/hr

The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery ... Demonstrated knowledge regarding the review of cases for coding quality and coding compliance.

Kaiser Permanente

Inpatient Coder

Oakland, CA · On-site

$25 - $30.25/hr

The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery ... Demonstrated knowledge regarding the review of cases for coding quality and coding compliance.

Kaiser Permanente

Inpatient Coder

Santa Clara, CA · On-site

$25.25 - $30.50/hr

The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery ... Demonstrated knowledge regarding the review of cases for coding quality and coding compliance.

Humana

Inpatient Medical Coding Auditor

Sacramento, CA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... quality. * Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) * Ensures overall accuracy and compliance of coding disputes reviews by ...

UC Davis Health

Inpatient HB Coder Per Diem

Sacramento, CA · On-site

$62.59/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Inpatient Hospital-Based (HB) Coder is responsible for reviewing and abstracting clinical ... The CDI Coding Quality Analyst Group is responsible for monitoring and improving the quality of ...

UC Davis Health System

Inpatient HB Coder Per Diem

Sacramento, CA · On-site

$23.75 - $28.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Inpatient Hospital-Based (HB) Coder is responsible for reviewing and abstracting clinical ... The CDI Coding Quality Analyst Group is responsible for monitoring and improving the quality of ...

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Inpatient Coding Quality Reviewer information

What skills and qualifications are needed to be an inpatient coding quality reviewer?

To thrive as an Inpatient Coding Quality Reviewer, you need in-depth knowledge of ICD-10-CM/PCS coding, medical terminology, and a credential such as RHIA, RHIT, or CCS. Familiarity with coding audit software, electronic health record (EHR) systems, and encoder tools is typically required. Strong analytical skills, attention to detail, and effective written communication help you stand out in this role. These skills ensure accurate coding, compliance with regulations, and optimal reimbursement for healthcare organizations.

What is the difference between Inpatient Coding Quality Reviewer vs Inpatient Coder?

AspectInpatient Coding Quality ReviewerInpatient Coder
CertificationsAHIMA CCS or AHIMA RHIT, CPC-HAHIMA CCS or AHIMA RHIT, CPC-H
Work EnvironmentReviewing medical records, ensuring coding accuracy, quality assuranceAssigning codes to inpatient records, coding documentation
Employer & Industry UsageHospitals, health systems, coding audit companiesHospitals, healthcare facilities, coding service providers

The Inpatient Coding Quality Reviewer focuses on auditing and ensuring the accuracy of inpatient coding, often working in quality assurance roles. In contrast, the Inpatient Coder actively assigns codes to medical records. Both roles require similar certifications and work in hospital or healthcare settings, but their primary responsibilities differ: review versus coding.

What is an inpatient coding quality reviewer?

Inpatient Coding Quality Reviewers are healthcare professionals responsible for evaluating the accuracy and completeness of medical coding for inpatient hospital records. They review coded data to ensure compliance with official coding guidelines, payer requirements, and hospital policies. Their work helps ensure proper reimbursement, minimizes errors or denials, and maintains the integrity of patient records. Inpatient Coding Quality Reviewers often provide feedback and training to coding staff, and they may also participate in audits and quality improvement initiatives.

What challenges do inpatient coding quality reviewers face, and how are they addressed?

Inpatient Coding Quality Reviewers often face challenges such as interpreting complex medical documentation, staying updated with frequently changing coding guidelines, and ensuring consistency across large volumes of records. These challenges are typically addressed through ongoing training, collaborative case discussions with the coding team, and regular use of coding reference tools and software. Additionally, reviewers may participate in quality improvement meetings and work closely with clinical staff to clarify documentation, fostering a supportive and communicative work environment.
What are popular job titles related to Inpatient Coding Quality Reviewer jobs in California? For Inpatient Coding Quality Reviewer jobs in California, the most frequently searched job titles are:
What job categories do people searching Inpatient Coding Quality Reviewer jobs in California look for? The top searched job categories for Inpatient Coding Quality Reviewer jobs in California are:
Inpatient Coding Quality Reviewer jobs near you
Infographic showing various Inpatient Coding Quality Reviewer job openings in California as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 22% Part Time, 2% Temporary, 3% Contract, and 1% Nights. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Inpatient Coder

Kaiser Permanente

Redwood City, CA • On-site

$26.75 - $32.25/hr

Other

Posted 12 days ago

Job description

Job Summary:
Must Reside in Northern California
Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed.
All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines.
Essential Responsibilities:
  • Coding and Abstracting: Reviews medical record documentation to identify diagnoses/procedures to be coded.
  • Independently organizes and prioritizes work assignments to ensure that records are coded timely and compliantly in conformance with regulatory requirements.
  • Codes all appropriate diagnosis and procedures from the medical record using ICD-CM, ICD-PCS, CPT and HCSPCS coding classification systems.
  • Responsible for the sequencing of diagnoses and procedures in accordance with guidelines outlined in ICD-CM, ICD-PCS, CPT, Uniform Hospital Discharge Data Set, Medicare regulations and other appropriate classification systems.
  • Determines that the DRG is appropriate for each case and reviews DRG discrepancies to ensure appropriate group of each case.
  • Verifies and abstracts the appropriate data from the medical records to meet requirements for data submission and reporting.
  • Corrects data when needed.
  • Ensures that all data abstracted is consistent with guidelines outlined by TJC, OSHPD, CMS and regional and local KP policies.
  • Ensures the accuracy and integrity of data abstracted and coded based upon medical record documentation prior to data submission or coding completion.
  • Interacts with physicians to clarify and accurately document patient diagnostic and procedural information.
  • Ensures timely data completion by meeting coding/abstracting productivity/quality standards established for the Inpatient Coder position.
  • Interacts with physicians to clarify and accurately document patient diagnostic and procedural information.
  • Ensures timely data completion by meeting coding/abstracting productivity/quality standards established for the Inpatient Coder position.
  • Confidentiality/Security of Systems: Maintains and complies with policies and procedures for confidentiality of all patient records.
  • Demonstrates knowledge of privacy and security of systems and associated policies and procedures for maintaining the security of the data contained within the systems.
  • Other Duties: Performs other duties as assigned.
Grade 650
Basic Qualifications:
Experience
  • Three years of continuous hospital coding experience within the last five years.
Education
  • High School Diploma or GED and demonstrated completion of classes in medical terminology, anatomy, physiology, current ICD-CM, ICD-PCS and CPT coding conventions and disease process from an accredited program.
License, Certification, Registration
  • Certified Coding Specialist OR Registered Health Information Technician OR Registered Health Information Administrator
Additional Requirements:
  • Basic knowledge of and use of computer keyboard and mouse.
  • Achieve a minimum score of 75% on the KP Inpatient Coding test.
  • Must be able to meet productivity and quality standards established for the position.
  • Demonstrated ability to understand the clinical content of a health record and translate to coding.
  • Demonstrated knowledge of anatomy, physiology, medical terminology and disease process to interpret general medical classifications for inpatient services.
  • Demonstrated knowledge regarding the review of cases for coding quality and coding compliance.
  • Basic knowledge of reimbursement methodologies and conventions and knowledge of rules and guidelines for the appropriate and current coding classifications.
  • Ability to communicate with physicians regarding the clarification of dagnoses/procedures and the sequencing of diagnoses.
  • Must maintain coding credential and complete the required Continuing Education (CE) units.
  • Must abide by the AHIMA and AAPC code of ethics.
  • Must be willing to work in a Labor Management Partnership environment.
Preferred Qualifications:
  • N/A

Primary Location: California,Redwood City,Redwood City Hospital
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 07:00 AM
Working Hours End: 03:30 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Remote
Employee Status: Regular
Employee Group/Union Affiliation: A01|SEIU|United Healthcare Workers West
Job Level: Individual Contributor
Department: Redwood City Hospital - Hospital Coding Operations - 0208
Pay Range: $57.64 - $67.06 / hour Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: No
Remote: Work location is the remote workplace (from home) within KP authorized states. Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

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