Tri-City Medical Center


FTE Status
Full-Time 1.0
Work Schedule
8 hour shifts
Cost Center/Dept
8700 - Medical Records

Job Locations



Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.


Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.


Position Summary:

Under the supervision of the Director or Manager, the Coder 3  is responsible for coding all diagnoses and procedures using current ICD-10-CM, ICD-10-PCS and CPT/HCPCS coding systems in compliance with Uniform Hospital Discharge Data Set (UHDDS) guidelines, ICD-10-CM coding conventions, federal and state regulations.  The hospital services that are coded in this position may include acute inpatient (including Obstetric and Newborn), Physical Rehabilitation, Behavioral Health, Same Day Surgery, Interventional Radiology, Emergency Department records and Outpatient Ancillary.  The Coder 3 is also responsible for abstracting the required data elements for accurate data collection, reporting, and billing.



Major Position Responsibilities:

The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.

  • Maintains a safe, clean working environment, including unit based safety and infection control requirements.
  • Codes records of discharged patients using the current ICD-10-CM, ICD-10-PCS and CPT/HCPCS coding system guidelines in accordance with regulatory compliance and quality monitoring criteria Adheres to the AHIMA Standards of Ethical Coding developed by the AHIMA Council on Coding and Classification.
  • Queries the physicians as needed to obtain clarification of chart documentation to accurately assign codes to reflect the patient’s diagnoses and procedures performed and maintains supporting documentation obtained.
  • Abstracts data from the medical record document according to data collection, reporting, and billing requirements in compliance with quality monitoring criteria.
  • Verifies that patient abstracts have been completed for all the required patient hospital services monthly for data retrieval, hospital Case Mix reporting, and billing of the outstanding account receivables (delinquent data).
  • Efficiently utilizes the Medical Centers’ medical record abstract, encoder, patient index, and other computerized department products that are used in the performance of all assigned duties.
  • Responsible for on-going education to maintain current professional certification. Responsible for the review and comprehension of current information regarding coding and compliance issues.
  • Performs other related duties or projects as requested by Management.


  • Two (2) years current acute care/hospital coding experience, required.
  • Internal transfers: will consider one year Coder 1 or Coder 2 experience at Tri-City Medical Center in lieu of two years current acute care/hospital coding experience.
  • Intermediate computer skill, required.
  • Knowledge of medical terminology, anatomy, physiology, pathophysiology, coding compliance and reimbursement guidelines.
  • Successful completion of skills assessment with a score of at least 70% that evaluates application of candidate’s knowledge.
  • Detail oriented with strong analytical skills, required.
  • Ability to demonstrate flexibility in response to unexpected change in work volume and work schedule, required.
  • Excellent human relations skills including listening, conflict resolution, and team building, required. 


  • Requires (1) one of the following:
    • Current Registered Health Information Administrator (RHIA)
    • Current Registered Health Information Technician (RHIT)
    • Current Certified Coding Specialist (CCS)


Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.


**To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**


TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.


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