Adventist Health

Faith-based nonprofit integrated health system

Senior Certified Coder - Acute SDS-OBV

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeRemote in USARemote

About the Job

Requirements

High school education, GED, or equivalent is required.
Working knowledge of hospital Cerner electronic medical record systems is required.
Three years of coding and health care experience are required.
AHIMA Certified Coding Specialist (CCS) certification is required.
An associate's or technical degree, or an equivalent combination of education and related experience, is preferred.

Responsibilities

Review same-day surgery and observation records to ensure diagnosis and procedure codes are valid and comply with coding conventions and guidelines.
Abstract and assign ICD-10-CM diagnosis codes and CPT procedure codes from same-day surgery and observation patient records to ensure accurate APC assignment and provide information for reimbursement and statistical data submissions.
Validate dates of service against electronic medical record documentation for same-day surgery and observation encounters.
Complete required abstract fields in the registration conversation for same-day surgery and observation encounters for OSHPD and other data submissions.
Apply modifier knowledge to ensure accurate coding across various payer types.
Communicate with appropriate departments about charge corrections and modifications.
Audit medical records to verify proper coding and compliance with federal and state regulatory agencies.
Follow coding guidelines and legal requirements to comply with federal and state regulatory bodies.
Review, understand, and apply quarterly coding clinics, coding guidelines, and ICD-10-CM coding conventions.
Collaborate with departmental leadership to provide coding feedback and education on documentation completeness and accuracy and physician coding practices.
Analyze report content and software edits, including NCCI edits, to facilitate revisions with appropriate departments.
Follow up on coding holds, revenue cycle department holds, and related email communications.
Maintain required online Healthstream education courses.
Attend coder education, audit review, staff, outpatient coder roundtable, and SDC-to-OBV charges meetings and training.
Perform other job-related duties as assigned.
Receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Reviews SDS and OBV records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including same day surgery and observation encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.

Job Requirements:

Education and Work Experience:

High School Education/GED or equivalent: Required
Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
Working knowledge of hospital Cerner EMR (electronic medical record): Required
Three years' coding and health care experience: Required

Licenses/Certifications:

AHIMA Certified Coding Specialist (CCS): Required

Essential Functions:

Abstracts and assigns ICD-10-CM diagnosis codes and CPT procedure codes from the SDS and OBV patient record to ensure accurate APC assignment and to provide information required for reimbursement and statistical data submissions. Validates appropriate dates of service against documentation in the EMR for SDS/OBV encounters. Completes required abstract fields in registration conversation on SDS/OBV encounter for OSHPD and other data submissions. Uses knowledge of modifier use to ensure accurate application on various payor types. Communicates with appropriate departments related to charge corrections/modifications.
Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Reviews, understands and applies quarterly coding clinics, coding guidelines and coding conventions of ICD-10-CM references. Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accurateness of documentation and physician coding practices. Analyzes content of reports and software edits to facilitate revisions with appropriate departments - NCCI edits.
Follows up coding holds, revenue cycle department holds including related and all other email communication.
Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accuracy of documentation and physician coding practices. Maintains required online Healthstream education courses.
Attends meetings and training pertaining to coder education, audit reviews, staff meetings, outpatient coder roundtable meetings, and SDC to OBV charges.
Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Pay Range: The estimated base pay for this position is $33.78 to $43.41. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

About the Company

Adventist Health

Faith-based nonprofit integrated health system

Adventist Health is a faith-based nonprofit health system with more than 400 sites of care, including 26 acute care hospitals, primarily on the West Coast and in Hawaii. It provides a full range of health services—from primary and specialty care to hospital-based treatments and wellness programs—delivered across an integrated network of clinics, hospitals, and care facilities. Revenue comes from patient services, insurance reimbursements, and government programs, and earnings are reinvested back into communities to improve health outcomes and expand access to care. The organization differentiates itself through its nonprofit, faith-based model and by reinvesting earnings into community health, along with its broad, integrated network that covers preventive, primary, specialty, and acute care. Its goal is to improve health outcomes for the communities it serves and to expand access to high-quality care.

Company size: 10,001+
Company stage: Grant
Total funding: $210K
Headquarters: Roseville, CA
Founded: Not listed

Recently Posted Jobs

Explore more opportunities at Adventist Health

See more jobs