Acute Coding Quality Review Specialist

Adventist Health; Roseville (CA); On-site; USD 50,847 - 69,734; Full time

Job summary

Adventist Health is seeking an experienced compliance auditor in Roseville, California. This role involves conducting quality reviews and audits to ensure adherence to various coding guidelines including DRG validation and ICD-10/PCS. The candidate will maintain high standards by preparing audit reports and providing educational support to the coding teams.

The position requires a High School diploma or GED, with preference given to those with an Associate's degree. Experience in acute care coding and relevant certifications are essential. This is a full-time position with a structured benefits program.

Qualifications

• Five years’ acute care inpatient and/or outpatient coding experience required.
• Three years’ coding auditing/monitoring experience preferred.
• Certified Coding Specialist credential through AHIMA required.
• Certified Coding Specialist (CCS) required.

Responsibilities

• Perform quality reviews and audits to ensure compliance with coding guidelines.
• Prepare detailed audit reports outlining findings and corrective actions.
• Assist in educational opportunities and maintain knowledge of coding guidelines.
• Communicate with manager and stakeholders regarding coding adherence.

Skills

Compliance knowledge

Interpersonal communication

Organizational skills

Facilitation skills

Problem-solving

Education

High School Education/GED

Associate’s/Technical Degree

Tools

Performance improvement tools

Job description

Adventist Health is seeking an experienced compliance auditor in Roseville, California. This role involves conducting quality reviews and audits to ensure adherence to various coding guidelines including DRG validation and ICD-10/PCS. The candidate will maintain high standards by preparing audit reports and providing educational support to the coding teams.

The position requires a High School diploma or GED, with preference given to those with an Associate's degree. Experience in acute care coding and relevant certifications are essential. This is a full-time position with a structured benefits program.