Senior Certified Coder - Hybrid: Remote/On-Site CA

Adventist Health; Oregon; Hybrid; USD 65,000 - 90,000; Full time

Job summary

Adventist Health Roseville, part of Adventist Health, seeks a skilled medical coder to review SDS and OBV records, assign ICD-10-CM and CPT codes, and ensure accurate APCs for reimbursement and data submissions.

Requires AHIMA CCS certification, at least three years of coding and health-care experience, and working knowledge of Cerner EMR. This on-site role supports compliance with federal and state regulations while contributing to data quality across the enterprise.

Qualifications

• Abstracts and assigns ICD-10-CM diagnosis codes and CPT procedure codes from SDS/OBV records.
• Validates dates of service against documentation in the EMR for SDS/OBV encounters.
• Completes required abstract fields for OSHPD and other data submissions.
• Uses modifier knowledge to ensure accurate application on payor types.
• Audits medical records to ensure proper coding and regulatory compliance.
• Follows coding guidelines and federal/state regulatory requirements.
• Participates in coding clinics and education sessions.

Responsibilities

• 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.
• 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.

Education

High School Education/GED or equivalent

AHIMA CCS

Associate's/Technical Degree or equivalent

Tools

Cerner EMR

Job description

Adventist Health Roseville, part of Adventist Health, seeks a skilled medical coder to review SDS and OBV records, assign ICD-10-CM and CPT codes, and ensure accurate APCs for reimbursement and data submissions.

Requires AHIMA CCS certification, at least three years of coding and health-care experience, and working knowledge of Cerner EMR. This on-site role supports compliance with federal and state regulations while contributing to data quality across the enterprise.