Senior Medical Coder - ICD-10-CM/CPT Specialist (CCS)

Adventist Health; United States; Remote; USD 47,000 - 60,000; Full time

Job summary

Adventist Health Roseville site is seeking a certified coder to review SDS and OBV records, assign ICD-10-CM and CPT codes, and ensure accurate APC assignments for reimbursement and data reporting. You will operate within established guidelines and collaborate with multiple departments to improve documentation quality.

The role requires CCS certification, three years of coding experience, and proficiency with Cerner EMR.

Qualifications

• 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.

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.
• 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.

Skills

Cerner EMR experience

Healthcare coding

Education

High School Education/GED

Associate's/Technical Degree or equivalent

Tools

Cerner EMR

Job description

Adventist Health Roseville site is seeking a certified coder to review SDS and OBV records, assign ICD-10-CM and CPT codes, and ensure accurate APC assignments for reimbursement and data reporting. You will operate within established guidelines and collaborate with multiple departments to improve documentation quality.

The role requires CCS certification, three years of coding experience, and proficiency with Cerner EMR.