Sr. Certified Coder, Acute SDS-OBSV (Remote)

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

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

• 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
• 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 careers/everify/ for more information about E-Verify.

Company Overview

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.