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

Adventist Health; Roseville (CA); On-site; USD 60,000 - 80,000; Full time

Job summary

Adventist Health in Roseville, California, is seeking a skilled coder to review diagnosis and procedure codes for accuracy and compliance. The ideal candidate will have a High School Education/GED, CCS certification, and at least three years of coding experience in healthcare.

This role involves auditing records, validating codes, and providing educational feedback to department leadership. Adventist Health is committed to the wellbeing of associates and patients, requiring necessary vaccinations as part of employment.

Qualifications

• Three years' coding and health care experience required.
• AHIMA Certified Coding Specialist (CCS) certification required.

Responsibilities

• Review and validate diagnosis and procedure codes.
• Audit medical records for compliance with coding guidelines.
• Ensure accurate application of coding conventions.
• Provide coding feedback and education to leadership.

Skills

ICD-10-CM coding

CPT coding

Hospital Cerner EMR

Communication

Education

High School Education/GED

Associate’s/Technical Degree

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.

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 accuracy 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.

About Us

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.