Sr. Certified Coder, Cardiac/IVR Specialty

Adventist Health; Roseville (CA); On-site; USD 51,000 - 66,000; Full time

Job summary

Adventist Health Roseville, CA seeks a subject matter expert in hospital and professional coding, interfacing with patient financial services, revenue integrity, and provider teams. You will code cardiac/IVR procedures, review medical necessity edits, and ensure compliant, timely revenue cycle processing for both hospital and professional claims.

The role requires CCS, CIRCC, and CIRCC-AAPC certifications, with extensive experience in acute care and cardiac/IVR coding, while maintaining

Qualifications

• High School Education/GED or equivalent required.
• Two years' experience if CIRCC; otherwise ten years' experience required.
• Experience in an acute care setting preferred.
• Experience in cardiac and IVR coding required.

Responsibilities

• Performs specialty acute cardiac/IVR coding functions.
• Handles return for coding review and resolution.
• Performs charge reviews and makes corrections as needed.
• Communicates complex concepts to non-finance users to understand the appropriate use and limits of information provided.
• Performs other job-related duties as assigned.

Education

Certified Coding Specialist (CCS)

Certified Interventional Radiology Cardiovascular Coder (CIRCC)

CIRCC-AAPC

Job description

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 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

Serves as a subject matter expert in hospital and professional coding and interacts with other teams and departments across the organization such as patient financial services, revenue integrity (charge description master) team, provider teams and/or compliance on a routine basis. Performs coding for cardiac/IVR procedures and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes, and processes any errors associated with the revenue cycle process. Assists in the design and implementation of workflow changes to reduce coding and billing errors. Reviews medical record documentation and accurately assigns appropriate ICD-10-CM diagnoses, CPT codes and modifiers as applicable for both the hospital and professional claim. Validates and processes any medical necessity edits (local or national coverage determinations) that may apply for hospital and professional coding. Monitors discharged not billed accounts, and as a team, ensures timely, compliant processing of outpatient and inpatient encounters through the hospital and professional revenue cycle. Codes and posts charges for inpatient and outpatient complex cardiac and interventional radiology procedures and diagnoses for the purpose of reimbursement, research, statistical data gathering, and compliance. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintains current knowledge of coding guidelines and reimbursement reporting requirements. Demonstrates a high degree of independence in performance of responsibilities, working effectively without direct supervision. Exhibits strong time management, problem solving and communication skills.

Job Requirements

Education and Work Experience:

• High School Education/GED or equivalent: Required
• Two years' experience if certified interventional radiology cardiovascular coder (CIRCC); otherwise, ten years' experience: Required
• Experience in an acute care setting: Preferred
• Experience in cardiac and IVR coding: Required

Licenses/Certifications

• Certified Coding Specialist (CCS): Required
• Certified Interventional Radiology Cardiovascular Coder (CIRCC) or earn certification within one year of hire: Required
• CIRCC-AAPC: Required

Essential Functions

• Performs specialty acute cardiac/IVR coding functions.
• Handles return for coding review and resolution.
• Performs charge reviews and makes corrections as needed.
• Communicates complex concepts in simple form to non-finance users to understand the appropriate use and limits of information provided.
• 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.

JOB INFO

Job Identification : L46506-2

Job Category : Associate

Posting Date : 2026-10-13T17:53:33+00:00

Locations :

Roseville, CA, United States

Assignment Category : Full-time regular

Pay Range : The estimated base pay for this position is $36.91 to $48.16. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Hiring Department : RC Coding - Acute

Shift Length : 8 Hours