Role Description
Adventist Health is seeking a Certified Coder, Acute Hospital ED, Cancer & Edits for a full-time role with 8-hour day shifts. We are looking for a qualified and dedicated individual who can work full-remote.
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Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records including charge capture/entry to identify the diagnosis and procedure codes performed during the patientโs stay.
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Handles returned for coding/coding edits workflow to resolution.
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Works on routine assignments within defined parameters, established guidelines and precedents.
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Follows established procedures and receives daily instructions on work.
Qualifications
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High School Education/GED or equivalent: Required
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Associateโs/Technical Degree or equivalent combination of education/related experience: Preferred
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Three yearsโ outpatient emergency department (ED), medical oncology, adult outpatient rehab and cardiac rehab coding experience: Preferred
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Experience in an acute care setting: Preferred
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AHIMA Certified Coding Specialist (CCS): Required
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AAPC Certified Professional Coder โ CPC (critical access facilities): Preferred
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AAPC Certified Outpatient Coder โ COC: Preferred
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AHIMA Certified Coding Associate (CCA), AHIMA RHIT/RHIA (Registered Health Information Technologist) or (Registered Health Information Administrator): Required โ prior to 1-1-2018 โ not accepting new CCA, RHIT/RHIA certifications
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Maintain appropriate credential related to essential job assignment: CCS or CPC or COC.
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For those that were grandfathered in prior to Jan 1, 2018, will be expected to maintain CCA, RHIT, or RHIA certification: Required
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Certified Coding Specialist (CCS) or Certified Coding Associate (CCA): Required
Requirements
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Abstracts and assigns diagnosis codes and procedure codes from the ED patient record to provide information required for billing and reimbursement.
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Validates appropriate dates of service against documentation in the EMR for MedOnc recurring encounters with multiple service dates.
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Completes required abstract fields in registration conversation on ED encounter for OSHPD (state reporting) data submissions.
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Posts, corrects and validates ED charges using the ED FCT, ED Ad Hoc FCT.
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Validates and corrects infusion and injection charges in ED and MedOnc.
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Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies.
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Follows outpatient coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
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Follows up coding holds, revenue cycle department holds including related and all other email communication.
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Collaborates to provide coding feedback and education to departmental leadership regarding complete and accurate documentation.
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Maintains required online education requirements.
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Attends meetings for coder education, audit reviews, staff meetings, coder roundtable and other specialty meetings as needed.
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Performs other job-related duties as assigned.
Benefits
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Adventist Health is committed to the safety and wellbeing of our associates and patients.
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All associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable.
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Medical and religious exemptions may apply.