[Hiring] Senior Certified Coder @Adventist Health

Role Description

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.

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
• AHIMA Certified Coding Specialist (CCS): Required

Requirements

• 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.
• 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.

Benefits

• 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 E-Verify Participation and Right to Work notices for more information.