[Hiring] Senior Certified Coder, Acute Inpatient @Adventist Health

Role Description

Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. 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' inpatient coding experience: Preferred
• Experience in a health care setting: Required
• AHIMA Certified Coding Specialist (CCS): Required

Requirements

• Abstracts and assigns ICD-10-CM diagnosis codes and PCS codes from the inpatient patient record to ensure accurate MS-DRG and APR-DRG assignment and to provide information required for reimbursement and statistical data submissions.
• Uses understanding of MS-DRG and APR-DRG methodologies.
• Generates compliant physician queries.
• Collaborates with clinical documentation integrity and quality departments to identify HAC/PSI and communicate issues affecting inpatient records.
• Validates appropriate dates of service against documentation in the EMR for inpatient encounters.
• Completes required abstract fields in registration conversation on inpatient encounters for OSHPD and other data submissions.
• 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, and inpatient coder roundtable meetings.
• Performs other job-related duties as assigned.

Benefits

• Adventist Health is committed to the safety and wellbeing of our associates and patients.
• 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.