Sr. Certified Coder, Acute Inpatient (Remote, Part-time)

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, teams have access to a welcoming space designed to promote well-being and inspire your best work.

About the role

Reviews inpatient records to identify the diagnosis and procedure codes performed during the patient’s 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.

Responsibilities

• 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 on coding holds, revenue cycle department holds, and related 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.

Requirements

• 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

Pay

The estimated base pay for this position is $34.79 to $44.71 per hour. 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.

Schedule

• Part-time regular
• Day Shift
• 8-hour shifts