Adventist Health is ranked #10 in Becker's list of the largest nonprofit hospital systems in the U.
S.
We are the largest company headquartered and sixth largest employer in Roseville, California.
Our corporate headquarters have been located at a desirable location on Douglas Boulevard since 1984.
To accommodate our growing services, we are creating a new campus that will not only bring our workforce of nearly 900 people together in one location, but also facilitate a deeper connection with our Roseville neighbors and community.
Job Summary:
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.
Records types including inpatient encounter types.
Works on routine assignments within defined parameters, established guidelines and precedents.
Follows established procedures and receives daily instructions on work.
Job Requirements:
Education and Work Experience:
High School Education/GED or equivalent: Preferred
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: Required
Experience in a health care setting: Required
Licenses/Certifications:
AHIMA Certified Coding Specialist (CCS): Required
Essential Functions:
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 accurateness 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.
Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accuracy of documentation and physician coding practices.
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.
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, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc.
, as a condition of employment, and annually thereafter.
Medical and religious exemptions may apply.
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