Certified Coder, Acute Hospital ED, Cancer & Edits (Remote)

Adventist Health•Roseville, CA

7d•Remote

About The Position

Adventist Health is seeking a Certified Coder, Acute Hospital ED, Cancer & Edits for a full-time role with 8-hour day shifts. This is a full-remote position. The role involves reviewing acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records. This includes charge capture/entry to ensure diagnosis and procedure codes are valid and adhere to coding conventions and guidelines. The position handles returned for coding/coding edits workflow to resolution, working on routine assignments within defined parameters and established guidelines. The coder follows established procedures and receives daily instructions on work.

Requirements

High School Education/GED or equivalent: Required
AHIMA Certified Coding Specialist (CCS): Required
AHIMA Certified Coding Associate (CCA), AHIMA RHIT/RHIA (Registered Health Information Technologist) or (Registered Health Information Administrator): Required – prior to 1-1-2018 – not accepting new CCA, RHIT/RHIA certifications
All Associates hired Jan 1, 2018, and prior have been grandfathered in as acceptable certifications.
New hires will be required to have a CCS or CPC dependent on site assignment certification only: Required
Maintain appropriate credential related to essential job assignment: CCS or CPC or COC.
For those that were grandfathered in prior to Jan 1, 2018, will be expected to maintain CCA, RHIT, or RHIA certification: Required
Certified Coding Specialist (CCS) or Certified Coding Associate (CCA): Required

Nice To Haves

Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
Three years’ outpatient emergency department (ED), medical oncology, adult outpatient rehab and cardiac rehab coding experience: Preferred
Experience in an acute care setting: Preferred
AAPC Certified Professional Coder – CPC (critical access facilities): Preferred
AAPC Certified Outpatient Coder – COC: Preferred

Responsibilities

Abstracts and assigns diagnosis codes and procedure codes from the ED patient record for billing and reimbursement.
Abstracts and assigns diagnosis codes and procedure codes from the MedOnc recurring patient record for billing and reimbursement.
Abstracts and assigns diagnosis codes and procedure codes from the adult outpatient rehab and cardiac rehab patient record for billing and reimbursement.
Validates appropriate dates of service against documentation in the EMR for MedOnc recurring encounters with multiple service dates.
Completes required abstract fields in registration conversation on ED encounter for OSHPD (state reporting) data submissions.
Posts, corrects and validates ED charges using the ED FCT, ED Ad Hoc FCT.
Validates and corrects infusion and injection charges in ED and MedOnc.
Appropriates utilization of modifiers.
Audits medical records to ensure proper coding and compliance with federal and state regulatory agencies.
Follows outpatient coding guidelines and legal requirements for compliance with federal and state regulatory bodies.
Follows up on coding holds, revenue cycle department holds, and all other email communication.
Collaborates to provide coding feedback and education to departmental leadership regarding complete and accurate documentation.
Maintains required online education requirements.
Attends meetings for coder education, audit reviews, staff meetings, coder roundtable and other specialty meetings as needed including emergency department charging, cancer, infusions and injections, cardiac rehab and returned for coding.
Performs other job-related duties as assigned.