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What are the key skills and qualifications needed to thrive as an Adventist Healthcare Coder, and why are they important?

To thrive as an Adventist Healthcare Coder, you need a strong understanding of medical terminology, anatomy, ICD-10, CPT, and HCPCS coding systems, typically backed by a certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems and coding software is crucial for efficient and accurate documentation. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are vital for maintaining proper billing, reducing claim denials, and supporting high-quality patient care in a regulated healthcare environment.

What are some of the common challenges faced by Adventist Healthcare Coders, and how can they be addressed?

Adventist Healthcare Coders often encounter challenges such as keeping up with frequent changes in coding regulations, ensuring accuracy in coding complex medical records, and balancing productivity with attention to detail. These challenges can be addressed by participating in regular training sessions, utilizing updated coding resources, and collaborating closely with clinical staff to clarify documentation. Additionally, working within a supportive team environment and leveraging quality assurance feedback can help coders maintain high standards and reduce errors.

What is Adventist Healthcare Coding?

Adventist Healthcare Coding refers to the specialized process of translating medical diagnoses, procedures, and services provided within Adventist healthcare facilities into standardized codes for billing, insurance, and record-keeping purposes. Medical coders working in Adventist healthcare settings are responsible for ensuring that patient records are accurately coded according to regulations and industry standards, such as ICD-10, CPT, and HCPCS. This work is essential for proper reimbursement, compliance with healthcare laws, and maintaining accurate patient data. Coders may also collaborate with physicians and other healthcare professionals to clarify documentation and resolve coding discrepancies.

What is the difference between Adventist Healthcare Coding vs Medical Coding Specialist?

AspectAdventist Healthcare CodingMedical Coding Specialist
CertificationsAHIMA or AAPC credentials, coding certificationsAHIMA or AAPC credentials, coding certifications
Work EnvironmentHospitals, healthcare facilities within Adventist Health systemVarious healthcare settings, including hospitals, clinics, outpatient centers
Employer & Industry UsageSpecific to Adventist Healthcare facilitiesBroader healthcare industry, multiple hospital systems

Adventist Healthcare Coding and Medical Coding Specialist roles both require similar certifications and work in healthcare environments. However, Adventist Healthcare Coding is specific to the Adventist Health system, focusing on their facilities, while Medical Coding Specialists work across various healthcare providers. Both roles involve accurate medical record coding to ensure proper billing and compliance.

Sr. Cancer Center Specialty Certified Coder

Sr. Cancer Center Specialty Certified Coder

Adventist Health

Roseville, CA • On-site

$23.50 - $32.25/hr

Full-time

Posted 22 days ago

Adventist Health rating

7.9

Company rating: 7.9 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

102nd of 865 rated healthcare providers

Job description

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, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Codes for cancer center encounters and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes and processes any errors associated with the revenue cycle process. Assists in the design and implementation of workflow changes to reduce coding and billing errors. Uses knowledge of data collection systems for medical records. Reviews medical record documentation and accurately assigns appropriate ICD-10-CM diagnoses, CPT codes and modifiers as applicable for both the hospital and professional claim. Validates and processes any medical necessity edits (local or national coverage determinations) that may apply for hospital and professional coding. Monitors Discharged Not Billed (DNB) accounts, and as a team, ensure timely, compliant processing of outpatient and inpatient encounters through the hospital and professional revenue cycle. Codes and posts charges for outpatient complex cancer center procedures and diagnoses for the purpose of reimbursement, research, statistical data gathering, and compliance. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintains current knowledge of coding guidelines and reimbursement reporting requirements. Demonstrates a high degree of independence in performance of responsibilities, working effectively without direct supervision.

Job Requirements:

Education and Work Experience:

  • High School Education/GED or equivalent: Required
  • Experience with RadOnc and MedOnc coding: Required
  • Experience in an acute care setting: Preferred
  • Experience with Varian, Aria, Mosaiq and Cerner Oncology programs: Preferred

Licenses/Certifications:

  • Radiation Oncology Certified Coder (ROCC) certification: Required

Essential Functions:

  • Develops physician and departmental relationships. Creates physician and coder education for cancer center specialty.
  • Performs cancer center coding.
  • Handles return for coding review and resolution.
  • Performs charge reviews and makes corrections as needed.
  • Communicates complex concepts in simple form to non-finance users to understand the appropriate use and limits of information provided.
  • 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 as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

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