Coder - Coding & Charge Management - Copley - Day Shift - Full Time

Hours :

Shift Start Time : 6 AM

Shift End Time : 2 : 30 PM

AWS Hours Requirement : 8 / 40 - 8 Hour Shift

Additional Shift Information : If Flexible, specify working hours Flex time Shift Start 0600-0900, Shift End 1430-1730

Weekend Requirements : No Weekends

On-Call Required : No

Hourly Pay Range (Minimum - Midpoint - Maximum) : $28.686 - $35.857 - $43.029

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

The following information provides an overview of the skills, qualities, and qualifications needed for this role.

What You Will Do

Ensure that all charges are submitted accurately, timely and meet department guidelines. Provides administrative and coding support to management, site support, staff and physicians.

Identifies and reports documentation and coding opportunities and makes recommendations for improved code capture and reporting.

Monitors and reports coding trends. Immediately communicates coding discrepancies to management. Works toward an overall goal of 100% accuracy.

Required Qualifications

• H.S. Diploma or Equivalent
• 2 Years Experience in medical billing, coding, or other relevant experience.
• Certified Professional Coder (CPC) - AAPC - REQUIRED

Essential Functions

Act as a resource.

Demonstrates the ability to request, review and code medical services from reports and notes in order to convert procedural and diagnostic notes into appropriate levels of care following coding rules and regulations.

Thorough understanding of Medicare, Medi-cal and other payor guidelines.

Identifies documentation deficiencies and recommends methods for resolution that satisfy regulatory and SRS compliance requirements.

Performs medical chart audits meeting minimum department productivity standards.

Exercises mature judgment and maintains confidentiality in all activities.

Trains clinicians on specific coding issues based on medical records review and coding principles.

Coding and compliance.

Identify areas of potential coding, billing and documentation deficiencies.

Provide suggestions to resolve areas of deficiencies to management.

Identify areas of potential Compliance risk and notify management immediately.

Ensures the accuracy of all work and strives to achieve 100% accuracy.

Identifies anomalies in coding and fixes them immediately.

Identifies ways to avoid errors and issues and creates safeguards to prevent them from happening again.

Data collection and reporting.

Demonstration of strong knowledge of coding software, databases, GE (IDX) : BAR, ETM, TES, MCA, Touchworks, Cerner as well as all other applications used by Sharp.

Continually strives to increase knowledge of electronic data systems and reporting tools to enhance value.

Designing and development of special reports within a specified timeframe.

Participation in job related conferences, seminars and workshops.

Review of various coding publications for changes and relay information to pertinent parties.

Maintains average lag days of 8 days or less TES Edits, TW Tasks, ETM Tasks.

Data entry.

Verifies that each charge contains the necessary charge elements.

Special Projects - participates in projects that improve department production and / or efficiency.

Identifies and trends errors.

Completes batch control sheets accurately.

Ensures all charges are entered correctly and accounted for.

Be able to perform the following : BAR manual posting; TES charge entry; Touchworks charge; and all others charge related procedures.

Key all assigned transactions as assigned with an error ratio not to exceed 3-5% of total production and maintains an average of 140-160 transactions keyed per hour in keeping with Department Protocols.

General support.

Perform other duties as assigned.

Process improvement.

Independently researches coding questions, documents findings, makes recommendations and provides documentation that supports the recommended solutions.

Provides professional and courteous support to clinical providers through email, phone and in-person contact, answering questions and providing supporting documentation.

Provides timely and accurate answers to inquiries presented by customers on clinical coding issues.

Maintain a positive attitude and productive relationship with peers, physicians, coworkers and management.

Provides updates and status reports to management.

Participates in coding / auditing discussions to ensure that the best practice efforts and processes are followed to allow for maximum reimbursement through appropriate coding.

Professional development.

Is knowledgeable of BAR, TES, Touchworks, Interfaces, Manual Posting, ETM, Cerner, etc.

Is competent in appropriate GE Functionality including : Charge Entry, invoice inquiry, SCHED, and batch maintenance.

Willingness to teach others updated methods as well as documenting them for the betterment of Sharp Rees-Stealy's overall success.

Knowledge, Skills, and Abilities

• Knowledge of Coding Procedures and Medical Terminology required.
• Proficient on CPT, HCPCS and diagnosis coding in an ambulatory setting.
• Organized, professional, and self-motivated individual. Self-starter; must be able to take and carry out directions.
• Able to handle multiple projects and priorities.
• Ability to work well with others and function as a member of a team.
• Able to abstract code from hand written notes.
• Able to clearly articulate issues and communicate correct coding principles in a manner easily understood by a non-coder.
• Able to level an evaluation and management visit.
• Able to code for radiology and laboratory services.
• Ability to provide charge management and business support in all assigned areas.

Sharp HealthCare is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with a disability or any other protected class.

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