Coder III - Sharp Tri-City - Full Time

Sharp HealthCare; Oceanside (CA); On-site; USD 47,000 - 69,000; Full time

Job summary

Sharp HealthCare in California seeks a Coder 3 to code diagnoses and procedures using ICD-10-CM, ICD-10-PCS and CPT/HCPCS, adhering to UHDDS guidelines. The role involves accurate data abstraction for reporting and billing.

The coder will collaborate with physicians to ensure precise documentation, maintain AHIMA credentials, and stay current with coding standards and regulations.

Qualifications

• 1 year of acute care/hospital coding experience required, or equivalent internal transfers.
• RHIA, RHIT, or CCS certification from AHIMA required.
• Knowledge of ICD-10-CM/PCS and CPT/HCPCS coding and UHDDS guidelines.

Responsibilities

• Code all diagnoses and procedures using ICD-10-CM/PCS and CPT/HCPCS per UHDDS.
• Abstract data elements for accurate reporting and billing.
• Query physicians to clarify chart documentation for accurate codes.
• Maintain documentation and participate in ongoing coding education.

Skills

Acute care coding

AHIMA credentials

Medical terminology

Detail oriented

Analytical skills

Education

RHIA/RHIT/CCS certification

Tools

Encoder systems

Job description

Hours

Shift Start Time:

8 AM

Shift End Time:

4:30 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

As Needed

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$34.470 - $42.220 - $49.980

This position is covered by a Collective Bargaining Agreement (CBA) with SEIU.

What You Will Do

Under the supervision of the Director or Manager, the Coder 3is responsible for coding all diagnoses and procedures using current ICD-10-CM, ICD-10-PCS and CPT/HCPCS coding systems in compliance with Uniform Hospital Discharge Data Set (UHDDS) guidelines, ICD-10-CM coding conventions, federal and state regulations. The hospital services that are coded in this position may include acute inpatient (including Obstetric and Newborn), Physical Rehabilitation, Behavioral Health, Same Day Surgery, Interventional Radiology, Emergency Department records and Outpatient Ancillary. The Coder 3 is also responsible for abstracting the required data elements for accurate data collection, reporting, and billing.

Required Qualifications

• 1 Year current acute care/hospital coding experience, required. Or
• Internal transfers: will consider one year Coder 1 or Coder 2 experience at Tri-City Medical Center in lieu of two years current acute care/hospital coding experience.
• Registered Health Information Administrator (RHIA) - The American Health Information Management Association (AHIMA); OR Registered Health Information Technician (RHIT) - The American Health Information Management Association (AHIMA); OR Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA) -REQUIRED

Essential Functions

• The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.
  Maintains a safe, clean working environment, including unit based safety and infection control requirements.
  Codes records of discharged patients using the current ICD-10-CM, ICD-10-PCS and CPT/HCPCS coding system guidelines in accordance with regulatory compliance and quality monitoring criteria Adheres to the AHIMA Standards of Ethical Coding developed by the AHIMA Council on Coding and Classification.
  Queries the physicians as needed to obtain clarification of chart documentation to accurately assign codes to reflect the patient’s diagnoses and procedures performed and maintains supporting documentation obtained.
  Abstracts data from the medical record document according to data collection, reporting, and billing requirements in compliance with quality monitoring criteria.
  Verifies that patient abstracts have been completed for all the required patient hospital services monthly for data retrieval, hospital Case Mix reporting, and billing of the outstanding account receivables (delinquent data).
  Efficiently utilizes the Medical Centers’ medical record abstract, encoder, patient index, and other computerized department products that are used in the performance of all assigned duties.
  Responsible for on-going education to maintain current professional certification. Responsible for the review and comprehension of current information regarding coding and compliance issues.
  Performs other related duties or projects as requested by Management.

Knowledge, Skills, and Abilities

• Intermediate computer skill, required.
• Knowledge of medical terminology, anatomy, physiology, pathophysiology, coding compliance and reimbursement guidelines.
• Successful completion of skills assessment with a score of at least 70% that evaluates application of candidate’s knowledge.
• Detail oriented with strong analytical skills, required.
• Ability to demonstrate flexibility in response to unexpected change in work volume and work schedule, required.
• Excellent human relations skills including listening, conflict resolution, and team building, required.

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 disability or any other protected class

Registered Health Information Administrator (RHIA) - The American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - The American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA)