Coder III - Sharp Tri-City - Full Time

sharp; United States; On-site; USD 47,000 - 69,000; Full time

Job summary

Sharp HealthCare is seeking a Coder 3 to code diagnoses and procedures using ICD-10-CM, ICD-10-PCS and CPT/HCPCS, adhering to UHDDS guidelines and regulations. The role includes abstracting data for accurate reporting and billing in a hospital setting across multiple service lines.

Responsibilities include querying physicians for documentation, maintaining data quality, and using hospital systems to support coding and compliance. Certification and ongoing education are emphasized.

Qualifications

• 1 year current acute care/hospital coding experience required.
• Internal transfers: 1 coder1/2 experience at Tri-City Medical Center may substitute for 2 years.
• AHIMA credentials (RHIA, RHIT) or CCS certification required.

Responsibilities

• Maintains a safe, clean working environment and infection control requirements.
• Codes records with ICD-10-CM/PCS and CPT/HCPCS per UHDDS and coding guidelines.
• Queries physicians to obtain clarification for accurate codes.
• Abstracts data from medical records for reporting and billing.
• Verifies monthly abstracts for required services and data retrieval.
• Uses encoder, patient index and related systems in daily duties.
• Maintains ongoing education to keep current coding certification.
• Performs other duties as assigned by Management.

Skills

Medical terminology

Anatomy & physiology

Coding accuracy

Analytical skills

Education

RHIA

RHIT

CCS

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 3 is 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

• 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