Coder III - Sharp Tri-City - Full Time

300 Sharp HealthCare; United States; On-site; USD 47,000 - 69,000; Full time

Benefits offered by this job

CBA with SEIU

Job summary

Sharp HealthCare seeks a Coder 3 to code diagnoses and procedures across inpatient and outpatient settings. You will abstract data for reporting and billing, query physicians for clarification, and ensure compliance with UHDDS and AHIMA standards.

The role requires AHIMA credentials (RHIA/RHIT/CCS) and at least one year of acute care coding experience. This is an on-site position with shift coverage and unionized with SEIU.

Qualifications

• 1 year of current acute care coding experience or eligible internal transfer.
• RHIA, RHIT or CCS credential required by AHIMA.

Responsibilities

• Code diagnoses and procedures using ICD-10-CM/PCS and CPT/HCPCS per UHDDS guidelines.
• Abstract data elements for reporting and billing accuracy.
• Query physicians to clarify documentation when needed.
• Ensure coding compliance and regulatory adherence.
• Maintain documentation and complete patient abstracts monthly.
• Engage in ongoing education to maintain current certification.

Skills

Medical terminology

Anatomy & physiology

Coding compliance

Reimbursement guidelines

Attention to detail

Analytical skills

Flexibility

Teamwork

Education

RHIA

RHIT

CCS

Tools

Encoder

EHR 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 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.

Sharp HealthCare is a not-for-profit health care system based in San Diego, California, with four acute care hospitals, three specialty hospitals, three medical groups and a health plan. We provide medical services in virtually all fields of medicine, including primary care, heart care, cancer, orthopedics, women's health, rehabilitation, robotic surgery and bariatric surgery. Sharp sets the community standard for exceptional care. Sharp Grossmont Hospital and Sharp Memorial Hospital have received prestigious Magnet recognition by the American Nurses Credentialing Center for excellence in nursing practices and quality patient care. At the heart of our organization are more than 18,000 affiliated physicians, nurses, staff and volunteers who are on a journey to make health care better for our patients and their families. It's what we call The Sharp Experience - treating each person with dignity, compassion and respect, and using our clinical excellence and advanced technology to deliver the highest-quality patient care. We are dedicated to transforming the health care experience by making Sharp the best place to work, the best place to practice medicine and the best place to receive care in San Diego.