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 of 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 b
Benefits
Flexible schedule
Additional Information
Hours :
Shift Start Time:
Variable Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Flexible Hours - Start Time 6:00-9:00 am to End Time 14:30-17:30
Weekend Requirements:
As Needed
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$30.370 - $37.950 - $42.510
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.
Sharp · San Diego, CA