Job Summary Hours: Shift Start Time: Variable Shift End Time: Variable. AWS Hours Requirement: 8/40 - 8 Hour Shift. Additional Shift Information: Flexible Hours – Start Time 6:00‑9:00am to End Time 14:30‑17:30. Weekend Requirements: As Needed. On‑Call Required: No. Hourly Pay Range: $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.
Job Responsibilities Ensure that all charges are submitted accurately, timely and meet department guidelines.
Provide administrative and coding support to management, site support, staff and physicians.
Identify and report documentation and coding opportunities and make recommendations for improved code capture and reporting.
Monitor and report coding trends.
Immediately communicate coding discrepancies to management.
Work toward an overall goal of 100% accuracy.
Act as a resource and demonstrate the ability to request, review and code medical services from reports and notes, converting procedural and diagnostic notes into appropriate levels of care following coding rules and regulations.
Thoroughly understand Medicare, Medi‑Cal and other payor guidelines and identify documentation deficiencies, recommending resolution methods that satisfy regulatory and SRS compliance requirements.
Perform medical chart audits meeting minimum department productivity standards while exercising mature judgment and maintaining confidentiality.
Train clinicians on specific coding issues based on medical records review and coding principles.
Identify areas of potential coding, billing and documentation deficiencies and provide suggestions to resolve them.
Notify management immediately of any potential compliance risk.
Maintain 100% accuracy, identify and resolve anomalies and create safeguards to prevent recurrent errors.
Demonstrate strong knowledge of coding software and databases (GEIDX: BAR, ETM, TES, MCA, Touchworks, Cerner) and all other applications used by Sharp.
Continuously strive to increase knowledge of electronic data systems and reporting tools to enhance value.
Design and develop special reports within specified timeframes.
Participate in job‑related conferences, seminars and workshops, reviewing coding publications for changes and relaying information to pertinent parties.
Maintain average lag days of 8 days or less for TES Edits, TW Tasks, ETM Tasks.
Verify that each charge contains the necessary charge elements.
Participate in special projects that improve department production and/or efficiency and identify trends in errors.
Complete batch control sheets accurately and ensure all charges are entered correctly and accounted for.
Perform tasks such as BAR manual posting, TES charge entry, Touchworks charge entry and other related procedures.
Key all assigned transactions with an error ratio not to exceed 3‑5% of total production and maintain an average of 140‑160 transactions keyed per hour in keeping with Department Protocols.
Perform other duties as assigned.
Research coding questions independently, document findings, make recommendations and provide documentation that supports the recommended solutions.
Provide professional and courteous support to clinical providers through email, phone and in‑person contact, answering questions and providing supporting documentation.
Maintain a positive attitude and productive relationships with peers, physicians, coworkers and management.
Provide updates and status reports to management and participate in coding/auditing discussions to ensure best‑practice efforts and processes are followed for maximum reimbursement.
Demonstrate knowledge and competency in GE functionality (Charge Entry, Invoice Inquiry, SCHED, Batch Maintenance) and willingness to teach others.
Required Qualifications H.S. Diploma or Equivalent.
2 Years Experience in medical billing, coding, or other relevant experience.
Certified Professional Coder (CPC) – AAPC – REQUIRED.
Key Knowledge, Skills, and Abilities Knowledge of coding procedures and medical terminology.
Proficient on CPT, HCPCS and diagnosis coding in an ambulatory setting.
Organized, professional and self‑motivated.
Self‑starter 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 handwritten notes.
Clear articulation of issues and communication of correct coding principles to non‑coders.
Ability to level an evaluation and management visit.
Ability to code 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 disability or any other protected class.
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