Coding Analyst I or II
Company Name:
Kaiser Permanente
Under indirect supervision, assures complete and accurate coding of professional services to include diagnostic and procedural information. Assigns appropriate and complete ICD9, CPT-4 and/or HCPCS codes and any applicable modifiers supported by documentation of professional services provided. Provides documentation review, coding, and data abstracting of medical and professional service documentation in conformance with applicable Medicare, Medicaid and third party payor coding for billing guidelines, regulations and reporting to ensure receipt of appropriate reimbursement. Provides training, consultation, audit and feedback to physicians and non-physician providers on their medical service documentation and coding.
Essential Functions: - Performs review and validates or assigns codes for level of service (CPT-4), diagnosis (ICD-9CM), and procedures (CPT-4 and HCPCS); Initiates coding review of complete services rendered at encounter level if necessary - Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes - Verifies documentation supports diagnoses, procedures and treatment results - Researches, analyzes, recommends and facilitates plan of action to correct discrepancies and prevent future coding errors - Collaborates with clinical and non-clinical groups to develop, implement, and communicate specific coding and documentation guidelines - Assesses, researches and resolves coding errors in KPHC Professional Billing system coding charge review work queues - Performs coding charge entry and coding data abstraction into KPHC Professional Billing system - Maintains working knowledge of E&M; and Procedural coding, Medicare and Medicaid and third party payor reimbursement and reporting guidelines, as well as, a thorough knowledge of documentation, coding and compliance guidelines - Maintains working knowledge of current physician fee schedule - Identifies patterns, trends and variations in code editing and documentation practices; assists in evaluation of root cause; takes appropriate steps in collaboration with appropriate department to affect resolution or explanation of variances Additional for Coding Analyst I: - Serves as resource and subject matter expert to other coding staff - Assists lead or supervisor in orienting, training, and mentoring staff as assigned
Qualifications: Basic
Qualifications: - High school diploma - Successful completion of a professional AHIMA or AAPC sponsored/recognized coding course - Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) by the American Association of Professional Coders (AAPC) or Registered Health Information Technician (RHIT) by the American Health Information Management Association (AHIMA) - Demonstrated ability to understand the clinical content of a health record. - Demonstrated ability to work with physicians and non-physician providers and staff at all levels - Demonstrated knowledge of and skill in decision making, customer service, influence, interpersonal relations, oral communications, problem solving, project management, quality management, results orientation, systems thinking, teamwork, and written communication - Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications - Talking to co-workers, customers, outside vendors, and on the telephone - Reading, writing, speaking and understanding English - Training/giving and receiving instructions - Mathematical ability, attention to detail (e.g. organization, prioritization, proofing), concentration and alertness Additional Qualifications for Coding Analyst II: - One year of coding, medical records, claims, or billing area experience Additional Qualifications for Coding Analyst I: - One year of professional services coding experience Preferred
Qualifications: - Completion of an accredited Health Information Management program - Two years of outpatient or inpatient coding experience in Medicare, Medicaid and third party liability billing area - Working knowledge of the KPHC (Epic) system
REQNUMBER: 216678
JOBCOMPANY: Kaiser Permanente
JOBLOCATION: Honolulu, HIEstimated Salary: $20 to $28 per hour based on qualifications.
Kaiser Permanente
Under indirect supervision, assures complete and accurate coding of professional services to include diagnostic and procedural information. Assigns appropriate and complete ICD9, CPT-4 and/or HCPCS codes and any applicable modifiers supported by documentation of professional services provided. Provides documentation review, coding, and data abstracting of medical and professional service documentation in conformance with applicable Medicare, Medicaid and third party payor coding for billing guidelines, regulations and reporting to ensure receipt of appropriate reimbursement. Provides training, consultation, audit and feedback to physicians and non-physician providers on their medical service documentation and coding.
Essential Functions: - Performs review and validates or assigns codes for level of service (CPT-4), diagnosis (ICD-9CM), and procedures (CPT-4 and HCPCS); Initiates coding review of complete services rendered at encounter level if necessary - Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes - Verifies documentation supports diagnoses, procedures and treatment results - Researches, analyzes, recommends and facilitates plan of action to correct discrepancies and prevent future coding errors - Collaborates with clinical and non-clinical groups to develop, implement, and communicate specific coding and documentation guidelines - Assesses, researches and resolves coding errors in KPHC Professional Billing system coding charge review work queues - Performs coding charge entry and coding data abstraction into KPHC Professional Billing system - Maintains working knowledge of E&M; and Procedural coding, Medicare and Medicaid and third party payor reimbursement and reporting guidelines, as well as, a thorough knowledge of documentation, coding and compliance guidelines - Maintains working knowledge of current physician fee schedule - Identifies patterns, trends and variations in code editing and documentation practices; assists in evaluation of root cause; takes appropriate steps in collaboration with appropriate department to affect resolution or explanation of variances Additional for Coding Analyst I: - Serves as resource and subject matter expert to other coding staff - Assists lead or supervisor in orienting, training, and mentoring staff as assigned
Qualifications: Basic
Qualifications: - High school diploma - Successful completion of a professional AHIMA or AAPC sponsored/recognized coding course - Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) by the American Association of Professional Coders (AAPC) or Registered Health Information Technician (RHIT) by the American Health Information Management Association (AHIMA) - Demonstrated ability to understand the clinical content of a health record. - Demonstrated ability to work with physicians and non-physician providers and staff at all levels - Demonstrated knowledge of and skill in decision making, customer service, influence, interpersonal relations, oral communications, problem solving, project management, quality management, results orientation, systems thinking, teamwork, and written communication - Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications - Talking to co-workers, customers, outside vendors, and on the telephone - Reading, writing, speaking and understanding English - Training/giving and receiving instructions - Mathematical ability, attention to detail (e.g. organization, prioritization, proofing), concentration and alertness Additional Qualifications for Coding Analyst II: - One year of coding, medical records, claims, or billing area experience Additional Qualifications for Coding Analyst I: - One year of professional services coding experience Preferred
Qualifications: - Completion of an accredited Health Information Management program - Two years of outpatient or inpatient coding experience in Medicare, Medicaid and third party liability billing area - Working knowledge of the KPHC (Epic) system
REQNUMBER: 216678
JOBCOMPANY: Kaiser Permanente
JOBLOCATION: Honolulu, HIEstimated Salary: $20 to $28 per hour based on qualifications.
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