Certified Professional Coder 1 - Remote (MD, DC, or VA only)
Certified Professional Coder 1 - Remote (MD, DC, or VA only)
Job Description
Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, other regulatory agencies, third party payers and Kaiser Permanente policy. Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.
Essential Responsibilities:- Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.
- Research, code, and/or data enter encounters that are supported by KPHC with the Charge capture tool.
- Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.
- Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor in basket messages for timely responses.
- Evaluates and identifies front end and back end error trends for training needs and brings them to the attention of the supervisor.
- Communicates and Participates in departmental meetings and initiatives involving Coding and the Revenue Cycle Enhancement process.
- Performs other duties as assigned or required.
Basic Qualifications: Experience
- One (1) year of experience in a healthcare setting with proficiency in medical terminology is required.
- One (1) year of customer service experience is required.
- Per the National Agreement, current KP Coalition employees have this experience requirement waived.
- Completion of coursework that includes anatomy & physiology, pathophysiology, pharmacology, medical terminology, reimbursement methodology, intermediate/advanced ICD diagnostic/procedural and CPT coding.
- High School Diploma or General Education Development (GED) required.
- Certified Professional Coder OR Certified Coding Specialist - Physician Based
- New Hire: Successful completion of Assessment of Critical Coding Skills and 80% or higher passing score.
- Annually: Successful completion of Assessment of Critical Coding Skills and 80% or higher passing score.
- Ability to work with and maintain confidentiality of physician, patient, patient account and personnel data is required.
- Effective verbal and written communication skills, as well as, strong interpersonal skills is required.
- Ability to effectively abstract medical information to determine the correct data is required.
- Must be able to work in a Labor/Management Partnership environment.
- Knowledge of coding practices is preferred.
- Knowledge of compliance and regulatory requirements is preferred.
- Strong data management skills including proficiency in MS Office applications is preferred.
Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, other regulatory agencies, third party payers and Kaiser Permanente policy. Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.
Essential Responsibilities:- Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.
- Research, code, and/or data enter encounters that are supported by KPHC with the Charge capture tool.
- Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.
- Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor in basket messages for timely responses.
- Evaluates and identifies front end and back end error trends for training needs and brings them to the attention of the supervisor.
- Communicates and Participates in departmental meetings and initiatives involving Coding and the Revenue Cycle Enhancement process.
- Performs other duties as assigned or required.
Basic Qualifications: Experience
- One (1) year of experience in a healthcare setting with proficiency in medical terminology is required.
- One (1) year of customer service experience is required.
- Per the National Agreement, current KP Coalition employees have this experience requirement waived.
- Completion of coursework that includes anatomy & physiology, pathophysiology, pharmacology, medical terminology, reimbursement methodology, intermediate/advanced ICD diagnostic/procedural and CPT coding.
- High School Diploma or General Education Development (GED) required.
- Certified Professional Coder OR Certified Coding Specialist - Physician Based
- New Hire: Successful completion of Assessment of Critical Coding Skills and 80% or higher passing score.
- Annually: Successful completion of Assessment of Critical Coding Skills and 80% or higher passing score.
- Ability to work with and maintain confidentiality of physician, patient, patient account and personnel data is required.
- Effective verbal and written communication skills, as well as, strong interpersonal skills is required.
- Ability to effectively abstract medical information to determine the correct data is required.
- Must be able to work in a Labor/Management Partnership environment.
- Knowledge of coding practices is preferred.
- Knowledge of compliance and regulatory requirements is preferred.
- Strong data management skills including proficiency in MS Office applications is preferred.
About Kaiser Permanente
At Kaiser Permanente, we’re all focused on helping people and providing high-quality, affordable health care services and to improve the health of our members and the communities we serve. Across our organization, we’re fiercely committed to our members, our mission, our communities, and each other. We know that each part of the Kaiser Permanente team is essential to our success. Together, we are more than 235,000 dedicated professionals working to advance Kaiser Permanente’s commitment to delivering a healthier tomorrow.
Driven by our collective passion at Kaiser Permanente, we strive to make health care more innovative and compassionate. With the wellness of our patients and our communities at heart, we work to revolutionize health and care from more than 650 locations in 8 states and D.C.
Related Jobs
Oregon Lottery
We are looking for an experienced Senior Manager, Human Resources to lead our HR team and serve as the Head of HR for the Lottery. You will partner directly with the C-Suite to lead our people strateg
Treasure's Academy LLC
Are you ready to earn money from the comfort of your own home? This exciting opportunity is perfect for anyone with a variety of skills and backgrounds – whether you’ve been an administrative assistant, data entry clerk, typist, customer service
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of i...
Oregon Lottery
We are looking for an experienced Senior Manager, Human Resources to lead our HR team and serve as the Head of HR for the Lottery. You will partner directly with the C-Suite to lead our people strateg
Treasure's Academy LLC
Are you ready to earn money from the comfort of your own home? This exciting opportunity is perfect for anyone with a variety of skills and backgrounds – whether you’ve been an administrative assistant, data entry clerk, typist, customer service
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of i...
Oregon Lottery
We are looking for an experienced Senior Manager, Human Resources to lead our HR team and serve as the Head of HR for the Lottery. You will partner directly with the C-Suite to lead our people strateg
Treasure's Academy LLC
Are you ready to earn money from the comfort of your own home? This exciting opportunity is perfect for anyone with a variety of skills and backgrounds – whether you’ve been an administrative assistant, data entry clerk, typist, customer service
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of i...
Oregon Lottery
We are looking for an experienced Senior Manager, Human Resources to lead our HR team and serve as the Head of HR for the Lottery. You will partner directly with the C-Suite to lead our people strateg
Treasure's Academy LLC
Are you ready to earn money from the comfort of your own home? This exciting opportunity is perfect for anyone with a variety of skills and backgrounds – whether you’ve been an administrative assistant, data entry clerk, typist, customer service
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of i...
Oregon Lottery
We are looking for an experienced Senior Manager, Human Resources to lead our HR team and serve as the Head of HR for the Lottery. You will partner directly with the C-Suite to lead our people strateg
Treasure's Academy LLC
Are you ready to earn money from the comfort of your own home? This exciting opportunity is perfect for anyone with a variety of skills and backgrounds – whether you’ve been an administrative assistant, data entry clerk, typist, customer service
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of i...
Kaiser Permanente would like you to finish the application on their website.
