Coder; Full-time, Maui Health
Job Description
Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements and complications. Researches and analyzes data needs for reimbursement. Analyzes medical record and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff.
Essential Responsibilities:
- Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information.
- Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
- Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers.
- Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends and facilitates plan of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications and other procedures.
- Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Provides ongoing training to staff as needed. Handles special projects as requested.
Basic Qualifications: Experience
- Minimum two (2) years of hospital licensed space certified coding experience required.
- High school diploma or General Education Diploma (GED) required.
- Post high school coursework in medical records administration, anatomy, physiology and medical terminology.
- Certified Professional Coder OR Certified Coding Specialist OR Registered Health Information Technician OR Registered Health Information Administrator
- Experience with International Classification of Diseases (ICD-10 and ICD-10-PCS), Current Procedure Terminology (CPT4), and Healthcare Common Procedure Coding System (HCPCS) coding systems, and other related documentation requirements.
- Demonstrated ability to understand the clinical content of a health record.
- Knowledge of and experience in medical record department functions, diagnosis related groups, and prospective payment system.
- Demonstrated knowledge of and skill in word processing, spreadsheet and database PC applications.
- Minimum three (3) years of hospital licensed space experience as a Certified Hospital Coder.
- Completion of an accredited Health Information Management program.
Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements and complications. Researches and analyzes data needs for reimbursement. Analyzes medical record and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff.
Essential Responsibilities:
- Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information.
- Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
- Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers.
- Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends and facilitates plan of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications and other procedures.
- Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Provides ongoing training to staff as needed. Handles special projects as requested.
Basic Qualifications: Experience
- Minimum two (2) years of hospital licensed space certified coding experience required.
- High school diploma or General Education Diploma (GED) required.
- Post high school coursework in medical records administration, anatomy, physiology and medical terminology.
- Certified Professional Coder OR Certified Coding Specialist OR Registered Health Information Technician OR Registered Health Information Administrator
- Experience with International Classification of Diseases (ICD-10 and ICD-10-PCS), Current Procedure Terminology (CPT4), and Healthcare Common Procedure Coding System (HCPCS) coding systems, and other related documentation requirements.
- Demonstrated ability to understand the clinical content of a health record.
- Knowledge of and experience in medical record department functions, diagnosis related groups, and prospective payment system.
- Demonstrated knowledge of and skill in word processing, spreadsheet and database PC applications.
- Minimum three (3) years of hospital licensed space experience as a Certified Hospital Coder.
- Completion of an accredited Health Information Management program.
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.
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