Regional Professional Services Coder I
Company: Careerbuilder-US
Location: Burbank
Posted on: January 18, 2023
Job Description:
This position's tasks are performed onsite in Pasadena,
California. -Under direct supervision, is responsible for
professional service and ancillary coding for ambulatory/medical
office, hospital inpatient and hospital outpatient department
records and/or other select records. This will require utilizing
various coding classification schemes including ICD-9CM/ ICD-10CM,
CPT (including E&M and HCPCS Level II and modifiers).
Appropriate codes will be assigned for diagnoses, procedures,
evaluation & management services, supplies, materials and
injections including modifiers. All work is carried out in
accordance with the Uniform Hospital Discharge Data Set (UHDDS)
guidelines, coding conventions as established by the American
Hospital Association (National Coding Guidelines/Coding Clinic),
American Medical Association (CPT), Rules and Regulations of the
Center for Medicare and Medicaid Services (CMS), Kaiser Permanente
organizational/institutional coding guidelines. -Essential
Responsibilities:
- Essential Duties:
- Upholds Kaiser Permanente's Policies and Procedures, Principles
of Responsibilities and applicable state, federal and local
laws.
- Assigns and sequences codes for diagnoses, procedures,
professional services and other services as needed utilizing the
applicable coding conventions as stated above per regulatory
guidelines.
- Reviews coding claim edits and functions.
- Ensures that all .
- Interacts with physicians through a query process to clarify
documentation to support accurate patient diagnostic and procedural
information.
- Enters coded information into a manual or computerized
system
- Maintains timely coding productivity and 95% quality
standards.
- Participates in medical record documentation review.
- Maintains and complies with HIPAA
- Demonstrates knowledge of security of systems by not sharing
computer logons.
- Attends and participates in selected national, regional and
local documentation and coding education sessions.
- Works collaboratively with others on coding questions and
issues.
- Answers the telephone promptly and identifies self and
department.
- Maintains courteous and cooperative relations when interacting
with others.
- Performs other duties as assigned by supervisor.
- Maintains and complies with HIPAA
- Demonstrates knowledge of security of systems by not sharing
computer logons.
- Attends and participates in selected national, regional and
local documentation and coding education sessions.
- Works collaboratively with others on coding questions and
issues.
- Answers the telephone promptly and identifies self and
department.
- Maintains courteous and cooperative relations when interacting
with others.
- Performs other duties as assigned by supervisor
- Reviews medical records to identify diagnoses, procedures,
professional service level and other services and supplies.Pay
Grade 15Basic Qualifications:Experience
- Minimum one (1) year of experience as a certified coder.
- Per the National Agreement, current KP Coalition employees have
this experience requirement waived.Education
- Completion of classes in Medical Terminology, Anatomy/
Physiology, ICD-9/ ICD-10 and CPT coding conventions conforming to
standards established by the American Hospital Association (Coding
Clinic), American Medical Association, CMS, or successful
completion of an AAPC License, Certification, Registration
- Requires one of the following current credentials: Certified
Professional Coder (CPC), Certified Coding Specialist-Physician
(CCS-P), or Certified Coding Specialist (CCS). -Additional
Requirements:
- Obtain a passing score on a Kaiser Permanente Professional
Services Coder I coding assessment.
- Ability to understand the clinical content of a health
record.
- Ability to effectively communicate with physicians and other
healthcare providers.
- Ability to perform within acceptable established quality
standards.
- Keyboarding skills. -Preferred Qualifications:
- Candidates with ICD-10 CM and/or PCS work experience, may have
those years of experience considered and counted towards the career
ladder program.Job Schedule: Job Category: Health Information
Management
Keywords: Careerbuilder-US, Burbank , Regional Professional Services Coder I, Other , Burbank, California
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