Kaiser Permanente is comprised of numerous regional Permanente Medical Groups, the Kaiser Foundation Hospitals, and the Kaiser Foundation Health Plan to make up
E&M/Specialty Coder
Location
United States
Posted
18 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
E&M/Specialty Coder
Kaiser Permanente
Role Description Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT and HCPCS Level II codes. All work is performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Qualifications - Minimum two years, within the last three years, certified professional coding experience. - High School Diploma or GED. - Completion of classes in medical terminology, anatomy, physiology, current ICD CM and CPT coding conventions, and disease process from an accredited program is required. - Certified Coding Specialist - Physician Based OR Certified Professional Coder OR Registered Health Information Technician. Requirements - Achieve a minimum score of 80% on the E&M/Specialty Coder test. - Basic knowledge of and use of computer keyboard. - Must be able to meet production and quality standards established for the position. - Demonstrated knowledge of anatomy, physiology, medical terminology and disease processes. - Demonstrated ability to understand the clinical content of a health record. - Demonstrated ability to communicate with physicians in order to clarify diagnoses and procedures coding and documentation requirements, including proper sequencing. - Basic knowledge of reimbursement methodologies and conventions. - Knowledge of rules and guidelines for current coding classifications. - Practical knowledge of hospital and/or physician clinic based revenue cycle. - Practical knowledge of professional series coding and billing in a multi-specialty environment. - Practical knowledge of government and other payer coding, billing and collection rules and regulations. - Must maintain current coding credential and perform associated Continuing Education Units. - Must abide by the AHIMA and/or AAPC code of ethics. - Must be willing to work in a Labor Management Partnership environment. Company Description
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