Regional Hospital Outpatient Coder
Company: Kaiser
Location: Downey
Posted on: January 27, 2023
Job Description:
Position tasks are to be performed onsite. This is not a remote
position. Under supervision, is responsible for assigning accurate
diagnosis and procedure codes to the patients' health information
records, for: Emergency Department. This responsibility requires
that the new coder be on-site for up to one calendar year and will
require appropriate code assignment for physician-documented
patient diagnoses, conditions and procedures; utilizing various
coding classification schemes including ICD-10CM (may include PCS),
and HCPCS/CPT. All work will be carried out in accordance with the:
International Classification of Diseases - Official Coding
Guidelines for coding and reporting as established by the Centers
for Medicare and Medicaid Services (CMS) and the National Center
for Health Statistics (NCHS); American Medical Association (CPT);
Office of Statewide Health Planning and Development (OSHPD);
National Correct Coding Initiative (NCCI), and Kaiser Permanente
organizational/institutional coding directives. Ability to
communicate with physicians in order to obtain clarification for
diagnoses/procedures. Ability to understand the clinical content of
the health record and abstract the data in the patient health
information record data as well as perform other duties as
assigned. Essential Responsibilities:
Upholds and maintains Kaiser
Permanente's Policies and Procedures, Principles of
Responsibilities and all applicable state, federal and local
laws.Reviews patient health information record to: identify and
assign appropriate codes for diagnoses, procedures, and other
services rendered, while also validating any Computer Assisted Code
(CAC) assignments.Appropriately sequences codes for diagnoses,
procedures and other services as needed for proper Ambulatory
Payment Classification (APC) assignment, utilizing the applicable
coding conventions.Prevents errors, and if necessary, reviews OSHPD
error correction reports within the scope of the assigned
abstracting and coding function and makes corrections.Ensures that
all abstracted and/or coded data are consistent with federal and
state regulations (JCAH, Title 22), OSHPD reporting guidelines and
organizational policy as it relates to the corporate compliance
policy for accurate and complete coding.Interacts with physicians
through established query process in order to clarify documentation
supporting accurate patient diagnostic and procedure
coding.Abstracts patient information into the computerized systems,
in a manner ensuring the accuracy and integrity of the data.Ensures
timely coded record availability according to regulatory
guidelines, by meeting established coding and abstracting
productivity standards.Ensures quality standards by meeting the
established 95% coding accuracy and 98% completeness quality
standards.Maintains and complies with HIPAA policies and procedures
for privacy and confidentiality of all patient records.Attends and
participates in selected national, regional and coding educational
sessions. Works collaboratively with others on coding questions and
issues.Demonstrates knowledge of system security, by complying with
KP Electronic Assets Usage Policy.Maintains courteous and
cooperative relations when interacting with others. Performs other
duties as assigned.Pay Grade: 19 Basic Qualifications:Experience
Minimum two (2) years of experience
as a certified coder.Per the National Agreement, current KP
Coalition employees have this experience requirement
waived.Education
Successful completion of an
accredited coding certification program and obtaining COC (formerly
CPC-H) or CPC or CCS. May also possess Registered Health
Information Technician and or Registered Health Information
Administrator qualifications.License, Certification, Registration
Requires one of the following current
credentials: Certified Outpatient Coder (formerly CPC-H) or
Certified Professional Coder or Certified Coding Specialist (CCS).
Additional Requirements:
Demonstrated competence with personal
computers, networks, and Microsoft Office. Must obtain a passing
score of 80% or higher on the KPSC Outpatient Coding Skills Entry
Assessment. Preferred Qualifications:
N/AJob Schedule: Job Category: Health
Information Management
Keywords: Kaiser, Downey , Regional Hospital Outpatient Coder, Healthcare , Downey, California
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