Regional Professional Services Coder I
Primary Location Pasadena, California
Worker Location Onsite
Job Number 1309028 Date posted 10/29/2024
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Description:
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.
Job Summary:
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 Permanentes 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 allcoded data isconsistent with federal and state regulations and organizational policy as it relates to corporate compliance policy for accurate coding.
- 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 systemas required, ensuring the accuracy and integrity of the data.
- Maintains timely coding productivity and 95% quality standards.
- Participates in medical record documentation review.
- Maintains and complies with HIPAApolicies and procedures for confidentiality of all patient records.
- 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 HIPAApolicies and procedures for confidentiality of all patient records.
- 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.
Basic 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 or AHIMA accredited coding certification program.
License, Certification, Registration
- Certified Professional Coder - Hospital Outpatient OR Certified Professional Coder OR Certified Coding Specialist
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.
Primary Location: California,Pasadena,West Annex - Parsons
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri,
Working Hours Start: 06:00 AM
Working Hours End: 02:30 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Onsite
Employee Status: Regular
Employee Group/Union Affiliation: B01|SEIU|Local 399
Job Level: Entry Level
Department: Parsons West Annex - Ctr1 Prof Coding Svc & Billing - 0808
Pay Range: $36.1 - $39.99 / hour
The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: No
On-site: Work location is on-site (KP designated office, medical office building or hospital).
Worker location must align with Kaiser Permanente's Authorized States policy.
At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:
Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.
Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.
Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.
Submit Interest
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:
