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Coding Educator

INTERNAL POSTING PERIOD: 07/20/09 - 07/22/09IF YOU ARE A COLORADO INTERNAL EMPLOYEE, YOU MUST PLACE YOUR BID ON THE BID LINE 303-614-1510, NOTONLINE.PREFERRED SKILLS: 3+ years coding experience, AAPC/AHIMA CertificationJOB SUMMARY: Audits medical records and provides feedback to physician and non-physician staff for outpatient and/or inpatient professional fee services to ensure that Kaiser Permanente Colorado iscompliant with applicable guidelines and regulations. Builds and maintains a professionalrelationship with internal and external customers. Considers how actions and/or plans will affectinternal and external customers; responds quickly to resolve problems and meet customer needs.JOB REQUIREMENTS: High school diploma or equivalent. Three years of coding experience using ICD-9-CM, CPT-4 and HCPCS to include one year of performing coding audits and providing feedback to facilitate improvement of documentation and coding based on the audit results. AHIMA or AAPC coding certification required. Must pass internal assessment test. Demonstrated ability to understand the clinical content of a health record including the most complicated records. Must possess a thorough knowledge of coding conventions, governmental regulations, and third party billing requirements as well as pharmacology indications for drug usage and related adverse reactions, ancillary testing(laboratory, radiology, etc.), anatomy, physiology, and medical terminology. Excellent written and oral communication skills. Demonstrated ability to explain, in writing or orally, complex information in a clear, concise, and organized format. Must be able to work with a variety of healthcare professionals at all levels. Ability to communicate with physician and non-physician staff with a commitment to provide quality customer service. Previous experience using MS Office products to include Excel, Word and PowerPoint. Familiarity with electronic medical record systems required. Must maintain all certifications required by this position. Must be able to work independently and in a team environment. Position requires travel to multiple Kaiser Permanente facilities within the Denver Metro area. ESSENTIAL RESPONSIBILITIES: Performs audits of documentation and coding of inpatient and/or outpatient professional fee services. Analyzes results and identifies patterns, trends and variations in coding and documentation practices. Presents feedback to physician and non-physician staff on documentation and appropriate coding of diagnoses, procedures, modifiers and E&M services and offers recommendations for improvement. Develops and presents training for physician and non-physician staff at the team or individual level as needed. Able to interpret and apply national and state coding guidelines to ensure accurate documentation and coding. Maintains a sustained level of coding accuracy and productivity to support auditing and feedback schedules and comply with department standards. Maintains current knowledge of coding conventions, updates, government regulations and third party billing requirements. Performs other duties as assigned. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors. COMPLIANCE LANGUAGE: Supports compliance and Kaiser Permanente´s Code of Conduct by adhering to federal and state laws and regulations, accreditation and license requirements, by policies and procedures. Responds appropriately to observed fraud and abuse. Functional and Environmental Factors available upon request. SCHEDULE: MON - FRI - Variable Hours STARTING SALARY RANGE: $26.33- $30.97 (Hourly)- Kaiser Permanente is an AA/EEO employer -

INTERNAL POSTING PERIOD: 10/14/09-10/16/09IF YOU ARE A COLORADO INTERNAL EMPLOYEE, YOU MUST PLACE YOUR BID ON THE BID LINE 303-614-1510, NOT ONLINEJOB SUMMARY: Supervises all activities related to physician/provider coding education for outpatient and inpatient professional fee services. Maintains a close working relationship with the Medical Group and Operations management to support provider coding accuracy that is consistent with industry standards and in compliance with coding guidelines. Accountable for developing/maintaining a culture of service, financial discipline, compliance, ethics and integrity. Maintains knowledge of and assures departmental compliance with Kaiser Permanente´s Principles of Responsibility, policies and procedures, applicable regulatory requirements and accreditation standards. Responds appropriately to observed fraud or abuse.POSITION REQUIRMENTS: Bachelor´s degree in business administration, health care administration, health information management, or related field or equivalent experience. Five years of progressively responsible experience in a coding environment, including two years of leadership/supervisory experience. Experience in developing educational materials and conducting training and education sessions a multi-specialty setting is required. AAPC or AHIMA Coding Certification required. Must pass internal coding assessment test. RHIA or RHIT certification preferred. Project management experience preferred. Must be able to work in partnership with Labor and Medical Group to assure compliance with documentation and coding guidelines is achieved, resulting in the accurate representation of services provided and diagnoses reported. Proven analytical and organizational ability. Proven communication and presentation skills, demonstrated experience with provider auditing in CPT-4 (including E&M), ICD-9-CM, and HCPCS as well as knowledge of Medicare Part C Reimbursement (HCC Model). Previous experience providing expert consultation to clinicians. Experience with electronic medical record preferred. Strong written, verbal and interpersonal communication skills required. Must maintain all certifications required of this position.ESSENTIAL RESPONSIBILITIES: Supervises the day to day activities of the Provider Coding Education Program and supports a high level of coding accuracy. Provides reporting on provider education results for multiple audiences Develops the Coding Education staff. Assesses and maintains impact of current compliance activities and evaluates risk factors of coding and documentation practices. Uses understanding of interrelationships among systems across functional areas to redesign processes, improve efficiency, and ensure optimal results for the future. Monitors changes in laws, regulations, and coding and documentation standards as they apply to the Coding Education Department and Providers of Kaiser Permanente Colorado. Participates in Committees or Workgroups as required. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Supervises direct reports; including interviewing, selecting, training, motivating, evaluating, counseling, disciplining and terminating in compliance with EEO/AA goals and personnel policies of the organization.ENVIRONMENTAL FACTORS: Standard office environment.SCHEDULE: Mon-Fri 8:00am-4:00pmSTARTING SALARY RANGE: $4935-$6292 (Monthly)- Kaiser Permanente is an AA/EEO employer -