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Great Opportunity in San Diego!

Qualifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) required. Extensive inpatient coding experience in an acute care facility required. Four (4) years relevant experience “doing all hospital coding” assigning ICD 9 diagnoses and procedure codes, Evaluation & Management services, CPT, and HCPCS codes. Ability to develop and present training curricula for coders and healthcare providers based on analysis of audit data. Must be proficient in Outpatient and Inpatient Prospective Payment Systems (OPPS/ IPPS), Diagnosis Related Groups (DRGs), National Correct Coding Initiative (NCCI), ICD 9 CM Official Guidelines for Coding and Reporting, and Coding Clinic.Knowledge of laws and regulations pertaining to health information (e.g., TJC, HIPAA, CMS, OSHPD,DHS, Uniform Health Care Information Act) required. Ability to demonstrate knowledge of and utilize health information management professional practice standards, principles, techniques and methodologies Ability to demonstrate knowledge of and utilize, apply, interpret and train on current coding classifications systems and documentation guidelines. Must be able to work in a Labor Management Partnership environment. Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.Preferred Qualifications: Experience in Word, Excel and PowerPoint.Duties: - Assists Coding Supervisors and Health Information Management Director in meeting coding quality and productivity goals and objectives by identifying opportunities for continuous quality improvement. - Communicates and participates in local and regional operational and strategic planning. - Actively involved in mentoring and training all functions and services related to hospital medical coding, medical documentation, and physician queries, abstracting and data collection. - Monitors coding and abstracting quality by conducting and/or coordinating ongoing audits to ensure coding quality and performance improvement standards are maintained, achieved and improved. - Plans and coordinates daily work for coders participating in HIM Department On the Job Training (OJT) Program. - Works with Coding Supervisors and HIM Director to develop, implement, evaluate and improve coding policies and procedures and department operations. - Provides ongoing coding / systems education and training of staff. - Tracks and reports progress of coding trainees at each phase of OJT Program. - Assists Coding Supervisors in preparing statistical analysis and/or reports. - Ensures compliance with all applicable federal, state and local regulations, as well as with institutional / organizational standards, practices, policies and procedures. - Strong research skills including knowledge of automated analysis tools and on line research tools required to resolve complex coding / systems issues. Other duties as assigned. 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 licenser requirements (if applicable), and Kaiser Permanente’s policies and procedures. 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. Kaiser Permanente is an EEO/AA Employer.Notes: Must be able to work flexible days and hours. Travel between Medical Center facilities /Regional Offices will be required periodically.

Qualifications: Bachelor´s Degree, or equivalent experience, in Business Administration or related field. Minimum of three (3) years of auditing or accounting experience. Previous supervisory experience. Proficient knowledge of mainframe, on line computer systems, personal computers and spreadsheet and word processing programs. Strong mathematical skills. Medical terminology and knowledge of medical billing practices. Prior experience in account payable / claims environment preferred. Good oral and written communication skills. Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.Preferred Qualifications: Claims and coding experience highly preferred. Experience in Word, Excel, PowerPoint, Access, and Focus Reporting.Duties: Supervises the Outside Medical Audit Group. Develops, modifies and implements the departmental audit procedures as they affect all aspects of outside referral payments. Ensures that audit staff tests payments for accuracy according to departmental policies and management guidelines. Traces sources of inaccuracies; reports and proposes remedial action to appropriate management. Ensures regular sampling of audits made by direct reports. Prepares formal statistical summaries to department manager of findings and recommendations. 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 licenser requirements (if applicable), and Kaiser Permanente’s policies and procedures. 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. Kaiser Permanente is an EEO/AA Employer.Notes: May be required to work Saturdays as needed. Will be required to travel to differentfacilities as needed.

HIM Coder Trainer/Auditor-FN

Qualifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) required. Extensive inpatient coding experience in an acute care facility required. Four (4) years relevant experience “doing all hospital coding” assigning ICD 9 diagnoses and procedure codes, Evaluation & Management services, CPT, and HCPCS codes. Ability to develop and present training curricula for coders and healthcare providers based on analysis of audit data. Must be proficient in Outpatient and Inpatient Prospective Payment Systems (OPPS/ IPPS), Diagnosis Related Groups (DRGS), National Correct Coding Initiative (NCCI), ICD 9 CM Official Guidelines for Coding and Reporting, and Coding Clinic.Knowledge of laws and regulations pertaining to health information (e.g., TJC, HIPAA, CMS, OSHPD,DHS, Uniform Health Care Information Act) required. Ability to demonstrate knowledge of and utilize health information management professional practice standards, principles, techniques and methodologies. Ability to demonstrate knowledge of and utilize, apply, interpret and train on current coding classifications systems and documentation guidelines. Must be able to work in a Labor Management Partnership environment. Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.Preferred Qualifications: Assist Coding Supervisor and Director to meet coding quality, productivity goals, mentoring and training needs of the department. Coordinates daily work for coders participating in HIM Department on-the-job training program. Must be proficient in Outpatient and Inpatient Prospective payment systems. Experience in Word, Excel and PowerPoint.Duties: Assists Coding Supervisors and Health Information Management Director in meeting coding quality and productivity goals and objectives by identifying opportunities for continuous quality improvement. Communicates and participates in local and regional operational and strategic planning.Actively involved in mentoring and training all functions and services related to hospital medical coding, medical documentation, and physician queries, abstracting and data collection. Monitors coding and abstracting quality by conducting and/or coordinating ongoing audits to ensure coding quality and performance improvement standards are maintained, achieved and improved. Plans and coordinates daily work for coders participating in HIM Department On the Job Training (OJT) Program.Works with Coding Supervisors and HIM Director to develop, implement, evaluate and improve coding policies and procedures and department operations. Provides ongoing coding / systems education and training of staff. Tracks and reports progress of coding trainees at each phase of OJT Program.Assists Coding Supervisors in preparing statistical analysis and/or reports. Ensures compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures. Strong research skills including knowledge of automated analysis tools and on line research tools required to resolve complex coding / systems issues. Other duties as assigned. 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 licenser requirements (if applicable), and Kaiser Permanente’s policies and procedures. 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. Kaiser Permanente is an EEO/AA Employer.Notes: Must be able to work flexible days and hours. Travel between Medical Center facilities /Regional Offices will be required periodically.