Job Details: Coding Educator

Company: Kaiser Permanente - Colorado – Today, we are the largest nonprofit health care organization in the United States, serving approximately 8.2 million people in nine states and the District of Columbia.

Description: Internal posting period: 2/27/08-2/29/08 If you are a Colorado internal employee, you must place your bid on the bid line 303-614-1510, not online.
Job 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 is compliant with applicable guidelines and regulations. Builds and maintains a professional relationship with internal and external customers. Considers how actions and/or plans will affect internal 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.

Compliance Language: Supports compliance and Kaiser Permanent'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 are available upon request.

Schedule: Mon-Fri 8:30am-5:15pm; Flexible

Starting Salary Range: $24.82-$29.19 (Hourly)

Posting Date: Mar 6 08