HEALTH INFORMATION CODER II- FULL TIME BENEFITED!!!

Qualifications:This position supports Kaiser Permanente's code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer.DEPARTMENT: Health Information ManagementSCHEDULE: Full-Time regular, 40 hours per week, Evening shift. Monday through Friday: 3:00pm to 11:30pm.EDUCATION: HS Diploma or GED. Completion of classes in medical terminology, anatomy and physiology, ICD-9 and Current Procedural Terminology (CPT) coding conventions, and disease process from an accredited program. Basic PC skills.LICENSE/CERTIFICATION: Certified Coding Associate (CCA) and eligibility to become a Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).JOB SUMMARY: Under indirect supervision, is responsible for accurate coding of all inpatient, and outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-9-CM, CPT, Healthcare Common Procedure Coding System (HCPCS) as well as other specialty systems as required by diagnostic category. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD9, Centers for Medicare and Medicaid Services (CMS), Office of Statewide Health Planning and Development (OSHPD), and Kaiser organizational/institutional coding guidelines.As needed, Coders II may assist and be a resource for data integrity for other employees who need clarification and assistance in coding.Positions assigned to this classification are differentiated from those assigned to the Hospital Coder I classification in that only the former are typically characterized by the performance of a higher, more complex and responsible level of work generally associated with - but not limited to - the coding of in-patient Medicare medical records/data. Coder II also differs from Coder I in the type and amount of supervision received; responsibility for data comprehensiveness and quality assurance; direction provided to other staff; data analysis, knowledge of procedures related to the sequencing of diagnoses and interventions, as well as data management policies and procedures; required quantity and quality performance standards.QUALIFICATIONS: Must have at least three (3) years hospital inpatient experience coding within the last five years. Demonstrated ability to understand the clinical content of a health record, including the most complicated records. Must also be able to communicate with physicians in order to clarify diagnoses/procedures and sequencing of diagnoses. Ability to demonstrate knowledge of and utilize auditing skills related to coding quality and compliance. Must be able to meet quantity and quality standards established for Coder II. Must maintain a minimum of ten (10) CE units annually. Must maintain current coding credential. Will abide by the American Health Information Management Association coding code of ethics.Must be able to work in a Labor/Management Partnership.PREFERRED QUALIFICATIONS: Background knowledge analysis, assembly, terminal digit filing, and physician's incomplete processing experience preferred.SKILLS TESTING: Basic PC skills. Minimum of 35 words per minute. Must be able to pass Kaiser coding test at 75 %.DUTIES:Review medical records to identify diagnoses/procedures. Independently organizes and prioritizes all work to ensure that records are coded in timeframes that will assure compliance with regulatory requirements. Demonstrates a comprehensive, expert-level of knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-9-CM, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines and other appropriate classification systems. Demonstrates knowledge of anatomy and physiology to interpret general medical classifications for coding discharge data including the most complicated encounters/cases.Assigns Codes. Codes all diagnostic and operative information from the medical record using ICD-9-CM, CPT and HCPCS coding classification systems and independently quality checks own work. Selects the Diagnosis Related Group (DRG) for each inpatient case. Optimizes hospital payment legitimately and ethically by utilizing approved coding guidelines and conventions. Reviews DRG discrepancies from the fiscal intermediary to ensure the appropriate per case DRG assignment. Verifies and abstracts, all medical data from the record to complete a data abstract on each hospital encounter. Corrects data as appropriate.Ensures that all data abstracted is consistent with guidelines outlined by JCAHO, OSHPD and CMS, regional and local policy.Other Duties:Answers the telephone promptly and identifies themselves and the department.Acts as an expert resource person to other coders and personnel in other hospital departments regarding coding questions and issues.Other duties as assigned by supervisors.Supervisory ResponsibilitiesThis job has no supervisory responsibilities.Compliance AccountabilityConsistently supports compliance and the Principles of Responsibility (KP's code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. Additional Information Reference Code: RW.0800193 Position Type: Full Time, Employee Contact Information Andrea L. Taylor Apply by Email Kaiser Permanente - Northern California