Certified Professional Coder 2 - Remote in MD, DC, or VA
Primary Location Hyattsville, Maryland
Worker Location Flexible
Job Number 1231182 Date posted 03/20/2024
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Description:
Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payers, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for internal services, to include: clinical diagnoses and therapeutic procedures.
Job Summary:
Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payers, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for internal services, to include: clinical diagnoses and therapeutic procedures.
Essential Responsibilities:
- Review and code workques, charge review session including all internal services within the workques as assigned by applying coding principles for correct coding, including sequencing.
- Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor inbasket messages for timely responses.
- Evaluates and identifies front end and back end error trends for training needs and brings them to the attention of the supervisor.
- Communicate and participates in departmental meetings and initiatives involving Coding and the Revenue Cycle Enhancement process.
- Performs other duties as assigned or required.
Basic Qualifications:
Experience
- Minimum two (2) years of experience in a healthcare setting with proficiency in medical terminology is required.
- Minimum two (2) year of coding experience is required.
- Minimum two (2) years of customer service experience is required.
- Minimum two (2) years of knowledge in coding practices is required.
- Minimum two (2) years of knowledge of compliance and regulatory requirements is required.
Education
- Completion of coursework that includes anatomy and physiology, pathophysiology, pharmacology, medical terminology, reimbursement methodology, intermediate/advanced ICD diagnostic/procedural and CPT coding.
- High School Diploma OR General Education Development (GED) required.
License, Certification, Registration
- Coding Specialist Certificate - Physician Based OR Professional Coder Certificate
Additional Requirements:
- New Hire: Successful completion of Assessment of Critical Coding Skills and 80% or higher passing score.
- Annually: Successful completion of Assessment of Critical Coding Skills and 80% or higher passing score.
- Ability to work with and maintain confidentiality of physician, patient, patient account and personnel data.
- Effective verbal and written communication skills, as well as, strong interpersonal skills.
- Ability to effectively abstract medical information to determine the correct data.
Preferred Qualifications:
- Strong data management skills including proficiency in MS Office applications is preferred.
Primary Location: Maryland,Hyattsville,New Carrollton Administration
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 04:00 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Flexible
Employee Status: Regular
Employee Group/Union Affiliation: M40|OPEIU|Local 2
Job Level: Individual Contributor
Department: New Carrolltn Admin - HealthInforMgmt Administratn - 1808
Pay Range: $28.7 - $35.65 / 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
Flexible: Work location is on-site at a KP location, with the flexibility to work from home.
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. 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. Submit Interest
