Post Acute Care Coder Job Listing at Kaiser Permanente in Oakland, CA (Job ID 3297134-2024-04-02)

Description

Must live in Northern California

Job Summary:

Under direct supervision, the Post-Acute Care Coder is responsible for the accurate coding and abstracting of diagnoses, conditions, and procedures from medical record documentation for Post-Acute Care cases or services. Monitor clinical documentation and ensure accurate coding from appropriate documentation, assign the correct codes and modifiers with ICD-CM, and if applicable, CPT, and HCPCS Level II codes.
All work must be performed in accordance with the rules, regulations and/or coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, CPT, and HCPCS, Outcome Assessment Information Set (OASIS), National Correct Coding Initiative (NCCl) Edits, Office of Statewide Health Planning and Development (OSHPD), and Kaiser Permanentes organizational and institutional coding guidelines.

• Review Medical Records to identify diagnoses/procedures.


• Independently organizes and prioritizes work assignments to ensure that records are coded in a timely and compliant manner and in conformance with regulatory requirements.


• Codes all appropriate diagnosis and procedures from the medical record using ICD-CM, and if applicable, CPT, and HCPCS coding classification systems.


• Responsible for the sequencing of diagnoses and procedure codes in accordance with guidelines outlined in lCD-CM, CPT, Uniform Hospital Discharge Data Set, Outcome Assessment Information Set (OASIS), Medicare regulations, and other appropriate classification systems.


• Validates abstracted data that impacts coding from the medical records to meet requirements for data submission and reporting.


• Monitor regulations and work within the guidelines to ensure that all data abstracted is consistent with guidelines outlined by TJC, OSHPD, CMS, and regional and local KP policies.


• Ensures the accuracy and integrity of data abstracted and coded based on medical record documentation prior to data submission or coding completion.


• Interacts with physicians to clarify and accurately document patient diagnostic and procedural information when appropriate, acts as a qualified coding resource for clinicians and other coding staff.


• Confidentiality/Security of Systems - Maintains and complies with policies and procedures for confidentiality of all patient records.


• Demonstrates knowledge of privacy and security of systems and associated policies and procedures for maintaining the security of the data contained within the systems.


• Other duties as assigned within the coding job function.

• Minimum of (2) two years of continuous hospital coding experience or Post-Acute care coding experience within the last five years.

• Demonstrated completion of classes in medical terminology, anatomy, physiology, current ICD- CM and CPT coding conventions and disease process.
• High School Diploma or GED.

• Professional Coder Certificate OR Outpatient Coder Certificate OR Registered Health Information Technician Certificate OR Coding Associate Certificate OR Registered Health Information Administrator Certificate OR Coding Specialist Certificate - Physician Based OR Certified Coding Specialist

• Achieve a minimum score of 75% on the Kaiser Post-Acute Care Coder test.
• Basic knowledge of and use of computer keyboard and mouse.
• Must be able to meet productivity and quality standards established for the position (Yet to be bargained).
• Demonstrated ability to understand the clinical content of a health record and translate into the appropriate code.
• Demonstrated knowledge of anatomy, physiology, medical terminology, and disease process to interpret general medical classifications for Post-Acute Care services
• Demonstrated ability to work in an electronic medical records environment.
• Demonstrated knowledge pertaining to all guidelines that concern the coding and sequencing of diagnoses and procedures outlined in but not limited to current ICD-CM, CPT, Medicare guidelines and other sources.
• Basic knowledge of reimbursement methodologies and conventions and knowledge of rules and guidelines for the appropriate and current coding classifications.
• Must maintain coding credential and complete the required Continuing Education (CE) units.
• Must abide by the AHIMA and/or AAPC code of ethics.
• Must be willing to work in a Labor Management Partnership environment.
• The Work at Home Agreement (WAH) applies to this job position.

• BCHH-C or HCS-D or HCS-O or HCS-H or COS-C
• BCHH-C - Board Certified Home Health - Coding
• HCS-D - Home Care Coding Specialist - Diagnosis
• HCS-O - Home Care Clinical Specialist - OASIS
• HCS-H - Home Care Coding Specialist - Hospice
• COS-C - Certificate for OASIS Specialist - Clinical