Coding Auditor - CO

Company: Kaiser Permanente
Location: Aurora
Posted on: November 23, 2021

Job Description:

SEIU Local 105 - *$33.09 - $38.90 "May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums: https://www.lmpartnership.org/local-contracts." 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.Essential Responsibilities:+ This position, knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership. Ensures patient safety in the preparation and provisioning of care related to but not limited to medications, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers and procedural time outs. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly.+ 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 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.+ Maintains a sustained level of 95%coding accuracy and productivity to support auditing and feedback schedules and comply with department standards.+ 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.Basic Qualifications:Experience+ Four (4) years of experience in outpatient or inpatient professional coding using ICD-10, CPT-4, and HCPCS to include two (2) years of performing coding audits and providing feedback to facilitate improvement of documentation and coding based on the audit results.Education+ High school diploma or equivalent.License, Certification, Registration+ AHIMA or AAPC coding certification required.Additional Requirements:+ 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.+ 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 ,and working in hotel setting in assigned clinics within all of Kaiser Colorado.+ Must maintain all certifications required by this position.Preferred Qualifications:+ N/ACOMPANY: KAISERTITLE: Coding Auditor - COLOCATION: Aurora, ColoradoREQNUMBER: 981066External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Keywords: Kaiser Permanente, Aurora , Coding Auditor - CO, Accounting, Auditing , Aurora, Colorado