Outpatient Coder Specialist; Full-time, 40 hours, MMMC Job Listing at Kaiser Permanente in Wailuku, HI (Job ID 3430629-2024-04-30)

Description

Job Summary:
Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD- 10CM (may include PCS), and HCPCS/CPT.

All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Kaiser Permanente organizational/institutional coding directives. Ability to communicate with physicians in order to obtain clarification for diagnoses/procedures. Ability to understand the clinical content of the health record and abstract the data in the patient health information record data as well as perform other duties as assigned.
Essential Responsibilities:

• Upholds and maintains Maui Health Systems Policies and Procedures, Principles of Responsibilities and all applicable state, federal and local laws. Reviews patient health information record to: identify and assign appropriate codes for diagnoses, procedures, and other services rendered.

• Minimum one (1) year of Certified Coding experience.

• High school diploma or General Education Diploma (GED) required.
• Post high school coursework in medical records administration, anatomy, physiology and medical terminology.

• Coding Specialist Certificate OR Registered Health Information Administrator Certificate OR Registered Health Information Technician Certificate OR Professional Coder Certificate

• Demonstrated competence with personal computers, networks, and Microsoft Office.
• Experience with International Classification of Diseases (ICD-10), Current Procedure Terminology (CPT4), and Healthcare Common Procedure Coding System (HCPCS) coding system, and other related documentation requirements.
• Demonstrated ability to understand clinical content of a health record.

• Minimum three (3) consecutive years of experience as a Certified Hospital Coder.
• Previous experience of coding in a hospital license space.
• Successful completion of Certified Coding Specialist Program through American Health Information Management Association (AHIMA).