Provides training, consultation, review, and feedback to clinicians on medical service documentation and coding to help ensure appropriate reimbursement and compliance with applicable guidelines and regulations.
This is a hybrid role that blends remote and in-office work. Candidates must reside in the Northwest Service Region (Oregon or Washington).
Responsibilities include:
- Providing expert consultation to specialists and primary care clinicians on coding and documentation education and questions
- Researching diagnostic and procedure codes using CPT4, ICD-10, and HCPCS and assigning codes as appropriate
- Reviewing medical records to verify diagnostic and therapeutic procedures and ensure compliance with CMS coding rules and guidelines
- Delivering face-to-face and virtual training to clinicians
- Developing and presenting educational training points tailored to clinician needs
- Performing periodic quality reviews of documentation and coding in EpicCare/KP HealthConnect and sharing feedback with clinicians
- Entering data into tracking tools to store professional coding service data
- Collaborating with Kaiser Permanente Health Connect and informatics physician partners to improve documentation and coding workflows
- Verifying data such as place of service and attending clinician information for accuracy
- Participating in the development of organizational procedures, forms, and manuals
Requirements & Qualifications
Minimum Qualifications
- Associate of Science degree in Health Information Technology or equivalent education and experience
- At least 2 years of progressive, in-depth multispecialty professional services coding experience in diagnostic and procedural coding, or completion of Documentation and Coding Consultant Apprentice training
- Ability to pass an internal coding test with 85% accuracy
- Ability to conduct coding reviews and quality performance measures, prepare chart review reports with recommendations, and provide education and feedback
- Ability to evaluate, analyze, compute, and summarize statistics related to medical record reviews and present findings, trends, and outcomes
- Strong understanding of medical terminology, pharmacology, body systems/anatomy, physiology, and disease processes
- In-depth knowledge of ICD-10-CM, CPT, HCPCS, and Evaluation and Management coding guidelines
- Strong attention to detail and understanding of government rules, regulations, fraud, and abuse risk areas related to coding and documentation
- Commitment to AHIMA and AAPC Standards of Ethical Coding
- Ability to effectively deliver virtual training using tools such as Teams and Zoom
- Credentials: RHIA, RHIT, CCS-P, or CPC
Preferred Qualifications
- Bachelor's degree in Health Information Management or equivalent education and experience
- 5+ years of coding experience with statistical analysis and problem solving
- 2+ years of multispecialty professional services coding experience using ICD-10, CPT, HCPCS, and Evaluation and Management coding, including Medicare
- 2+ years of project management experience and experience presenting education and training to small and large groups
- Advanced proficiency with Microsoft Office Suite and other software used to document and manage audit data
Benefits & Perks
Benefits and Perks
- 15% employer contribution to retirement programs, including pension
- 90% employer-paid health plan
- Tuition reimbursement
- Child care benefits
- Flexible work schedules
- Paid parental leave
- Self-care days and paid time off
Location
Portland, Oregon, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 weeks ago