Inpatient Coder
Company: Kaiser
Location: Napa
Posted on: May 28, 2023
Job Description:
Job Summary:
Under direct supervision, the Inpatient Coder is responsible for
the accurate coding and abstracting of inpatient cases or services
(diagnosis, conditions and procedures) from medical record
documentation. Assign codes and modifiers using the appropriate
version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other
specialty systems as required by diagnostic category. The Inpatient
Coder is expected to code and abstract Observation (OBS), Hospital
Ambulatory Surgery (HAS), Emergency Department (ED), and complex
Hospital Outpatient Visit (CHOY) services when needed.
All work must be performed in accordance with the rules,
regulations and coding conventions of ICD-CM Official Guidelines
for Coding and Reporting, Coding Clinic published by the American
Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book,
CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes
organizational and institutional coding guidelines.
Essential Responsibilities:
- Coding and Abstracting: Reviews medical record documentation to
identify diagnoses/procedures to be coded.
- Independently organizes and prioritizes work assignments to
ensure that records are coded timely and compliantly in conformance
with regulatory requirements.
- Codes all appropriate diagnosis and procedures from the medical
record using ICD-CM, ICD-PCS, CPT and HCSPCS coding classification
systems.
- Responsible for the sequencing of diagnoses and procedures in
accordance with guidelines outlined in ICD-CM, ICD-PCS, CPT,
Uniform Hospital Discharge Data Set, Medicare regulations and other
appropriate classification systems.
- Determines that the DRG is appropriate for each case and
reviews DRG discrepancies to ensure appropriate group of each
case.
- Verifies and abstracts the appropriate data from the medical
records to meet requirements for data submission and
reporting.
- Corrects data when needed.
- Ensures 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 upon medical record documentation prior to data submission or
coding completion.
- Interacts with physicians to clarify and accurately document
patient diagnostic and procedural information.
- Ensures timely data completion by meeting coding/abstracting
productivity/quality standards established for the Inpatient Coder
position.
- Interacts with physicians to clarify and accurately document
patient diagnostic and procedural information.
- Ensures timely data completion by meeting coding/abstracting
productivity/quality standards established for the Inpatient Coder
position.
- 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: Performs other duties as assigned.
Grdae 650
Basic Qualifications:
Experience
- Three years of continuous hospital coding experience within the
last five years.
Education
- High School Diploma or GED and demonstrated completion of
classes in medical terminology, anatomy, physiology, current
ICD-CM, ICD-PCS and CPT coding conventions and disease process from
an accredited program.
License, Certification, Registration
- Registered Health Information Technician Certificate OR
Registered Health Information Administrator Certificate OR
Certified Coding Specialist
Additional Requirements:
- Basic knowledge of and use of computer keyboard and mouse.
- Achieve a minimum score of 75% on the KP Inpatient Coding
test.
- Must be able to meet productivity and quality standards
established for the position.
- Demonstrated ability to understand the clinical content of a
health record and translate to coding.
- Demonstrated knowledge of anatomy, physiology, medical
terminology and disease process to interpret general medical
classifications for inpatient services.
- Demonstrated knowledge regarding the review of cases for coding
quality and coding compliance.
- Basic knowledge of reimbursement methodologies and conventions
and knowledge of rules and guidelines for the appropriate and
current coding classifications.
- Ability to communicate with physicians regarding the
clarification of dagnoses/procedures and the sequencing of
diagnoses.
- Must maintain coding credential and complete the required
Continuing Education (CE) units.
- Must abide by the AHIMA and AAPC code of ethics.
- Must be willing to work in a Labor Management Partnership
environment.
Preferred Qualifications:
- N/A
PrimaryLocation : California,Santa Rosa,Santa Rosa Hospital
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 07:30 AM
WorkingHoursEnd : 04:00 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : A01 SEIU United
Healthworkers
Job Level : Individual Contributor
Job Category : Medical Records,Health Information Management
Department : Oakland Reg - 1800 Harrison - Hospital Coding
Operations - 0208
Travel : No
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.
Keywords: Kaiser, Napa , Inpatient Coder, Other , Napa, California
Didn't find what you're looking for? Search again!
Loading more jobs...