E&M/Specialty Coder
2 weeks ago
Job Summary:
Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT and HCPCS Level II codes.
All work is 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, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines.
Essential Responsibilities:
- Review Medical Records to identify diagnoses/procedures.
- Under supervision, codes all diagnostic and operative information from the medical record using ICD-CM, CPT and HCPCS coding classification systems.
- Verifies and abstracts all medical data from the record to assign appropriate codes for the following settings: Inpatient Hospital (IP), Hospital Emergency (ED), Hospital observation (HOPS), Hospital Ambulatory (HAS) Hospital Outpatient (HOV) and Medical
- Office.
- E&M/Specialty Coder may require specialty coding and will remain part of the responsibilities as long as business dictates.
- Corrects data as appropriate.
- Review Medical Records to resolve Ingenix and HealthConnect Coding Edits.
- Under supervision, identify and resolve coding related edits by reviewing the medical record and ensuring that all data and codes are consistent with ICD-CM Official Guidelines, CPT, CPT Assistant, CMS, OMFS, MediCal, USDOL, as well as KP Regional and Local policies.
- Corrects data as appropriate.
- Work Organization and Prioritization.
- Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved, in a timeframe that will assure compliance with regulatory, billing and SOX requirements.
- Completeness of Medical Record Data.
- Under general supervision, interacts with clinical contracts to clarify and promote accurate documentation of patient diagnostic and procedural information.
- Enters patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted or encounter
- data corrected, prior to submitting the data.
- Ensures timely data completion by meeting coding/abstracting productivity/quality standards established for the E&M/Specialty Coder position in the current Coder Work At
- Home agreement.
- Provides feedback to monitor service provider and line of business compliance with regulatory requirements.
- Confidentiality / Security of Systems Maintains and complies with policies and procedures for confidentiality of all patient records.
- Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems.
- Other Duties: Answers the telephone promptly and identifies themselves and the department.
- Acts as a resource person to other departments regarding coding questions and issues.
- Performs other duties as assigned.
Grade 594
Basic Qualifications:Experience
- Minimum two years, within the last three years, certified professional coding experience.
Education
- High School Diploma or GED.
- Completion of classes in medical terminology, anatomy, physiology, current ICD CM and CPT coding conventions, and disease process from an accredited program is required.
- Certified Coding Specialist - Physician Based OR Certified Professional Coder OR Registered Health Information Technician
- Achieve a minimum score of 80% on the E&M/Specialty Coder test.
- Basic knowledge of and use of computer keyboard
- Must be able to meet production and quality standards established for the position.
- Demonstrated knowledge of anatomy, physiology, medical terminology and disease processes.
- Demonstrated ability to understand the clinical content of a health record.
- Demonstrated ability to communicate with physicians in order to clarify diagnoses and procedures coding and documentation requirements, including proper sequencing.
- Basic knowledge of reimbursement methodologies and conventions.
- Knowledge of rules and guidelines for current coding classifications.
- Practical knowledge of hospital and/or physician clinic based revenue cycle
- Practical knowledge of professional series coding and billing in a multi-specialty environment.
- Practical knowledge of government and other payer coding, billing and collection rules and regulations.
- Must maintain current coding credential and perform associated Continuing Education Units.
- Must abide by the AHIMA and/or AAPC code of ethics.
- Must be willing to work in a Labor Management Partnership environment.
- N/A
-
E&M/Specialty Coder
2 weeks ago
Stockton, United States Kaiser Permanente Full timeMust live in Northern California Job Summary: Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT...
-
E&M/Specialty Coder
2 weeks ago
Stockton, United States Kaiser Permanente Full timeMust live in Northern California Job Summary: Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT...
-
E&M/Specialty Coder
2 weeks ago
Stockton, United States Kaiser Permanente Full timeMust live in Northern California Job Summary: Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT...
-
E&M/Specialty Coder
2 weeks ago
Stockton, United States Kaiser Permanente Full timeMust live in Northern California Job Summary: Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT...
-
E&M/Specialty Coder
2 weeks ago
Stockton, United States Kaiser Permanente Full timeMust live in Northern CaliforniaJob Summary:Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT and...
-
Outpatient Partnership Opportunity near the CA Bay
2 months ago
Stockton, United States The Curare Group Full timeA private single specialty group is seeking a Rheumatologist to join their busy growing practice. They offer everything including a infusion center and a beautiful office to work in. This local is just an hour inland from the Bay area of California and they offering an excellent compensation package. This practice will move fast so apply today. Practice...
-
ENT Specialist Opportunity
1 week ago
Stockton, California, United States REAP Healthcare Agents Full timeJob OverviewREAP Healthcare Agents is seeking an experienced ENT specialist to join our team. This is a full-time, benefited position with a competitive salary range of $100K-$150K DOE.The ideal candidate will have expertise in outpatient care and a strong commitment to providing exceptional patient services.Key Responsibilities:Providing high-quality...
-
Stockton, United States Dignity Physician Careers Full timeOpportunity Criteria Specialty: Family Medicine : Academic Candidate Type: MD, DO Visas Accepted: J-1 or H-1B Loan Repayment: Yes Salary Range: $258,000 to $265,000 / Year Employment Type: Full Time Bonus Offered: Sign-on, Quality, Relocation, Productivity, Other Family Medicine Core Faculty Opportunity in Northern California St. Joseph's Medical Center in...
-
Stockton, United States Dignity Physician Careers Full timeOpportunity Criteria Specialty: Urology Candidate Type: MD, DO Visas Accepted: H-1B Loan Repayment: Yes Salary Range: $525,000 to $550,000 / Year Employment Type: Full Time Bonus Offered: Sign-on, Relocation Urology Opportunity in Northern California - Train the next generation! Dignity Health St. Joseph's Medical Center in partnership with Touro University...
-
Stockton, United States Dignity Physician Careers Full timeOpportunity Criteria Specialty: Family Medicine : Academic Candidate Type: MD, DO Visas Accepted: J-1 or H-1B Loan Repayment: Yes Salary Range: $258,000 to $265,000 / Year Employment Type: Full Time Bonus Offered: Sign-on, Quality, Relocation, Productivity, Other Family Medicine Core Faculty Opportunity in Northern California St. Joseph's Medical Center in...
-
Stockton, United States Dignity Physician Careers Full timeOpportunity Criteria Specialty: Neurology Candidate Type: MD, DO Visas Accepted: No J-1 or H-1B Loan Repayment: Yes Salary Range: $340,000 to $350,000 / Year Employment Type: Full Time Bonus Offered: Sign-on, Relocation, Other Neurology Faculty Opportunities in Northern California Dignity Health St. Joseph's Medical Center in partnership with Touro...
-
Rehab - Physical Therapist
1 month ago
Stockton, United States Interface Rehab Full timeDetailsClient Name Interface Rehab - Windsor Hampton Care Center Job Type Travel Offering Allied Profession Rehab Specialty Physical Therapist Assistant Job ID 29202645 Job Title Rehab - Physical Therapist Weekly Pay $1837.0 Shift DetailsShift Day Shift - 8 hours Scheduled Hours 40 Job Order DetailsStart Date 11/06/2024 End Date 02/05/2025 Duration 13...
-
Rehab - Occupational Therapist
1 month ago
Stockton, United States Interface Rehab Full timeDetailsClient Name Interface Rehab - Windsor Hampton Care Center Job Type Travel Offering Allied Profession Rehab Specialty Occupational Therapist Job ID 29202653 Job Title Rehab - Occupational Therapist Weekly Pay $2542.0 Shift DetailsShift Day Shift - 8 hours Scheduled Hours 40 Job Order DetailsStart Date 11/06/2024 End Date 02/05/2025 Duration 13 Week(s)...
-
Warehouse Selector
1 week ago
Stockton, United States UNFI Full timeJoin our team and immediately become part of the largest distributor of conventional, natural, organic and specialty products in the United States and Canada. We serve over 43,000 customer locations with 200,000 different products. Our Warehouse associates supply thousands of consumers with better for you food that nourishes families nationwide. Our...
-
Warehouse Selector
6 days ago
Stockton, United States UNFI Full timeJoin our team and immediately become part of the largest distributor of conventional, natural, organic and specialty products in the United States and Canada. We serve over 43,000 customer locations with 200,000 different products. Our Warehouse associates supply thousands of consumers with better for you food that nourishes families nationwide. Our...
-
Traveling Healthcare Professional
6 days ago
Stockton, California, United States Marvel Medical Staffing Nursing Full timeMarvel Medical Staffing Nursing is a leading provider of travel nursing services, seeking an experienced Emergency Department Registered Nurse for a 13-week assignment in Stockton, California.The ideal candidate will have a strong background in emergency nursing and the ability to work effectively in a fast-paced environment.About the AssignmentSpecialty: ED...
-
Plastic Surgeon
2 months ago
Stockton, United States Kaiser Permanente - The Permanente Medical Group, Inc. -Northern California Full timePlastic Surgeon Opening in Northern California with Kaiser PermanenteLeading the future of health careKaiser Permanente / The Permanente Medical Group TPMG is seeking full-time BE/BC Plastic Surgeon physician to join our team in Stockton, CA.The Permanente Medical Group, Inc. (TPMG - Kaiser Permanente Northern California) is one of the largest medical groups...
-
Cardiology Non-Invasive
4 weeks ago
Stockton, United States Kaiser Permanente - The Permanente Medical Group, Inc. -Northern California Full timeTPMG is seeking a full-time BE/BC Cardiologist Non-Invasive to join our team in Stockton, CA.The Permanente Medical Group, Inc. is one of the largest medical groups in the nation with over 9,000 physicians, 22 medical centers, numerous clinics throughout Northern and Central California and a 75-year tradition of providing quality medical care.Requirements:...
-
Cardiology - Noninvasive Physician
2 days ago
Stockton, United States The Permanente Medical Group, Inc.-Kaiser Permanente Full timeTPMG is seeking a full-time BE/BC Non-Invasive Cardiologist to join our team in Stockton, CA. The Permanente Medical Group, Inc. is one of the largest medical groups in the nation with over 9,500 physicians, 22 medical centers, numerous clinics throughout Northern and Central California and an over 75-year tradition of providing quality medical care....
-
Stockton, United States The Permanente Medical Group, Inc.-Kaiser Permanente Full timeTPMG is seeking a BE/BC Anesthesiology Pain Physician to join our team in Stockton, CA.The Permanente Medical Group, Inc. is one of the largest medical groups in the nation with over 9,000 physicians, 22 medical centers, numerous clinics throughout Northern and Central California and a 75-year tradition of providing quality medical care.Requirements:Board...