Senior Coding Consultant

3 weeks ago

Renton, Washington, United States Kaiser Permanente Full time
Job Summary

As a Senior Coding Consultant at Kaiser Permanente, you will play a critical role in ensuring that coding and documentation for assigned areas meet compliance and quality standards. You will serve as a coding resource to staff throughout the organization, performing needs assessments and implementing coding education for practitioners, ancillary staff, and Business Operations teams. Your expertise will be invaluable in researching complex coding issues, maintaining a knowledge base on policies and guidelines from CMS and other payers, and teaching complex coding concepts. You will evaluate medical record documentation against coding and billing compliance standards, providing detailed reports of findings and developing improvement plans. Additionally, you will consult with providers and business office staff on coding issues, serving as a committee member or project manager for coding-related projects.

Essential Responsibilities
  • Conduct performance analysis and needs assessment of complex coding, documentation, and compliance issues.
  • Develop, implement, and evaluate coding education.
  • Conduct specialized education and classroom training for providers, clinical support staff, and business staff in documentation, billing, compliance, and selection of CPT and ICD-9 CM codes.
  • Educate, serve as a resource for, and assist with monitoring Coding Review Unit staff in Patient Financial Services.
  • Develop specialty-specific education materials for classroom and individual practitioner training, as well as Epic job aids.
  • Communicate complex coding issues to various audiences throughout KFHPW.
  • Serve as the coding, documentation, reimbursement, and compliance expert consultant to designated specialty and primary care teams.
  • Demonstrate resource expertise on compliant coding and billing, and regulatory requirements.
  • Research clinical specialties, coding changes, and guidelines, Federal and State healthcare billing rules, and industry-standard billing practices.
  • Lead project work, start to finish, around corrective compliance actions, reporting directly to the Compliance Officer and legal counsel.
  • Research and respond to formal coding and billing appeals.
  • Perform medical record documentation audits of patient care against services and diagnoses reported by providers, following the KFHPW Coding and Billing Quality Plan.
  • Develop and implement improvement plans based on audit findings.
  • Design and maintain medical record forms and charge capture documents.
  • Review Epic system set-ups to ensure compliance with coding and billing rules.
  • Make recommendations to CIS team on changes and enhancements to the Epic system.
  • Act as a project manager, displaying effective teamwork and leadership skills, setting and meeting deadlines and objectives for projects assigned.
  • Provide extensive support to the delivery system and business office staff, before, during, and after Epic implementation.
  • Identify coding errors and process issues, provide feedback.
  • Assess needs and provide appropriate training prior to go-live, provide on-site support during go-live, and maintain support and assistance once implementation phase is completed.
  • Assure compliance, assess, and provide appropriate education with respect to accurate and compliant coding in Epic.
  • Evaluate medical record documentation in the electronic record against coding and billing standards and provide detailed reports of findings.
  • Develop processes to assist providers in maximizing Epic efficiencies while maintaining correct coding and compliance.
Basic Qualifications
  • Minimum five (5) years of progressively responsible experience in ICD-9-CM, CPT, and HCPCS coding in a clinic setting, to include chart auditing experience.
  • Bachelor's degree in a healthcare or education-related field OR four (4) years of experience in a directly related field.
  • High School Diploma OR General Education Development (GED) required.
  • Certified Outpatient Coder within 1 month of hire OR Registered Health Information Administrator within 1 month of hire OR Certified Professional Coder - Hospital Outpatient within 1 month of hire OR Certified Professional Coder within 1 month of hire OR Certified Coding Specialist within 1 month of hire OR Certified Coding Specialist - Physician Based within 1 month of hire OR Registered Health Information Technician within 1 month of hire.
Additional Requirements
  • Experience in application of compliant coding principles, including Medicare compliance issues.
  • Extensive knowledge of healthcare billing and reimbursement, including industry-standard billing rules, Medicare, Medicaid, L&I, and commercial insurance.
  • Knowledge of adult learning theory and instructional approaches.
  • Knowledge of medical terminology and medical science and disease processes, anatomy, and physiology.
  • Progressively responsible roles in clinical coding, business, and training.
  • In-depth knowledge of ICD-9, CPT, and HCPCS coding and documentation.

  • Senior Coding Consultant

    6 days ago

    Renton, Washington, United States Kaiser Permanente Full time

    Job Summary:Kaiser Permanente is seeking a highly skilled Senior Coding Consultant to join our team. As a Senior Coding Consultant, you will be responsible for ensuring that coding and documentation for assigned areas meet Kaiser Foundation Health Plan of Washington compliance and quality standards. You will serve as a coding resource to staff throughout...

  • Senior Coding Consultant

    3 weeks ago

    Renton, Washington, United States Kaiser Permanente Full time

    Job SummaryAs a Senior Coding Consultant at Kaiser Permanente, you will play a critical role in ensuring that coding and documentation for assigned areas meet compliance and quality standards. You will serve as a coding resource to staff throughout the organization, providing expertise and guidance on complex coding issues. Your responsibilities will include...

  • Senior Coding Consultant

    2 weeks ago

    Renton, Washington, United States Kaiser Permanente Full time

    Job SummaryAs a Senior Coding Consultant at Kaiser Permanente, you will play a critical role in ensuring that coding and documentation for assigned areas meet compliance and quality standards. You will serve as a coding resource to staff throughout the organization, providing expertise and guidance on complex coding issues. Your responsibilities will include...

  • Senior Coding Consultant

    2 weeks ago

    Renton, Washington, United States Kaiser Permanente Full time

    Job Summary:Kaiser Permanente is seeking a highly skilled and experienced Senior Coding Consultant to join our team. As a key member of our coding and compliance team, you will be responsible for ensuring that coding and documentation for assigned areas meet Kaiser Permanente compliance and quality standards. You will serve as a coding resource to staff...

  • Senior Coding Consultant

    2 weeks ago

    Renton, Washington, United States Kaiser Permanente Full time

    Job Summary:Kaiser Permanente is seeking a highly skilled and experienced Senior Coding Consultant to join our team. As a key member of our coding and compliance team, you will be responsible for ensuring that coding and documentation for assigned areas meet Kaiser Permanente compliance and quality standards. You will serve as a coding resource to staff...

  • Senior Coding Consultant

    3 weeks ago

    Renton, Washington, United States Kaiser Permanente Full time

    Job SummaryAs a Senior Coding Consultant at Kaiser Permanente, you will play a critical role in ensuring that coding and documentation for assigned areas meet compliance and quality standards. You will serve as a coding resource to staff throughout the organization, providing expertise on coding and billing compliance standards and regulations.Key...

  • Senior Coding Consultant

    3 weeks ago

    Renton, Washington, United States Kaiser Permanente Full time

    About the RoleWe are seeking a highly skilled Senior Coding Consultant to join our team at Kaiser Permanente. As a key member of our coding and compliance team, you will play a critical role in ensuring that our coding and documentation practices meet the highest standards of compliance and quality.Key ResponsibilitiesConduct performance analysis and needs...

  • Senior Coding Consultant

    4 weeks ago

    Renton, Washington, United States Kaiser Permanente Full time

    Job SummaryWe are seeking a highly skilled Senior Coding Consultant to join our team at Kaiser Permanente. As a key member of our coding and compliance team, you will be responsible for ensuring that coding and documentation for assigned areas meet Kaiser Foundation Health Plan of Washington compliance and quality standards.Key ResponsibilitiesConduct...

  • Senior Coding Consultant

    4 weeks ago

    Renton, Washington, United States Kaiser Permanente Full time

    Job SummaryWe are seeking a highly skilled Senior Coding Consultant to join our team at Kaiser Permanente. As a key member of our coding and compliance team, you will be responsible for ensuring that coding and documentation for assigned areas meet Kaiser Foundation Health Plan of Washington compliance and quality standards.Key ResponsibilitiesConduct...

  • Senior Coding Consultant

    4 weeks ago

    Renton, Washington, United States Kaiser Permanente Full time

    Job SummaryWe are seeking a highly skilled Senior Coding Consultant to join our team at Kaiser Permanente. As a key member of our coding and compliance team, you will be responsible for ensuring that coding and documentation for assigned areas meet Kaiser Foundation Health Plan of Washington compliance and quality standards.Key ResponsibilitiesConduct...

  • Senior Coding Consultant

    1 month ago

    Renton, Washington, United States JobGet Full time

    Job SummaryWe are seeking a highly skilled and experienced Coding and Compliance Specialist to join our team at JobGet. As a key member of our team, you will be responsible for ensuring that coding and documentation for assigned areas meet Kaiser Foundation Health Plan of Washington compliance and quality standards.Key ResponsibilitiesConduct performance...

  • Risk Consultant

    4 weeks ago

    Renton, Washington, United States Puget Sound Educational Service District Full time

    Job Title: Risk ConsultantWe are seeking a highly skilled Risk Consultant to join our team at Puget Sound Educational Service District. As a Risk Consultant, you will play a critical role in developing and implementing safety, health, and risk control programs, investigating serious incidents, accidents, and hazards, and providing risk control services to...

  • Risk Consultant

    4 weeks ago

    Renton, Washington, United States Puget Sound Educational Service District Full time

    Job Title: Risk ConsultantWe are seeking a highly skilled Risk Consultant to join our team at Puget Sound Educational Service District. As a Risk Consultant, you will play a critical role in developing and implementing safety, health, and risk control programs, investigating serious incidents, accidents, and hazards, and providing risk control services to...

  • Senior Cloud Engineer

    4 weeks ago

    Renton, Washington, United States PACCAR Full time

    About the RoleWe are seeking a highly skilled Senior Cloud Engineer to join our team at PACCAR. As a key member of our Digital Services team, you will be responsible for designing, building, and deploying cloud-based systems that meet the needs of our global business.Key ResponsibilitiesLead the development of cloud platforms based on AWS, GCP, and...

  • Senior Project Manager

    4 days ago

    Renton, Washington, United States VanderHouwen Full time

    Senior Project ManagerAt VanderHouwen, we are seeking a highly skilled Senior Project Manager to join our team. As a Senior Project Manager, you will be responsible for managing the operational finances within our systems of record, including Genesis, Project Online, and IQN. This includes ongoing budget transfers, creating purchase orders, requisitions,...

  • Senior Project Manager

    2 weeks ago

    Renton, Washington, United States VanderHouwen Full time

    Senior Project ManagerJob ID# 66675We are seeking a talented Senior Project Manager to work across our portfolio of programs, projects, and products to manage finances, forecasting, and provide ongoing policies training and support.Key ResponsibilitiesManage the team operational finances within our systems of record, including Genesis, Project Online, and...

  • Pharmacy Clinical Consultant

    3 weeks ago

    Renton, Washington, United States Cambia Health Solutions Full time

    Pharmacy Clinical ConsultantCambia Health Solutions is seeking a highly skilled Pharmacy Clinical Consultant to join our team. As a key member of our Health Service Organization, you will play a pivotal role in designing, implementing, and maintaining clinical programs and strategies that drive cost containment and clinical quality enhancements related to...

  • Senior Accountant

    4 weeks ago

    Renton, Washington, United States Novogradac & Company Full time

    Senior Accountant Position SummaryNovogradac & Company LLP is seeking a highly skilled Senior Accountant to join our team. As a Senior Accountant, you will be responsible for managing tax, audit, and other assignments with minimal supervision. This role requires strong problem-solving skills, excellent communication, and the ability to work collaboratively...

  • Pharmacy Clinical Consultant

    3 weeks ago

    Renton, Washington, United States Cambia Health Solutions Full time

    About the RoleCambia Health Solutions is seeking a highly skilled Pharmacy Clinical Consultant to join our team. As a key member of our Health Service Organization, you will play a pivotal role in designing, implementing, and maintaining clinical programs and strategies that drive cost containment and clinical quality enhancements related to pharmacy...

  • Pharmacy Clinical Consultant

    2 weeks ago

    Renton, Washington, United States Cambia Health Solutions Full time

    Pharmacy Clinical ConsultantCambia Health Solutions is seeking a highly skilled Pharmacy Clinical Consultant to join our team. As a key member of our Health Service Organization, you will play a pivotal role in designing, implementing, and maintaining clinical programs and strategies that drive cost containment and clinical quality enhancements related to...