Medical Coding Specialist for Outpatient Facilities

2 weeks ago

Portland, Oregon, United States Kaiser Permanente Full time
Job Overview:

The primary responsibility of this role is to accurately and independently assign diagnosis and procedure codes to patient health information records across various settings, including Emergency Departments, Ambulatory Surgical Centers, and Inpatient records. The coder will ensure compliance with established coding guidelines and maintain high standards of quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT coding systems. This position requires effective communication with healthcare providers to clarify diagnoses and procedures as needed.

Key Responsibilities:

Demonstrate proficiency in reviewing medical records and converting clinical data into coded formats. Accurately identify and assign codes for diagnoses and procedures, while validating any Computer Assisted Coding (CAC) assignments. Utilize coding software and systems to ensure accuracy and compliance.Conduct thorough chart analyses to detect incomplete or inconsistent documentation. Verify chart details and ensure that all medical records meet the required standards for completeness and accuracy according to coding regulations.Leverage available resources, such as coding clinics and professional publications, to resolve coding issues and stay updated on current coding practices and regulations. Participate in initiatives aimed at reducing coding errors and enhancing revenue recovery.Engage in special projects as assigned, maintaining confidentiality and fostering effective working relationships. Communicate clearly and exercise independent judgment in all tasks. Participate in team meetings and coding education sessions to enhance professional development. Qualifications:

A minimum of two years of experience in a related coding field or completion of an apprenticeship program. High School Diploma or equivalent required. Certification from a recognized body such as Registered Health Information Administrator, Registered Health Information Technician, or Certified Coding Specialist is mandatory. Additional Skills:
Experience with electronic medical record systems and proficiency in computer usage.In-depth knowledge of disease processes, coding principles, and relevant regulations.Strong understanding of medical terminology and coding systems.Excellent communication skills in English, both verbal and written.Effective time management and organizational skills.Ability to work independently and manage a substantial workload under pressure.Commitment to ethical coding standards as defined by the American Health Information Management Association.Successful completion of a coding skills assessment may be required.Academic and practical experience in coding and abstracting within health information services. Preferred Qualifications:
At least two years of experience in a health information or medical records environment, particularly with facility coding.Proficiency in various software applications, including EMR systems and Microsoft Office.Ability to analyze and interpret data related to productivity and medical record audits.Extensive knowledge of ICD-10 coding guidelines and risk adjustment coding.A degree in Health Information Management is preferred.

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