Kaiser Permanente

  • San Francisco, CA, United States
Kaiser Permanente Clackamas, OR, USA
Description: This position is remote; however, candidatesmust reside within the Pacific Northwest, Washington, or Oregon. Job Summary: To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform...

Kaiser Permanente Walnut Creek, CA, USA
Description: 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 Permanente's 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...

Kaiser Permanente Wailuku, HI, USA
Job Summary: Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD- 10CM (may include PCS), and HCPCS/CPT. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Kaiser Permanente...

Kaiser Permanente Walnut Creek, CA, USA
Description: Job Summary:Coordinates with physicians, staff, vendors and DME staff regarding utilization of DME. Manages the performance of a team DME Clerks insuring quality, timeliness and accuracy of work. Responsible for the utilization review and completion of the NONC letters as per the appropriate regulatory guidelines to include but not limited to DMHC, NCQA, Medicare and MediCal. Must be able to work independently. Some weekend and holiday work required.Essential Responsibilities:Plans, develops, assesses, and evaluates ongoing DME services provided to members. This includes oversight and tracking of utilization of ordered item/equipment to ensure quality, timeliness and accuracy of orders placed. Reviews and authorizes the referrals for DME/P&O from KP Physicians for KP members personal and home usage. Provides accurate interpretation of member specific benefits for each request as it applies to the item(s) requested; able to articulate to member the various nuances...

Kaiser Permanente Wailuku, HI, USA
Description: Job Summary: Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD- 10CM (may include PCS), and HCPCS/CPT. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Kaiser Permanente...

Kaiser Permanente Wailuku, HI, USA
Description: Job Summary: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements and complications. Researches and analyzes data needs for reimbursement. Analyzes medical record and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Essential Responsibilities: Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Basic Qualifications: Experience Minimum two (2) years of hospital licensed space certified coding experience required. Education High school diploma or General Education Diploma (GED) required. Post high school coursework in medical records administration, anatomy, physiology and medical terminology. License, Certification, Registration Registered Health Information Technician Certificate OR Registered Health...

Kaiser Permanente Hyattsville, MD, USA
Description: Candidate must reside within 50 miles of the work site. Job Summary: Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested. Essential Responsibilities: Required to research and assign. HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within...

Kaiser Permanente Portland, OR, USA
Description: Job Summary: To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...