Inpatient Coding Specialist – DRG & Abstracting Expert

Kaiser Permanente; Plymouth (MI); Presencial; USD 65.000 - 85.000; Jornada completa

Descripción de la vacante

KAISER in San Francisco, California is seeking an Inpatient Coder to accurately code and abstract inpatient cases using ICD-CM, ICD-PCS, CPT and HCPCS. You will ensure proper DRG assignment and data integrity, while collaborating with physicians to clarify documentation and meet productivity and quality standards.

Under direct supervision, you will review medical records, prioritize work, and adhere to regulatory guidelines and internal policies to deliver timely, compliant coding for OBS, HAS,

Formación

• 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.
• Certification: CCS OR RHIT OR RHIA

Responsabilidades

• 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.

Conocimientos

Hospital coding

ICD-CM/ICD-PCS/CPT coding

Anatomy & physiology knowledge

Educación

High School Diploma or GED with medical terminology training

Descripción del empleo

KAISER in San Francisco, California is seeking an Inpatient Coder to accurately code and abstract inpatient cases using ICD-CM, ICD-PCS, CPT and HCPCS. You will ensure proper DRG assignment and data integrity, while collaborating with physicians to clarify documentation and meet productivity and quality standards.

Under direct supervision, you will review medical records, prioritize work, and adhere to regulatory guidelines and internal policies to deliver timely, compliant coding for OBS, HAS,