Outpatient Coder Specialist: Precision Medical Coding

Kaiser Permanente; Wailuku (HI); On-site; USD 70,000 - 95,000; Full time

Job summary

Kaiser exposes an Outpatient Coder Specialist role at Maui Health in Wailuku, Hawaii. The position requires coding diagnoses and procedures across ambulatory settings including observation, surgeries, ED, and other records, using ICD-10-CM, CPT4, and HCPCS guidelines.

Engage with physicians to clarify documentation, ensure data integrity, and meet regulatory quality metrics while upholding privacy and security policies.

Qualifications

• Certified coding credentials (e.g., CCS, RHIT, RHIA, CPC) required.
• Post-high school coursework in medical records and terminology.
• Experience with ICD-10, CPT4, HCPCS coding systems.
• Knowledge of CMS/NCHS guidelines and NCCI.

Responsibilities

• Identify and assign codes for diagnoses, procedures and services.
• Sequence codes for APC assignment using coding conventions.
• Serve as a consultant to care providers.
• Identify discrepancies, research and propose corrective actions.
• Query physicians to clarify documentation for accuracy.
• Abstract patient information into computerized systems.
• Ensure timely coded records and 95% accuracy, 98% completeness.
• Maintain HIPAA privacy and participate in coding education.

Skills

Certified Coding

HIPAA compliance

Physician communication

ICD-10 knowledge

CPT4 knowledge

HCPCS knowledge

Microsoft Office

Education

High school diploma or GED

Medical records coursework

Anatomy and physiology coursework

Medical terminology coursework

Job description

Kaiser exposes an Outpatient Coder Specialist role at Maui Health in Wailuku, Hawaii. The position requires coding diagnoses and procedures across ambulatory settings including observation, surgeries, ED, and other records, using ICD-10-CM, CPT4, and HCPCS guidelines.

Engage with physicians to clarify documentation, ensure data integrity, and meet regulatory quality metrics while upholding privacy and security policies.