Kaiser Permanente
Location
Aurora, CO | United States
Job description
Salary Range: $50.67/hour-$59.57/hour
Job Summary:
Manages all activities related to physician/provider coding for outpatient and inpatient professional fee services. Develops and maintains a close working relationship with Medical Group and Operation management to support provider coding accuracy that is consistent with industry standards and in compliance with coding guidelines. Works in conjunctions with provider education to improve coding accuracy and efficiency. Accountable for developing/maintaining a culture of service, financial discipline, compliance, ethics and integrity. Maintains knowledge of and assures departmental compliance with Kaiser Permanentes Principles of Responsibility, policies and procedures, applicable regulatory requirements and accreditation standards. Responds appropriately to observed fraud or stress.
Essential Responsibilities:
Management of revenue cycle coding workflow, supporting a high level of coding accuracy.
Develops operational and management reporting tools for productivity and revenue cycle management.
Development of the Coding Management Team and Staff
Coding department operational budget.
Assesses impact of current compliance activities and evaluates risk factors of coding and documentation practices.
Plans and forecasts the organizations future needs for Coding revenue cycle support.
Uses understanding of inter-relationships among systems across functional areas to redesign processes, improve efficiency, and ensure optimal results for the future.
Closely monitors changes in law, regulations, and coding and documentation standards as they apply to the Coding Department and Providers of Kaiser Permanente Colorado.
Actively participates in Committees or Workgroups as required.
Abides by the standards of ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
Supervises direct reports; including interviewing, selecting, training, motivating, evaluating, counseling, disciplining, and terminating in compliance with EEO/AA goals and personnel policies of the organization.
Basic Qualifications:
Experience
Minimum eight (8) years of progressively responsible experience in a coding environment, including five (5) years of supervisory/management experience.
Experience in management of revenue cycle coding workflow in a multi-specialty setting is required.
Education
Bachelors degree in business administration, health care administration, health information management, or related field OR four (4) years of experience in a directly related field.
High School Diploma or General Education Development (GED) required.
License, Certification, Registration
Additional Requirements:
Strong written, verbal and interpersonal communication skills required.
Must maintain all certifications required for this position.
Must be able to work in partnership with Labor, Operations, and the Medical Group to assure compliance with documentation and coding guidelines is achieved, resulting in the accurate representation of services provided and diagnoses reported.
Proven analytical and organizational ability.
Proven communication and presentation skills, demonstrated experience with CPT-4, ICD-9-CM, and HCPCS as well as knowledge of Medicare Part C Reimbursement (HCC Model).
Preferred Qualifications:
Experience with electronic medical record preferred.
Process management experience preferred.
COMPANY: KAISER
TITLE: Coding Manager - CO
LOCATION: Aurora, Colorado
REQNUMBER: 1260590
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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