Title: Coding Technician III (Surgical Coding)
Location: Aurora, CO
This Position Represents 8 Positions
Provides documentation review, coding, & data abstracting of medical service documentation to ensure that KP Colorado receives appropriate reimbursement & conforms to applicable guidelines & regulations. Serves as a technical coder for all specialties.Makes members/patients & their needs a primary focus of one's actions; develops & sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, & needs. Builds rapport & cooperative relationship w/ members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs & resolves problems.
Essential Functions:
- Required to research & assign Hospital surgical procedures (CPT-4), diagnosis (ICD-9CM), & procedures (CPT-4 & HCPCS) based on review of the entire medical record
- Ability to research, analyze and/or review detailed & high complexity code edits & transactions within the KP Resolute system
- Provides additional support to the coding staff by resolving complex cases & issues
- Contributes to the development & maintenance of specialty specific education materials
- Maintains current knowledge of coding conventions, guidelines, updates, & regulations governing government & third party billing to ensure that KP Colorado coding & documentation meets regulatory guidelines & audit standards, & results in appropriate reimbursement
- Must meet & maintain departmental quality & production standards
- Participates as needed in the testing & training of new system applications
- Collaborates w/ clinical & non-clinical groups, to develop, implement & communicate specific coding & documentation guidelines that will fulfill the internal needs for complete & consistent clinical data
- Serves as coding expert on various committees as requested
- Supports compliance & KP's Code of Conduct by adhering to federal & state laws & regulations, accreditation & license requirements, by policies & procedures
- Responds appropriately to observed fraud & abuse
- Performs other duties assigned
- In addition to defined technical requirements, accountable for consistently demonstrating service behaviors & principles defined by the KP Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives
- Also accountable for consistently demonstrating the knowledge, skills, abilities, & behaviors necessary to provide superior & culturally sensitive service to each other, to our members, & to purchasers, contracted providers & vendors
Qualifications:
Basic Qualifications:
- Minimum of 4 years of outpatient or inpatient coding experience using ICD-9, CPT-4 and HCPCS
- AAPC or AHIMA certification required
- Maintain a minimum of 6 months sustained 95% accuracy in current position for internal employees in the coding department
- Successful completion of a coding and surgical coding assessment test
- Must maintain all certifications required by this position
- Ability to understand the clinical content of a health record including research & analysis of complicated records
- Ability to abstract & assign all codes to surgical procedures performed
- Above average written & communication skills w/ the ability to present, explain, & write information in a clear, concise, & organized format
- Ability to work w/ a variety of health care professionals at all levels
- Ability to communicate w/ physicians & non-physician staff w/ a commitment to provide quality customer service
- Knowledge of medical specialties, including clinical conditions seen & procedures performed
- Ability to use spreadsheet & word processing applications
- Customer service skills, customer focus abilities & the ability to understand KP customer needs
Preferred Qualifications:
- Knowledge of electronic medical record systems preferred
Salary Range: $22.47 - $25.49 Hourly
