Kaiser Permanente Sr. Coding Consultant (1.0 FTE, Renton WA) in SEATTLE, Washington

Title: Sr. Coding Consultant (1.0 FTE, Renton WA) Location: WA - Seattle-Tukwila-Administrative South Building Job Number: 161223

What does it mean to work at Kaiser Permanente?

At Kaiser Permanente, our mission is to enrich people’s lives by improving health. As a Kaiser Permanente employee, your role is to deliver on that mission every day by living our values—Customer Focus, Accountability, Innovation, Excellence, and Integrity. You take initiative, set goals, and solve problems while collaborating with friends and colleagues. Together we make a meaningful impact on our community. In return, Kaiser Permanente is committed to providing you competitive pay, excellent benefits, and an opportunity to make a difference each day as we strive to reach our vision to be the preferred health care partner by excelling in quality, service, and affordability.

Responsibilities: Ensure that coding and documentation for assigned areas meet Kaiser Permanente compliance and quality standards. Serve as a coding resource to staff throughout Kaiser Permanente. Perform needs assessment and implement coding education for practitioners, ancillary staff, Business Operations and CIS staff. Research complex coding issues and maintain a knowledge base regarding policies and guidelines from CMS and other payers. Teach complex coding issues and concepts. Evaluate medical record documentation against coding and billing compliance standards and provide detailed reports of findings. Develop and implement coding improvement plans. Consult with providers and business office staff to advise on coding issues. Serve as a committee member or project manager for coding issues.

Qualifications: Education Minimum Education Requirements Bachelors Degree in healthcare field or education-related major OR 5 years equivalent experience. Preferred Education Bachelors Degree and additional experience.

Knowledge/Skills Minimum Knowledge/Skills Requirements In-depth knowledge of ICD-9, CPT and HCPCS coding and documentation. Communication, presentation, interpersonal and customer service skills. Conflict resolution and problem solving skills. Leadership skills. Extensive knowledge of healthcare billing and reimbursement including industry standard billing rules, Medicare, Medicaid, L&I and commercial insurance. Knowledge of adult learning theory and instructional approaches. Knowledge of medical terminology and medical science and disease processes, anatomy and physiology. Organizational skills. Experience in application of compliant coding principles, including Medicare compliance issues. Demonstrated ability to implement up to date and compliant coding information in a complex clinical setting. Computer proficiency in a Windows environment, including MS Word, PowerPoint and Excel. Preferred Knowledge/Skills Extensive knowledge of Medicare compliance issues and healthcare coding, billing and reimbursement in a fee-for-service environment. Knowledge of APCs and DRGs. EpicCare and Last Word knowledge. Hospital and clinic experience.

Experience Minimum Experience Requirements 5 years progressively responsible experience in ICD-9-CM, CPT and HCPCS coding in a clinic setting, including chart auditing experience. Progressively responsible roles in clinical coding, business and training. Experience in application of compliant coding principles, including Medicare compliance issues. Preferred Experience 7 years progressively responsible experience in ICD-9-CM, CPT and HCPCS coding in a multi-specialty practice, hospital professional and hospital facility settings, including chart auditing experience. Demonstrated success working with delivery system staff, including creating and delivering formal and informal educational programs. Progressive experience in the application of compliant coding information in a complex clinical setting. Demonstrated experience in enterprise clinical information systems (EpicCare). Project management experience in handling complex and sensitive compliance projects.

License/Certifications Minimum License/Certifications Requirements Able to obtain shortly after hire CPC, CCS-P, RHIT, RHIA, CCS, CPC-H certificate or eligibility. Preferred License/Certifications RHIT or RHIA, in addition to coding certification.

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.

Job: Education & Training Bargaining Unit: WWA Admin Exempt (non-union) FTE: 1 Schedule: Full-time Shift: Day Job Days of shift: M-F Hours of shift: 8-5 Travel: No Job level: Individual Contributor Job type: Standard Employee status: Regular J2W code: ADM1N

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.