Kaiser Permanente Medical Billing & Coding Specialist in Renton, Washington

Applies in depth knowledge of industry standard billing and coding rules to correct errors and resolve problems related to preparing and submitting accurate medical bills for services provided in our hospital, ASC, outpatient and pharmacy settings. Follows up on denials for coding and non-coding reasons, and files appeals as appropriate. Posts cash, negotiates payment arrangements, identifies accounts for collection, and answers billing questions from customers.

Essential Responsibilities:

  • Focusing on billing issues, applies in depth knowledge of industry standard billing and coding rules to correct errors and resolve problems related to preparing and submitting accurate bills for services provided in our Hospital, ASC and Outpatient settings. Involves errors that have to do with ICD-9-CM, CPT and HCPCS codes on the bills. May involve abstraction from the medical record.

  • Identifies and communicates denial and error trends. Maintain a log of the types of errors, identify trends over time and participate in root cause analysis for preventative measures. Participates in ongoing process improvement work.

  • Applies in depth knowledge of industry standard billing and coding rules to investigate and resolve issues related to outstanding insurance and patient accounts. Conducts follow-up on claim denials, including denials for coding reasons, and files appeals as appropriate. Via phone, mail, and other correspondence methods, responds to internal and external customer billing issues.

Basic Qualifications:

Experience

  • Minimum two (2) years of medical billing/claims processing with ICD-9, CPT and HCPCS experience OR coding experience in any of the following settings: hospital, freestanding ambulatory surgery center or outpatient clinic.

Education

  • Vocational school or certificate program in medical billing, health information technology or other similar health care fieldANDcoursework in medical terminology and ICD-9, CPT and HCPCS coding guidelines.

  • High School Diploma OR General Education Development (GED) is required.

License, Certification, Registration

  • RHIT, RHIA, CPC, CPC-H, CCS, CCS-P, CCA or equivalent certification by date of hire/transfer.

Additional Requirements:

  • Intermediate PC skills including MS Word and Excel.

  • Customer service skills.

  • Solid math skills.

  • Demonstrated knowledge of industry standard medical billing or coding rules and automated billing systems and in depth knowledge of either ICD-9, CPT/EM, and HCPCS coding and application of coding guidelines for the ambulatory surgical centers and hospital settings.

Preferred Qualifications:

  • College level or technical school coursework in any of the following: medical terminology, medical science, medical billing, disease processes, anatomy and physiology, ICD-9, CPT and HCPCS coding guidelines.

COMPANY: KAISER

TITLE: Medical Billing & Coding Specialist

LOCATION: Renton, Washington

REQNUMBER: 693278

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.