Certified Professional Coder 1 – Remote (MD, DC, or VA only)
Job Summary Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, other regulatory agencies, third party payers and Kaiser Permanente policy. Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed. Essential Responsibilities • Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding. • Research, code, and/or data enter encounters that are supported by KPHC with the Charge capture tool. • Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied. • Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor in basket messages for timely responses. • Evaluates and identifies front end and back end error trends for training needs and brings them to the attention of the supervisor. • Communicates and Participates in departmental meetings and initiatives involving Coding and the Revenue Cycle Enhancement process. • Performs other duties as assigned or required. Apply tot his job