Lead Technical Application Specialist HIM Coding & Abstracting Pasadena, CA
Enhancing the quality and efficiency of patient care, our electronic medical record system is a unique information management and care delivery infrastructure. Commonly referred to as KP HealthConnect, this highly sophisticated technology integrates a member's electronic inpatient, outpatient, and clinic medical record with appointments, registration, and billing. Meaning members, physicians, and authorized care providers are connected to vital information 24 hours a day, seven days a week.
Growing and maintaining this unique system calls for people with a unique set of skills-the most important of which is knowledge of Epic software. With a background in Epic and backed by the resources of Kaiser Permanente, you'll help define the future of care delivery through technology.
The HIM - Coding and Abstracting Technical Application Specialist position is responsible for being the primary owner and Subject Matter Expert for the HIM - Coding and Abstracting application and 3M. HIM - Coding and Abstracting and 3M are components of the KP HealthConnect program which supports charge capture, coding and abstracting, patient accounting and claims processing. The position will report to the Manager of Billing and Claims on the Revenue Cycle Team within the Care Delivery BIO.
Essential Functions:
- Responsible for achieving in-depth knowledge of KP Health Connect application software & business operations to ensure that the application is configured to support business requirements.
- It is expected that if the candidate is not certified, certification will be achieved within 90 days of attending Epic training.
- Required to obtain the following minimum certifications: EPIC HIM Coding and Abstraction, Resolute Hospital Billing.
- Epic certification will be maintained current with Epic releases
- Configures EPIC and 3M applications by translating business requirements into software specifications.
- Provides production support for the SCAL region for 3M Encoder Application, KP HealthConnect HIM Coding and Abstracting module and KP HealthConnect Hospital Billing.
- Acts as a liaison between KP Health Connect & other departments regarding configuration issues.
- Performs in-depth analyses of workflows, data collections, report details, & other technical issues associated with the use of KP Health Connect software.
- Analyze, collaborate design, test, and support development, testing and production environments,
- Work closely with fellow team members, project teams and customers in the analysis, design, testing and management of system updates and enhancements.
- Executes test plans for configuration testing; performs problem resolution of configuration.
- Develops & documents internal decisions that form the basis for the design decisions w/in the Health Connect applications.
- Participate in routine analysis, installation, testing, migration of upgrades, fixes and new releases by software vendor.
- Prioritizes & implements system updates & changes; communicates changes to users prior to granting access to new releases.
- Comply with internal change management process, HIPAA and security policies.
- Participates in 24/7 on-call rotation
- Performs other duties as directed.
Qualifications:
Basic Qualifications:
- Bachelor's Degree in Information Technology, Healthcare or an additional 4 years of comparable experience
- A minimum of 8 years of professional experience in analysis of complex business requirements, systems upgrades, workflows and application capabilities.
- Experience with coding and abstracting applications, Epic and 3M preferred
- Operational experience within HIM, Medical Records, Coding and Abstracting
- A good understanding of Revenue Cycle Operation and CMS regulatory requirements
- Experience with configuration of software application and implementation
- 3 years of experience performing analysis of health care information management systems
- Travel for product training & certification followed by occasional travel required
- Strong detailed analytical thinking, problem solving and results oriented skills
- Very strong communication and organization skills
- Proficiency in customer & client relations including team focus, influence, partnership and collaboration
- Knowledge and ability to manage issue analysis and problem resolution
Preferred Qualifications:
- Coding Certification preferred
- Experience with 3M preferred
- Epic - HIM Coding & Abstracting certification and experience preferred
- EPIC- Resolute Hospital Billing certification and experience preferred
- Experience with EDI transactions, such as 837, 835 and 277, preferred
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