http://kpcareers.org/careers/medical-records-jobs en Essential Functions:
- Upholds KP's Policies & Procedures, Principles of Responsibilities & applicable state, federal & local laws
- Reviews medical records to identify & assign appropriate codes for diagnoses, procedures, professional service levels & other services rendered
- Assigns & sequences codes for diagnoses, procedures & other services as needed utilizing the applicable coding conventions
- Reviews OSHPD error correction reports within the scope of the assigned abstracting & coding function & makes corrections
- Ensures that all abstracted and/or coded data are consistent w/ federal & state regulations, OSHPD reporting guidelines & organizational policy as it relates to corporate compliance policy for accurate coding
- Interacts w/ physicians through a query process to clarify documentation to support accurate patient diagnostic & procedural information
- Enters patient information into the computerized systems, ensuring the accuracy & integrity of the data
- Maintains timely coding & abstracting productivity & quality standards
- Participates in medical record documentation review
- Maintains & complies w/ HIPAA policies & procedures for confidentiality of all patient records
- Attends & participates selected national, regional & local documentation & coding education sessions
- Works collaboratively w/ others on coding questions & issues
- Demonstrates knowledge of security of systems by not sharing computer logons
- Answers the telephone promptly & identifies self & department
- Maintains courteous & cooperative relations when interacting w/ others
- Performs other duties as assigned by supervisor


Qualifications:

Pay Grade: 19

Basic Qualifications:
- Completion of classes in Medical Terminology, Anatomy/ Physiology, International Statistical Classification of Diseases and Related Health Problems (ICD-9) and Current Procedural Terminology (CPT) coding conventions conforming to standards established by the American Hospital Association (Coding Clinic), American Medical Association, Centers for Medicare & Medicaid Services (CMS) or successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) accredited coding certification preparation program
- Requires one of the following current credentials: Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist-Physician (CCS-P), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)
- Obtain a passing score on a Kaiser Permanente Emergency Department coding assessment
- Ability to understand the clinical content of a health record
- Ability to effectively communicate w/ physicians & other health care providers
- Ability to perform within acceptable established quality standards
- Keyboarding skills

Notes:
- This is an On-Call position, schedule (hours, weekends and evenings) may vary according to department needs
]]> Sun, 20 May 2012 16:00:00 GMT 2444014-California-Medical-Records Essential Functions:
- Review & code work queues, charge review session including all surgical & specialty services within the work queues as assigned by applying coding principles for correct coding, including sequencing.
- Query providers for clarification of incomplete or ambiguous documentation as appropriate & monitor inbasket messages for timely responses.
- Evaluates & identifies front end & back end error trends for training needs & brings them to the attention of the supervisor.
- Communicate & participates in departmental meetings & initiatives involving Coding & the Revenue Cycle Enhancement process.
- Performs other duties as assigned or required.


Qualifications:

Basic Qualifications:
- 2 years of experience in a health care setting is required.
-1 year of coding experience is required.
- 2 years of medical terminology required.
- 2 years of customer service experience is required.
- 2 years of knowledge in coding practices is required.
- 2 years of knowledge of compliance & regulatory requirements is required.
- High School diploma is required.
- CPC or CCS-P is required.
- Ability to work w/ & maintain confidentiality of physician, patient, patient account & personnel data is required.
- Effective verbal & written communication skills, as well as, strong interpersonal skills is required.
- Ability to effectively abstract medical information to determine the correct data is required.
- Strong data management skills including proficiency in MS Office applications is required.
- New Hire:
-Successful completion of Assessment of Critical Coding Skills.
- 80% or higher passing score.
- Annually:
- Successful completion of Assessment of Critical Coding Skills.
- 80% or higher passing score.
]]> Sat, 19 May 2012 16:00:00 GMT 2441734-Maryland-Medical-Records
Essential Functions:
- Maintains and ensures confidentiality of health information as prescribed by law and hospital policy
- Follows policies and procedures for control, use and release of health information: to and from other health care facilities and physicians for continued care. for legal proceedings and subpoenas. to state and federal agencies, attorneys, insurance carriers, employers, educational institutions and researchers. to patient or next of kin
- Releases health information as authorized by patient
- Assists and accommodates telephone callers and walk-in clients
- Performs duties of Health Information Clerk and Aide
- Serves as representative for Custodian of Medical Records in absence of Health Information Coordinator
- Ensures validity of request and authorization
- Reviews and analyzes physician notes and diagnostic test results. Abstracts case histories. Identifies protected information. Secures specific authorization from patient prior to release of protected information
- Demonstrates knowledge, skills, and abilities necessary to provide culturally sensitive care and/or service
- Adheres to and maintains current knowledge of Principles of Responsibility, applicable federal and state laws and regulations, accreditation and licensing requirements, policies and procedures. Reports and/or resolves issues of non-compliance
- On regular, sustained basis, cooperates with other staff members both within and outside department in accomplishment of own job duties as well as assisting others in accomplishing theirs. Serves as team player and role model for other employees in organization, always exhibiting traits of courtesy, caring, helpfulness and respect. Conducts self in service-oriented manner that is attentive, pleasant, cooperative, sensitive, respectful and kind when dealing with members, visitors, public and all employees
- Performs other duties and accepts responsibility as assigned
- Assists physicians in preparation for depositions
- Participates in in-service meetings. Recognizes areas for improvement. Suggests items for agenda

Qualifications:

Basic Qualifications:
- Post high school coursework in medical terminology, medical record science and routine hospital procedures
- Demonstrated knowledge of and skill in adaptability, customer service, interpersonal relations, oral communication, problem solving, systems thinking, and teamwork
- Talking to co-workers, customers, outside vendors, and on the telephone
- Reading, writing, speaking, and understanding English
- Training/giving and receiving instructions
- Mathematical ability, attention to detail (e.g., organization, prioritization, proofing), concentration, and alertness

Preferred Qualifications:
- Six months of medical records experience
- Knowledge of related federal and state regulations]]> Wed, 16 May 2012 16:00:00 GMT 2436935-Honolulu-Medical-Records Essential Functions:
- Assure compliance of operational processes and outpatient encounter data capture throughout Southern California Kaiser Permanente making determinations with respect to appropriateness of documentation, adherence to Federal, State and local regulations.
- Partners with ECS DQS's to review regional and local audit findings to identify coding risk areas, and ensure that medical center training activities are addressing these areas.
- Identify through focused audits operational and regulatory issues related to coding, documentation, and compliance reguirements, ensuring that appropriate documentation is maintained to comply with Federal and State requirements.
- Partner with Compliance Analyst, DQSs and other local analytical workgroups to identify audit trends and risk areas based on audit findings and data analysis - formulate recommendations for future training and areas of education and focus based on findings.
- Using independent judgment and sensitivity, review with individual physicians their audit findings and make suggestions for coding improvements.
- Monitor coding performance to ensure lasting improvement.
- Monitor corrective actions for audit review findings.
- Conduct confidential audits for specific providers who represent a risk due to special circumstances or prior audit issues - work with medical center leadership to provide confidential feedback on an 'as needed' basis.
- Actively participate in local ECS Oversight Committee and ECS champion physicians to work to resolve local coding issues, ensure compliance with local and regional audit plan and act as communication link regarding changes to federal and state government billing and coding guidelines.
- Prepare and/or perform regional and medical center auditing analysis and/or special projects as assigned.
- Assists in developing and implementing policies and procedures/Compliance Audit Standards to ensure compliance with Federal, State and other regulatory requirements.

Qualifications:

Basic Qualifications:
- Bachelor's Degree or equivalent experience in Finance/Business, Medical Records Technology, Health Services Administration, Nursing or other Ancillary medical area.
- Certification in one of the following: i.e. Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), and three (3) or more years coding experience.
- Demonstrated ability to review analytical, data and audit findings to identify coding trends and risk areas.
- Ability to develop data requirements and work with Compliance Analyst and other analytical groups to extract, organize and analyze coded data.
- Demonstrated ability to work independently with minimal supervision, including willingness to be flexible depending upon department and/or physician schedule needs.
- Demonstrated ability to constructively and sensitively provide feedback to physicians and medical center leadership regarding federal and state coding, medical documentation and compliance guidelines, audit results and risk areas.
- Audit skills and the ability to interpret and apply Federal and State regulations, coding and billing requirements.
- Demonstrated ability to effectively work within a team environment, using excellent written, verbal and presentation skills to share audit findings, risk areas and compliance issues.
- Strong interpersonal and excellent written and oral communication skills.
- Ability to work with and maintain confidentiality of physician, patient, patient account, and personnel data.
- Must be able to work in a Labor/Management Partnership environment.]]> Tue, 15 May 2012 16:00:00 GMT 2433482-Los-Angeles-Medical-Records Essential Functions:
- Assure compliance of operational processes and outpatient encounter data capture throughout Southern California Kaiser Permanente making determinations with respect to appropriateness of documentation, adherence to Federal, State and local regulations.
- Partners with ECS DQS's to review regional and local audit findings to identify coding risk areas, and ensure that medical center training activities are addressing these areas.
- Identify through focused audits operational and regulatory issues related to coding, documentation, and compliance reguirements, ensuring that appropriate documentation is maintained to comply with Federal and State requirements.
- Partner with Compliance Analyst, DQSs and other local analytical workgroups to identify audit trends and risk areas based on audit findings and data analysis - formulate recommendations for future training and areas of education and focus based on findings.
- Using independent judgment and sensitivity, review with individual physicians their audit findings and make suggestions for coding improvements.
- Monitor coding performance to ensure lasting improvement.
- Monitor corrective actions for audit review findings.
- Conduct confidential audits for specific providers who represent a risk due to special circumstances or prior audit issues - work with medical center leadership to provide confidential feedback on an 'as needed' basis.
- Actively participate in local ECS Oversight Committee and ECS champion physicians to work to resolve local coding issues, ensure compliance with local and regional audit plan and act as communication link regarding changes to federal and state government billing and coding guidelines.
- Prepare and/or perform regional and medical center auditing analysis and/or special projects as assigned.
- Assists in developing and implementing policies and procedures/Compliance Audit Standards to ensure compliance with Federal, State and other regulatory requirements.

Qualifications:

Basic Qualifications:
- Bachelor's Degree or equivalent experience in Finance/Business, Medical Records Technology, Health Services Administration, Nursing or other Ancillary medical area.
- Certification in one of the following: i.e. Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), and three (3) or more years coding experience.
- Demonstrated ability to review analytical, data and audit findings to identify coding trends and risk areas.
- Ability to develop data requirements and work with Compliance Analyst and other analytical groups to extract, organize and analyze coded data.
- Demonstrated ability to work independently with minimal supervision, including willingness to be flexible depending upon department and/or physician schedule needs.
- Demonstrated ability to constructively and sensitively provide feedback to physicians and medical center leadership regarding federal and state coding, medical documentation and compliance guidelines, audit results and risk areas.
- Audit skills and the ability to interpret and apply Federal and State regulations, coding and billing requirements.
- Demonstrated ability to effectively work within a team environment, using excellent written, verbal and presentation skills to share audit findings, risk areas and compliance issues.
- Strong interpersonal and excellent written and oral communication skills.
- Ability to work with and maintain confidentiality of physician, patient, patient account, and personnel data.
- Must be able to work in a Labor/Management Partnership environment.


Preferred Qualifications:
- Three (3) or more years of coding experience.
- Able to provide feedback to physicians and leadership on federal and state coding, medical documentation, compliance guidelines, audit results and risk areas.
- Computer experience in MS Word or Excel.
- Data entry skills.


Notes:
- Travel between facilities may be required.]]> Tue, 15 May 2012 16:00:00 GMT 2433457-Los-Angeles-Medical-Records Essential Functions:
- Assure compliance of operational processes and outpatient encounter data capture throughout Southern California Kaiser Permanente making determinations with respect to appropriateness of documentation, adherence to Federal, State and local regulations.
- Partners with ECS DQS's to review regional and local audit findings to identify coding risk areas, and ensure that medical center training activities are addressing these areas.
- Identify through focused audits operational and regulatory issues related to coding, documentation, and compliance reguirements, ensuring that appropriate documentation is maintained to comply with Federal and State requirements.
- Partner with Compliance Analyst, DQSs and other local analytical workgroups to identify audit trends and risk areas based on audit findings and data analysis - formulate recommendations for future training and areas of education and focus based on findings.
- Using independent judgment and sensitivity, review with individual physicians their audit findings and make suggestions for coding improvements.
- Monitor coding performance to ensure lasting improvement.
- Monitor corrective actions for audit review findings.
- Conduct confidential audits for specific providers who represent a risk due to special circumstances or prior audit issues - work with medical center leadership to provide confidential feedback on an 'as needed' basis.
- Actively participate in local ECS Oversight Committee and ECS champion physicians to work to resolve local coding issues, ensure compliance with local and regional audit plan and act as communication link regarding changes to federal and state government billing and coding guidelines.
- Prepare and/or perform regional and medical center auditing analysis and/or special projects as assigned.
- Assists in developing and implementing policies and procedures/Compliance Audit Standards to ensure compliance with Federal, State and other regulatory requirements.

Qualifications:

Basic Qualifications:
- Bachelor's Degree or equivalent experience in Finance/Business, Medical Records Technology, Health Services Administration, Nursing or other Ancillary medical area.
- Certification in one of the following: i.e. Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), and three (3) or more years coding experience.
- Demonstrated ability to review analytical, data and audit findings to identify coding trends and risk areas.
- Ability to develop data requirements and work with Compliance Analyst and other analytical groups to extract, organize and analyze coded data.
- Demonstrated ability to work independently with minimal supervision, including willingness to be flexible depending upon department and/or physician schedule needs.
- Demonstrated ability to constructively and sensitively provide feedback to physicians and medical center leadership regarding federal and state coding, medical documentation and compliance guidelines, audit results and risk areas.
- Audit skills and the ability to interpret and apply Federal and State regulations, coding and billing requirements.
- Demonstrated ability to effectively work within a team environment, using excellent written, verbal and presentation skills to share audit findings, risk areas and compliance issues.
- Strong interpersonal and excellent written and oral communication skills.
- Ability to work with and maintain confidentiality of physician, patient, patient account, and personnel data.
- Must be able to work in a Labor/Management Partnership environment.


Preferred Qualifications:
- Three (3) or more years of coding experience.
- Able to provide feedback to physicians and leadership on federal and state coding, medical documentation, compliance guidelines, audit results and risk areas.
- Computer experience in MS Word or Excel.
- Data entry skills.


Notes:
- Travel between facilities may be required.]]> Tue, 15 May 2012 16:00:00 GMT 2433456-California-Medical-Records
Essential Functions:
- Assists in planning, directing and monitoring daily operations for in-patient medical records including: retrieval, assembly, delivery, abstracting/analyzing, coding, completion, transcriptions, release of information, and vital statistics registration.
- Works with Manager to develop work flow systems and contingency plans for each function of the department to assure timely and accurate completion of work that is consistent with regulatory agency requirements.
- Continually monitors and evaluates work flow systems and output.
- Apprises Manager of need for systems adjustment, updating and/or improvement when necessary.
- Orients, develops, trains and cross-trains all employees in all department functions and work flow systems.
- Supervises the work and tracks the performance of department personnel.
- Counsels and disciplines employees when necessary.
- Assists in developing, maintaining and updating medical records department policies and procedures and performs special studies requested by quality assurance department or medical staff.
- Prepares statistical and or annual reports as requested by state or federal agencies or any other regulatory agencies.
- Ensures compliance with federal, state and local regulations.
- Assists in monitoring budgets and identifies and recommends opportunities to decrease costs and improve service.
- Implements changes resulting from internal or external audits which impact collection and reporting of medical records.


Qualifications:

Basic Qualifications:
- Generally two (2) years of prior experience as a supervisor or assistant supervisor.
- Recent experience with C.A.L.S. and The Joint Commission surveys.
- Bachelor's degree or (generally) two (2) plus years of college coursework with two (2) years of equivalent work experience.
- Registered Health Information Administration Technician (RHIT) or Registered Health Information Administration (RHIA) required.
- Familiar with all aspects of Medical Records Department preferred.
- Knowledge of The Joint Commission, CMRI federal, state and local regulations.
- Strong interpersonal and communication skills.
- Proficient with a variety of software used by the department.
- Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:
- Spanish Speaking]]> Mon, 14 May 2012 16:00:00 GMT 2429270-California-Medical-Records Essential Functions:
- Supervises assigned staff to include interviewing, hiring, training, disciplining, evaluation, counseling & terminating in conformance w/ the established EEO goals, personnel policies & appropriate union contracts.
-Develops procedures, systems & performance st&ards for the Transcription Department. Maintains high level of proficiency of the transcriptionists to oversee all aspects of medical terminology.
-Collaborates w/ the Radiology supervisors, Surgery Center Managers, Trancriptionist Operating Managers, & physicians North & South of the River to plan & facilitate the provision of transcribing services.
-Promotes good employee relations & assures an environment that is conducive to job satisfaction & high level of staff morale.
-Coaches staff in the performance of their jobs to assure that measurable goals & objectives are achieved.
-Reviews quality of work, proofreading, & revisions of transcribed reports. Assists staff as necessary to ensure timely & accurately transcribed medical reports.
- Directs incoming & outgoing workload using the Manager's console to direct system activity & work assignments.
- Transcribes Radiology, Specialty reports, Operative reports, & letters as necessary to balance workload.
-Maintains teaching file for easy retrieval of information & added diagnostic modualities. Implements procedures for quality control.
-Participates in long range planning.
-Ensures adherence by staff to maintain confidentiality of all dictations transcribed internally.
-Maintains orderliness & cleanliness of work area by end of shift.
- Develops & manages resources to include payroll, non-payroll & equipment budgets. Evaluates departmental operations budgetary needs & provides recommendations to the Director of Operations.
- Reviews staffing needs for Transcription on a regular basis. Assists in the projection of future needs, taking into consideration productivity & budgetary data as requested.
-Plans, directs & participates in employee orientation & training programs for new & existing transcription staff.
-Conducts monthly departmental meeting w/ Transcription staff.
-Orders supplies ensuring adequate levels are maintained in the facility. Arranges for necessary equipment maintenance & repair, equipment upgrades & new purchases. Reports equipment malfunction: assures that dictating & transcribing equipment is maintained in constant state of readiness. Assures that tapes are of adequate quality & other dictating medium operates at maximum levels. Develops & issues management reports for service.
-Maintains statistics analyzing productivity, staffing & evaluation of departmental performance.


Qualifications:

Basic Qualifications:
- 5 years of medical terminology/transcription work experience in all medical, surgical, radiological & pathological specialties are required.
-Minimum of 2years as Lead-Transcriptionist or prior supervisory experience is required.
- High School Diploma is required.
- Registry w/ the American Association of Medical Transcriptionist.
- Familiarity w/ purchasing & payroll procedures, as well as policies & procedure guidelines is required.
- Knowledge of advanced medical terminology is required.
- Knowledge of Lanier Dictating System/software & Voice Writer System control unit & computer systems: & word processing is required.
- Knowledge of theory & principles of effective supervision is required.
]]> Sun, 13 May 2012 16:00:00 GMT 2424279-Maryland-Medical-Records Essential Functions:
- Accountable for ensuring accurate and appropriate documentation through local coaching, training and monitoring.
- Supervises Data Quality Auditors.
- In collaboration w/ the Encounter Information Operations (EIO) Training Manager and the local Data Quality Auditor, maintains a training program that supports documentation improvement and addresses documentation risk areas identified through local and regional audits.
- Training to deliver in multiple ways including individual clinician, groups of clinician and departmental meetings.
- Assures the planning, scheduling, and performance of concurrent and retrospective encounter audits, in accordance w/ regional compliance plan.
- Encounter audits will be the primary monitoring tool used to identify operational and regulatory issues related to coding, documentation, and compliance requirements and to ensure complete and accurate data capture in compliance w/ Federal and State requirements.
- Conducts audits on an as-needed basis and assures corrective actions are implemented for audit review findings.
- Serves as the local expert to Medical Center leadership and CMS team on internal and external regulatory requirements (e.g., Centers for Medicare and Medicaid Service (CMS) and National Committee for Quality Assurance (NCQA).
- Actively participates w/ local CMS team to ensure and meets local objectives and regional CMS compliance activities are supported.
- Acts as communication link regarding changes to federal and state government billing and coding guidelines and works w/ medical center leadership to provide confidential audits and feedback on an 'as needed' basis.
- Work w/ local CMS team and OSCR Liaison / Coordinator to address operational processes that hinder encounter data capture.
- Works w/ EIO to assure regional resolution, assures and enters audit results into regional audit database to support quality assurance process, regional analysis, and regional training activities if impact extends beyond the medical center.
- Oversees the preparation and/or performance of medical center auditing analysis and/or special projects.
- Collects data and performs analysis to determine root causes of under or over reporting as well as quantifying the effect of the condition identified in the audit.
- Recommends appropriate actions.
- Partners w/ the local Data Quality Auditor and the EIO Training and Audit Managers to identify audit trends and risk areas based on audit findings and data analysis.
- Assists in developing and implementing policies and procedures / Compliance Audit Standards to ensure compliance w/ Federal, State and other regulatory requirements and assures local compliance w/ these policies and procedures.
- NOTE: Travel between Medical Center facilities may be required.

Qualifications:

Basic Qualifications:
- Significant experience coding (five (5) or more years) based on Coding Clinic Guidelines for inpatient and outpatient.
- Three (3) to five (5) years of experience developing and conducting training / educational sessions for diverse audiences.
- Supervisory experience (two (2) or more years).
- Demonstrated experience conducting Medical Record audits including analysis and the creation / implementation of action plans that address audit finding.
- Demonstrated project management experience including design and implementation of audit plans.
- Experience using PC applications such as MS Word, Excel, Access, PowerPoint preferred.
- Medical center operations or clinical experience preferred.
- Bachelor's degree in Business Administration, Health Care, Public Health, Finance, or Business Medical Records Technology or equivalent experience.
- Certification in one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC).
- Ability to work with and maintain confidentiality of physician, patient, patient account and personnel data.
- Strong interpersonal and excellent written, verbal and presentation skills.
- Demonstrated ability to work within a team environment and build effective teams.
- Willingness to be flexible depending upon department and/or physician schedule needs.
- Demonstrated ability to review analytical data and audit findings to identify documentation trends and other risk areas.
- Demonstrated ability to develop data requirements and work with analytical groups to extract, organize and analyze coded data.
- Must be able to work in a Labor / Management Partnership environment.]]> Fri, 11 May 2012 16:00:00 GMT 2424276-Silicon-Valley-Medical-Records Essential Functions:
- Conducts on-going quality audits & monitors expertise to Certified Professional coders & other assigned non-clinical personnel work performance in order to ensure that appropriate medical documentation supports all code assignment required to receive appropriate reimbursement for Professional Services patient care services, treatments & procedures.
- Leads & provides supervision, direction & technical expertise to Certified Professional coders & other assigned non-clinical personnel.
- Provides ongoing education & development on documentation & coding to physicians & coders based on trends & patterns identified from ongoing audit findings.
- Coordinates external audits & reporting to regulatory agencies including Center for Medicare & Medicaid Services (CMS), Department of Health Services (DHS), Office of Statewide Health Planning & Development (OSHPD). Ensures compliance w/ guidelines/requirements of the Office of Inspector General (OIG ) by ensuring accurate & compliant submission of abstracted & coded data. Consistently upholds Corporate Compliance & Principles of Responsibility (KP's Code of Conduct).
- Works w/ Coding Manager to develop implement & monitor departmental policies & procedures that support organizational goals, business objectives & CMS requirements.
- Develops, trains & monitors the productivity & performance of assigned staff.
- Provides ongoing staff development based on identified needs.
- Supervises team locations & roles determined by the Manager & demand for on-site support.
- Collaborates with operating departments to schedule coding support & feedback audits.
- Assist with on-site support & end user feed back & coaching.
- Assists in the development of communication tools for coding documentation, questions & provider feedback assumes responsibility for additional projects concerned with supplies, training, scheduling, & data collection for the roll-out as needed & assigned.
- Functions as ongoing resource to providers for questions & serves as conduit for feedback from the end users & teams to the auditing tool designers for application modifications & additions.
- Supervise coding staff, including scheduling, coaching, & issue resolution.
- Works in collaboration with the Coding Manager, Revenue Integrity & the Patient Financial Services management team to provide ongoing feedback to the HIMS Education team for training & routine feedback purposes to the providers & ancillary staff.
- Hires, disciplines & evaluates/manages the performance of assigned staff.


Qualifications:

Basic Qualifications:
- 5 years of experience in a health care setting is required.
- 4 years of coding experience is required.
- 2 years of medical terminology required.
- 4 years of customer service experience is required.
- 4 years of knowledge in coding practices is required.
- 4 years of knowledge of compliance & regulatory requirements is required.
- Bachelor's degree in health administration (or a related field) or RHIA certification is required.
OR Associate's degree in health related field or RHIT certification plus 2 years of additional experience is required.
- CPC or CPC-H or CCS or CCS-P is required.
- CPMA or other auditing certificate is required within 6 months of hire
- Ability to work with & maintain confidentiality of physician, patient, patient account & personnel data is required.
- Effective verbal & written communication skills, as well as, strong interpersonal skills is required.
- Ability to effectively abstract medical information to determine the correct data is required.
- Strong data management skills including proficiency in MS Office applications is required.
- Ability to work independently with minimal supervision is required.
- New Hire:
-Successful completion of Assessment of Critical Coding Skills.
- 80% or higher passing score.
- Annually:
- Successful completion of Assessment of Critical Coding Skills.
- 80% or higher passing score.
Preferred Qualifications:
- Project management experience preferred.
- Training/Education experience preferred.
- 2 years of supervisory experience is preferred.
]]> Thu, 10 May 2012 16:00:00 GMT 2424232-Maryland-Medical-Records Works closely with Patient Financial Services & denial management team to ensure coding issues are resolved.
Essential Functions:
- Assists Coding Supervisor & Coding Manager in meeting departmental quality, service, cost, productivity & reimbursement goals & objectives.
- In collaboration with the Patient Financial Service managers & front ends staff identify, troubleshoot & problem solve any coding issues that impact the Revenue Cycle processes.
- Communicates & participates in local, regional & operational strategic meetings & initiatives involving coding & the revenue cycle enhancement process.
- Actively involved in mentoring & training all functions & services related to inpatient & outpatient medical coding, medical documentation & physician queries, abstracting & data collection.
- Monitors coding & abstracting quality by conducting &/or coordinating ongoing audits to ensure coding quality & performance improvement standards are maintained, achieved & improved.
- Works with HIM Management to develop, implement, evaluate & improve coding policies & procedures & department operations.
- Ensures compliance with all applicable federal, state & local regulations, as well as with institutional/organizational standards, practices, policies & procedures.
- Strong research skills including knowledge of automated analysis tools & on-line research tools required to resolve complex coding/systems issues.
- Conducts Quality Assurance audits & qualitative/quantitative review of medical record to verify the completeness & accuracy of diagnoses, operation & special diagnostic & therapeutic procedures which conform to established standards & in compliance with outside regulatory agencies & Kaiser Permanente policies.
- Participates in regular quality assurance activities by providing technical support for data collection & report compilation relative to coding. Conducts on-going training sessions & routine feedback (oral & written) to providers & ancillary staff on standard coding practices as it relates to revenue recovery principles & procedures for identification & billing.
- Performs focused reviews on encounters as needed to support various coding & revenue cycle initiatives as appropriate.
- Edits or queries providers as needed diagnostic & procedure codes assigned to encounter visits using the ICD-9-CM, CPT & HCPCS coding systems as seen in the charge review work queues.
- Participate in various audit validation processes.
- Other duties as assigned.


Qualifications:

Basic Qualifications:
- 4 years of experience in a health care setting is required.
- 3 years of coding experience is required.
- 2 years of medical records audit experience is required.
- 2 years of electronic medical records experience is required.
- 2 years of medical terminology required.
- 3 years of customer service experience is required.
- 3 years of knowledge in coding practices is required.
- 3 years of knowledge of compliance & regulatory requirements is required.
- Bachelor's degree in health administration (or a related field) or RHIA certification is required OR Associate's degree in health related field or RHIT certification plus 2 years of additional experience is required.
- CPC or CCS-P is required.
- CPC-H or CCS is required within 6 months of employment.
- CPMA or other auditing certificate is required within 6 months of employment.
- Ability to work with & maintain confidentiality of physician, patient, patient account & personnel data is required.
- Effective verbal & written communication skills, as well as, strong interpersonal skills is required.
- Ability to effectively abstract medical information to determine the correct data is required.
- Strong data management skills including proficiency in MS Office applications is required.
- Ability to work independently with minimal supervision is required.
- New Hire:
-Successful completion of Assessment of Critical Coding Skills.
- 80% or higher passing score.
- Annually:
- Successful completion of Assessment of Critical Coding Skills.
-80% or higher passing score.
Preferred Qualifications:
- Project management experience preferred.
- Training/Education experience preferred.
- Supervisory experience preferred.
]]> Thu, 10 May 2012 16:00:00 GMT 2424132-Rockville-Medical-Records Essential Functions:
- Upholds KP's Policies & Procedures, Principles of Responsibilities & applicable state, federal & local laws
- Reviews medical records to identify & assign appropriate codes for diagnoses, procedures, professional service levels & other services rendered
- Assigns & sequences codes for diagnoses, procedures & other services as needed utilizing the applicable coding conventions
- Reviews OSHPD error correction reports within the scope of the assigned abstracting & coding function & makes corrections
- Ensures that all abstracted and/or coded data are consistent w/ federal & state regulations, OSHPD reporting guidelines & organizational policy as it relates to corporate compliance policy for accurate coding
- Interacts w/ physicians through a query process to clarify documentation to support accurate patient diagnostic & procedural information
- Enters patient information into the computerized systems, ensuring the accuracy & integrity of the data
- Maintains timely coding & abstracting productivity & quality standards
- Participates in medical record documentation review
- Maintains & complies w/ HIPAA policies & procedures for confidentiality of all patient records
- Attends & participates selected national, regional & local documentation & coding education sessions
- Works collaboratively w/ others on coding questions & issues
- Demonstrates knowledge of security of systems by not sharing computer logons
- Answers the telephone promptly & identifies self & department
- Maintains courteous & cooperative relations when interacting w/ others
- Performs other duties as assigned by supervisor


Qualifications:

Pay Grade 19

Basic Qualifications:
- Completion of classes in Medical Terminology, Anatomy/ Physiology, International Statistical Classification of Diseases and Related Health Problems (ICD-9) and Current Procedural Terminology (CPT) coding conventions conforming to standards established by the American Hospital Association (Coding Clinic), American Medical Association, Centers for Medicare & Medicaid Services (CMS) or successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) accredited coding certification preparation program
- Requires one of the following current credentials: Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist-Physician (CCS-P), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)
- Obtain a passing score on a Kaiser Permanente Emergency Department coding assessment
- Ability to understand the clinical content of a health record
- Ability to effectively communicate with physicians & other health care providers
- Ability to perform within acceptable established quality standards
- Keyboarding skills

Notes:
- This is an on call position, schedule hours vary between the Day shift
]]> Thu, 10 May 2012 16:00:00 GMT 2232552-California-Medical-Records
Essential Functions:
- AS APPROPRIATE FOR ASSIGNED AREAS/FUNCTIONS:
- Assists Health Information Management Director in meeting quality, service, cost, productivity and reimbursement goals and objectives.
- Coordinates all functions and services related to medical records systems and management Plans.
- Coordinates, assigns, prioritizes and monitors daily work for assigned staff which may include Medical Records retrieval, assembly, delivery, completion, transcriptions, release of information, vital statistics registration, medical correspondence / secretarial services, and legal support services.
- Works with Director to develop and implement policies and procedures, work systems, methods and processes and contingency plans for each function to assure timely and accurate completion of work that is consistent with regulatory agency requirements.
- Establishes, organizes and maintains a medical records system(s) in accordance with organizational, institutional, state and national regulatory requirements.
- Ensures that an accurate, complete medical record is available to medical providers and other authorized users requesting medical record information to support clinical research, decision support analysis, disease management, reimbursement or to measure the quality, efficacy, safety and costs of patient care.
- Designs and implements systems and methods for auditing the quality, adequacy, consistency and completeness of medical records/documentation and to initiate corrective/remedial procedures and practices as needed.
- Develops and implements policies and procedures for processing medico-legal documents, insurance and medical correspondence requests in compliance with professional standards of practice and applicable statutory requirements.
- Coordinates provision of services with medical staff and other medical center departments/personnel and external agencies.
- Responds to requests from individuals, agencies, courts and other external agencies for medical information in accordance with department policies/procedures pertaining to release of confidential patient information.
- Identifies the need for and evaluates/recommends appropriate content of contracts with outside providers/independent contractors to provide medical records management, transcription or other services.
- Continually monitors and evaluates work flow, systems/processes and output.
- Assume other duties as directed.

Qualifications:

Basic Qualifications:
- Three (3) or more years, usually, of previous relevant experience supervising medical records management systems in an acute care general medical center or comprehensive ambulatory care center.
- For in-patient medical records management: Recent experience with C.A.L.S. and TJC surveys.
- High school diploma or GED required.
- Associate degree in health information technology preferred.
- Ability to demonstrate knowledge of laws and regulations and accreditation standards pertaining to medical records (e.g., TJC, HIPAA, CMS, DHS, Medicare, Uniform Health Care Information Act).
- Ability to demonstrate knowledge of and to utilize the professional practice standards, principles, techniques and methodologies pertaining to the creation and use of medical records.
- If supervising medical transcription/dictation services:
- Ability to demonstrate an understanding of medical language and interpret dictation by physicians in order to assist transcriptionists with issues involving editing, clarification, style, and practice standards.
- For in-patient medical records management:
- Demonstrated ability to utilize interpersonal and communication skills.
- Demonstrated ability to utilize the principles and practices of effective supervision
- Proficient with a variety of software used by the department.
- Must be able to work in a Labor-Management Partnership environment.

PreferredQualifications:
- RHIT certification
-Coding knowledge for In-Patient and PSC services highly recommended

]]> Wed, 09 May 2012 16:00:00 GMT 2418144-California-Medical-Records Essential Functions:
- Using independent judgment and sensitivity, coaches individual physicians, reviewing their audit findings, making suggestions for documentation improvements and updating on changes to Federal and State government billing and coding guidelines.
- Partners with Trainer in the development of future training that will address documentation risk areas identified through local and regional audits.
- Plans, schedules and performs encounter audits to monitor performance and ensure lasting improvement.
- Encounter audits will be the primary monitoring tool used to identify operational and regulatory issues related to coding, documentation, and compliance requirements and to ensure complete and accurate data capture in compliance with Federal and State requirements.
- Monitors corrective actions for audit review findings.
- Serves as a local resource in meeting internal and external regulatory requirements (e.g., Centers for Medicare & Medicaid Service (CMS), National Committee for Quality Assurance (NCQA)).
- Actively participates with local CMS (Center for Medicare/Medical Services) team to ensure local objectives are met and regional CMS compliance activities are supported.
- Works with medical center leadership to provide confidential audits and feedback on an 'as needed' basis.
- Assists in the identification of operational processes that hinder encounter data capture.
- Enters encounter audit results into regional audit database to support quality assurance process, regional analysis and regional training activities.
- Prepares and/or performs medical center auditing analysis and/or special projects as assigned.
- Partners with Data Quality Trainer and other local analytical workgroups to identify audit trends and risk areas based on audit findings and data analysis.
- Assists in developing and implementing policies and procedures / Compliance Audit Standards to ensure compliance with Federal, State and other regulatory requirements.
- NOTE: Travel between Medical Center facilities may be required.

Qualifications:

Basic Qualifications:
- Significant experience coding, three (3) or more years, based on Coding Clinical Guidelines for inpatient and outpatient.
- Demonstrated experience conducting Medical Record audits and ability to interpret and apply Federal and State regulations, coding and billing requirements.
- Demonstrated project management experience including design and implementation of audit plans.
- Experience using PC applications such as MS Word, Excel, Access, PowerPoint, preferred.
- Medical center operations or clinical experience, preferred.
- Bachelor's degree in business administration, health care, public health, finance, business medical records technology OR equivalent experience.
- Certification in one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC).
- Demonstrated ability to constructively and sensitively provide feedback to providers and medical center leadership regarding federal and state coding, medical documentation and compliance guidelines, audit results and risk areas.
- Ability to work with and maintain confidentiality of physician, patient, patient account and personnel data.
- Strong interpersonal and excellent written, verbal and presentation skills.
- Demonstrated ability to work independently with minimal supervision.
- Demonstrated ability to work within a team environment.
- Willingness to be flexible depending upon department and/or physician schedule needs.
- Demonstrated ability to review analytical data and audit findings to identify documentation trends and other risk areas.
- Demonstrated ability to develop data requirements and work with analytical groups to extract, organize and analyze coded data.
- Must be able to work in a Labor/Management Partnership environment.]]> Wed, 09 May 2012 16:00:00 GMT 2418104-Walnut-Creek-Medical-Records Essential Functions:
- Using independent judgment and sensitivity, coaches individual physicians, reviewing their audit findings, making suggestions for documentation improvements and updating on changes to Federal and State government billing and coding guidelines.
- Partners with Trainer in the development of future training that will address documentation risk areas identified through local and regional audits.
- Plans, schedules and performs encounter audits to monitor performance and ensure lasting improvement.
- Encounter audits will be the primary monitoring tool used to identify operational and regulatory issues related to coding, documentation, and compliance requirements and to ensure complete and accurate data capture in compliance with Federal and State requirements.
- Monitors corrective actions for audit review findings.
- Serves as a local resource in meeting internal and external regulatory requirements (e.g., Centers for Medicare & Medicaid Service (CMS), National Committee for Quality Assurance (NCQA)).
- Actively participates with local CMS (Center for Medicare/Medical Services) team to ensure local objectives are met and regional CMS compliance activities are supported.
- Works with medical center leadership to provide confidential audits and feedback on an 'as needed' basis.
- Assists in the identification of operational processes that hinder encounter data capture.
- Enters encounter audit results into regional audit database to support quality assurance process, regional analysis and regional training activities.
- Prepares and/or performs medical center auditing analysis and/or special projects as assigned.
- Partners with Data Quality Trainer and other local analytical workgroups to identify audit trends and risk areas based on audit findings and data analysis.
- Assists in developing and implementing policies and procedures / Compliance Audit Standards to ensure compliance with Federal, State and other regulatory requirements.
- NOTE: Travel between Medical Center facilities may be required.

Qualifications:

Basic Qualifications:
- Significant experience coding, three (3) or more years, based on Coding Clinical Guidelines for inpatient and outpatient.
- Demonstrated experience conducting Medical Record audits and ability to interpret and apply Federal and State regulations, coding and billing requirements.
- Demonstrated project management experience including design and implementation of audit plans.
- Experience using PC applications such as MS Word, Excel, Access, PowerPoint, preferred.
- Medical center operations or clinical experience, preferred.
- Bachelor's degree in business administration, health care, public health, finance, business medical records technology OR equivalent experience.
- Certification in one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC).
- Demonstrated ability to constructively and sensitively provide feedback to providers and medical center leadership regarding federal and state coding, medical documentation and compliance guidelines, audit results and risk areas.
- Ability to work with and maintain confidentiality of physician, patient, patient account and personnel data.
- Strong interpersonal and excellent written, verbal and presentation skills.
- Demonstrated ability to work independently with minimal supervision.
- Demonstrated ability to work within a team environment.
- Willingness to be flexible depending upon department and/or physician schedule needs.
- Demonstrated ability to review analytical data and audit findings to identify documentation trends and other risk areas.
- Demonstrated ability to develop data requirements and work with analytical groups to extract, organize and analyze coded data.
- Must be able to work in a Labor/Management Partnership environment.]]> Mon, 30 Apr 2012 16:00:00 GMT 2391561-Sacramento-Medical-Records Essential Functions:
- Upholds KP's Policies & Procedures, Principles of Responsibilities & applicable state, federal & local laws
- Reviews medical records to identify diagnoses, procedures, professional service level & other services & supplies
- Assigns & sequences codes for diagnoses, procedures, professional services & other services as needed utilizing the applicable coding conventions as stated above per regulatory guidelines
- Reviews coding claim edits & functions
- Ensures that all coded data is consistent w/ federal & state regulations & organizational policy as it relates to corporate compliance policy for accurate coding
- Interacts w/ physicians through a query process to clarify documentation to support accurate patient diagnostic & procedural information
- Enters coded information into a manual or computerized system as required, ensuring the accuracy & integrity of the data
- Maintains timely coding productivity & quality standards
- Participates in medical record documentation review
- Maintains & complies w/ HIPAA policies & procedures for confidentiality of all patient records
- Demonstrates knowledge of security of systems by not sharing computer logons
- Attends & participates in selected national, regional & local documentation & coding education sessions
- Works collaboratively w/ others on coding questions & issues
- Answers the telephone promptly & identifies self & department
- Maintains courteous & cooperative relations when interacting w/ others
- Performs other duties as assigned by supervisor


Qualifications:

Pay Grade: 15

Basic Qualifications:
- Completion of classes in Medical Terminology, Anatomy/ Physiology, International Statistical Classification of Diseases and Related Health Problems (ICD-9) and Current Procedural Terminology (CPT) coding conventions conforming to standards established by the American Hospital Association (Coding Clinic), American Medical Association, Centers for Medicare & Medicaid Services (CMS) or successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) accredited coding certification preparation program
- Requires one of the following current credentials: Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist-Physician (CCS-P), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)
- Obtain a passing score on a KP Professional Services Coder I coding assessment
- Ability to understand the clinical content of a health record
- Ability to effectively communicate w/ physicians & other health care providers
- Ability to perform within acceptable established quality standards
- Keyboarding skills

Notes:
- This is an on call position, days and hours may vary according to departmental need

]]> Sun, 22 Apr 2012 16:00:00 GMT 2369993-California-Medical-Records - Coordinates and processes release of medical information for all incoming requests for release of information.
- Analysis of incoming release of information requests determining if Authorization to release medical information is complete and HIPAA compliant.
- Analysis of incoming release of information requests, determining type of request for processing according to current ROI workflows, Policies and Procedures and State of Georgia State Statute Codes.
- Processes Production of Documents, Certifications and Subpoenas and any other legal requests.
- Recapitulate medical information for FMLA, Disability, OB Disability and Non Disability requests.
- Maintains record of correspondence requests in a standard format in the ROI Log/Request.
- Coordinates activities with outside vendor copier service.
- Completes special projects and assignments for Supervisor and/or HIMS Manager.
- Participates in regular quality assurance activities by providing technical support, such as data collection, report compilation, etc as requested.
- Other duties as assigned.


Qualifications:

Basic Qualifications:
- Associates degree in health services discipline with an RHIT credential or a formal HIT program or related discipline governed AHIMA program or currently in an AHIMA accredited HIT program and obtain degree and certification (RHIT or RHIA) within 6 months of hire.
- Two years or more ROI experience.
- Ability to operate a computer and typing skills of 35 WPM required; passing score of 70% or greater for Basic Microsoft Word and Excel.
- Knowledge of CPT & ICD-9 coding guidelines
- Demonstrated technical knowledge in State and Federal legislation and Kaiser Permanente Policies and Procedures regarding release of information and confidentiality required.
Preferred Qualifications:
- Bachelors degree program in an AHIMA accredited program.
]]> Mon, 16 Apr 2012 16:00:00 GMT 2355480-Atlanta-Medical-Records - Analysis/reading of medical record for release of information to non Kaiser Health Care provider
- Provide assistance and support to coworkers, physicians, facility manager
- Photocopying, open mail, clerical support, responsible for incoming and outgoing faxing
- Processing AB610's and insurance requests for copy services
- Maintenance of completed and pending requests
- Orders charts, answers phones and assist with walk in requests
- Assist medical secretaries as required
- Additional duties as assigned by manager or Senior medical secretary
- Requires answering of telephones and use of CRT and MRMS for processing of medical records.

Qualifications:

Basic Qualifications:
- High School degree or equivalent, College Degree preferred
- Demonstrated 25 WPM typing speed
- Competent in medical terminology, medical abbreviations and chart abstraction
- Ability to function independently with little or no supervision and part of a team in a high need, high volume, production oriented department.
- Compliance to the confidentiality of patient and employee policy
- One or more years experience (within the past 5 years) in a medical correspondence, medical secretary or medical records departments, emphasis on typing, filing, forms processing, data entry and automated systems
- Demonstrated ability to serve as a liaison between customers and clients (patients, Physicians, coworkers, facility departments, organizational department, etc.) to understand, research, analyze, and make decisions within the parameters of the job with minimal supervision
- Knowledge of state law and AB610's
- Knowledge of mainframe applications including MRMS,CIPS, MED CORR2 and Health Connect.
- Demonstrated effective verbal and written communication skills and the ability to understand and carry out verbal/written directions
- Demonstrated ability to consistently exhibit a high degree of tact, courtesy, and poise when interacting with customers and clients
- Must be customer service oriented and exhibit a professional manner
- Must be able to sit for long periods of time
- Must be able to meet and adhere to the facility/department service standards and expectations.

Preferred Qualifications:
- Demonstrated ability to consistently exhibit a high degree of tact, courtesy, and poise when interacting with customers, patients, coworkers, physicians and staff.

Skills testing: Typing (25WPM) and Medical Terminology.

This position will be moving to the Park Shadelands Facility.

Scheduled days and hours are dependent upon departmental needs and may include holidays and weekends.
]]> Mon, 16 Apr 2012 16:00:00 GMT 2355438-Walnut-Creek-Medical-Records Essential Functions:
- Assure compliance of operational processes and outpatient encounter data capture throughout Southern California Kaiser Permanente making determinations with respect to appropriateness of documentation, adherence to Federal, State and local regulations.
- Partners with ECS DQS's to review regional and local audit findings to identify coding risk areas, and ensure that medical center training activities are addressing these areas.
- Identify through focused audits operational and regulatory issues related to coding, documentation, and compliance reguirements, ensuring that appropriate documentation is maintained to comply with Federal and State requirements.
- Partner with Compliance Analyst, DQSs and other local analytical workgroups to identify audit trends and risk areas based on audit findings and data analysis - formulate recommendations for future training and areas of education and focus based on findings.
- Using independent judgment and sensitivity, review with individual physicians their audit findings and make suggestions for coding improvements.
- Monitor coding performance to ensure lasting improvement.
- Monitor corrective actions for audit review findings.
- Conduct confidential audits for specific providers who represent a risk due to special circumstances or prior audit issues - work with medical center leadership to provide confidential feedback on an 'as needed' basis.
- Actively participate in local ECS Oversight Committee and ECS champion physicians to work to resolve local coding issues, ensure compliance with local and regional audit plan and act as communication link regarding changes to federal and state government billing and coding guidelines.
- Prepare and/or perform regional and medical center auditing analysis and/or special projects as assigned.
- Assists in developing and implementing policies and procedures/Compliance Audit Standards to ensure compliance with Federal, State and other regulatory requirements.

Qualifications:

Basic Qualifications:
- Bachelor's Degree or equivalent experience in Finance/Business, Medical Records Technology, Health Services Administration, Nursing or other Ancillary medical area.
- Certification in one of the following: i.e. Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), and three (3) or more years coding experience.
- Demonstrated ability to review analytical, data and audit findings to identify coding trends and risk areas.
- Ability to develop data requirements and work with Compliance Analyst and other analytical groups to extract, organize and analyze coded data.
- Demonstrated ability to work independently with minimal supervision, including willingness to be flexible depending upon department and/or physician schedule needs.
- Demonstrated ability to constructively and sensitively provide feedback to physicians and medical center leadership regarding federal and state coding, medical documentation and compliance guidelines, audit results and risk areas.
- Audit skills and the ability to interpret and apply Federal and State regulations, coding and billing requirements.
- Demonstrated ability to effectively work within a team environment, using excellent written, verbal and presentation skills to share audit findings, risk areas and compliance issues.
- Strong interpersonal and excellent written and oral communication skills.
- Ability to work with and maintain confidentiality of physician, patient, patient account, and personnel data.
- Must be able to work in a Labor/Management Partnership environment.


Preferred Qualifications:
- Research skills including knowledge of automated analysis tools and on-line research tools to resolve complex healthcare issues preferred.
- Medical center operations or clinical experience preferred.
- Computer experience in MS Word and Excel.
- Data entry skills.


Notes:
- Must be available to work flexible days and hours.
- Travel between all Medical Center facilities may be required.
]]> Sun, 08 Apr 2012 16:00:00 GMT 2332156-Huntington-Beach-Medical-Records - Analysis/reading of medical record for release of information to non Kaiser Health Care provider
- Provide assistance and support to coworkers, physicians, facility manager
- Photocopying, open mail, clerical support, responsible for incoming and outgoing faxing
- Processing AB610's and insurance requests for copy services
- Maintenance of completed and pending requests
- Orders charts, answers phones and assist with walk in requests
- Assist medical secretaries as required
- Additional duties as assigned by manager or Senior medical secretary
- Requires answering of telephones and use of CRT and MRMS for processing of medical records.

Qualifications:

Basic Qualifications:
- High School degree or equivalent, College Degree preferred
- Demonstrated 25 WPM typing speed
- Competent in medical terminology, medical abbreviations and chart abstraction
- Ability to function independently with little or no supervision and part of a team in a high need, high volume, production oriented department.
- Compliance to the confidentiality of patient and employee policy
- One or more years experience (within the past 5 years) in a medical correspondence, medical secretary or medical records departments, emphasis on typing, filing, forms processing, data entry and automated systems
- Demonstrated ability to serve as a liaison between customers and clients (patients, Physicians, coworkers, facility departments, organizational department, etc.) to understand, research, analyze, and make decisions within the parameters of the job with minimal supervision
- Knowledge of state law and AB610's
- Knowledge of mainframe applications including MRMS,CIPS, MED CORR2 and Health Connect.
- Demonstrated effective verbal and written communication skills and the ability to understand and carry out verbal/written directions
- Demonstrated ability to consistently exhibit a high degree of tact, courtesy, and poise when interacting with customers and clients
- Must be customer service oriented and exhibit a professional manner
- Must be able to sit for long periods of time
- Must be able to meet and adhere to the facility/department service standards and expectations.

Preferred Qualifications:
- Demonstrated ability to consistently exhibit a high degree of tact, courtesy, and poise when interacting with customers, patients, coworkers, physicians and staff.

Skills testing: Typing (25WPM) and Medical Terminology.

This position will be moving to the Park Shadelands Facility.

Scheduled days and hours are dependent upon departmental needs and may include holidays and weekends.

Expected length of employment: Up to 90 days.]]> Wed, 04 Apr 2012 16:00:00 GMT 2325033-Walnut-Creek-Medical-Records
Essential Functions:
- Supervise staff to include; hiring, training, coaching, discipline, performance management
- Provide regular performance feedback to direct reports
- Develop, implement and evaluate department policies and procedures to ensure accuracy, availability and release of health information
- Implement and maintain a quality program and performance standards
- Collaborate with IT, Health Connect, Clinical Operations, Compliance, and other departments to identify and resolve systems or workflow issues that may impact the completeness, timeliness and accuracy of the health record
- Develop, implement and evaluate departmental policies and procedures to ensure the accuracy, availability, and the release of health information. Ensure compliance with state and federal agency requirements.


Qualifications:

Basic Qualifications:
-4 years experience in health information management
- 2 years supervisory experience in health information management
- Experience working with electronic medical record systems
- Associate's degree in Health Information Systems
- Registered Health Information Management Technician (RHIT) or Registered Health Information Management Administrator (RHIA) required within six months of hire
- Strong organizational and problem-solving skills
- Excellent verbal/written communication skills with the ability to coach and train others
- Current knowledge of federal, state and local requirements for confidentiality and release of information]]> Tue, 03 Apr 2012 16:00:00 GMT 2316773-Ohio-Medical-Records
To provide professional service assistance to the Lead Coding Educator & Coding Educators as it relates to, consultation, audit & feedback to clinicians on their documentation & coding to ensure the KPMAS receives appropriate reimbursement & conforms to applicable guidelines & regulation. This position is a supportive role to that of the Lead Coding Educator & Coding Educators.

Essential Functions:
- Performs daily surveillance of encounters performed in locations external to KPMAS MOBs to ensure charges entered into the KPHC charging system are valid. Verifies the accuracy, completeness, & precision of ICD-9-CM, CPT-4, & HCPCs coding, including modifiers, units, & other variables impacting workload accountability & billing. This requires independently re-coding the encounter from source documentation, completing supporting worksheets documenting rationale for coding decisions, recording discrepancies, & recording the rationale for changes in codingdecisions.
- Provides External Service Capture training to clinicians on documentation of services & appropriate coding of level of service (CPT-4), diagnoses (ICD9-CM), procedures (CPT-4) & HCPCS coding associated w/ charge capture w/ potential to impact workload accountability & billing. This covers settings external to that of KPMAS MOBs.
- Maintains current knowledge to ensure that KPMAS coding & documentation meets regulatory guidelines & audit standards & results in appropriate reimbursements. Maintains professional competency in professional services coding & documentation requirements.
- Collaborates w/ the Coding Educators team to develop & implement strategies to make appropriate documentation & coding easier for clinicians.
- Present providers w/ training materials & information derived from audit findings as instructed by Lead Coding Educator, for feedback to physicians.

Qualifications:

Basic Qualifications:
-2 years of experience in a health care setting is required.
- 2 years of coding experience is required.
- 2 years of medical terminology required.
- 2 years of customer service experience is required.
- 2 years of knowledge in coding practices is required.
- High School diploma is required.
- CPC or CCS-P is required.
- 2 years of knowledge of compliance & regulatory requirements is required.
]]> Thu, 29 Mar 2012 16:00:00 GMT 2308918-Maryland-Medical-Records
Essential Functions:

1.Ensure compliance with internal policies and external regulations and standards, as well as confidentiality, information security, financial accountability and related regional coding audits, CDI & education functions. Develop and recommend changes to policies and processes that affect Revenue Cycle and the HIM Coding audits (internal and external), CDI and education functions. Collaborate with ICD-10 Education and Audit Manager, Coding Review Manager, and CDI Management, as well as the local hospitals, regional leadership and staff members to ensure regional HIM Coding initiatives and goals are met. (25%)

2.Direct the coordination and monitoring of all Regional HIM Coding audits, CDI, and education initiatives throughout Northern California. Work with Regional HIM to implement and monitor department policies and procedures that support organizational goals, business objectives, coding accuracy, and data quality. (25%)


3.Generate and assess reports to achieve and sustain audit, education, and CDI metrics for effectiveness through quality coding. Monitor performance results through observations, audits, statistical data analysis and operational reports to identify deficiencies that will be addressed by developing and implementing action plans, process improvement and employee development. (5%)

4.Conduct interviews, make recommendations to hire, and provide on-boarding of management team. Develop staff performance through training, coaching, and monitoring to ensure staff is trained to perform their job functions. (5%)


5.Develop short and long range department goals and objectives. Participate in the preparation of and is responsible for on-going management of department budgets to meet fiscal goals. This includes involvement in strategic planning and review. (5%)

6.Represent Regional HIM Coding Audit, Education, and participate with CDI at all required meetings including but not limited to Compliance, Revenue Integrity, Quality and Core metrics. (5%)



Qualifications:

Basic Qualifications:

- Bachelors degree or equivalent in Health Information Management or Allied Healthcare, Public Health or Business Management.
- At least 10 years experience in health information management field. Significant experience (5+ years) as a healthcare HIM Director/Coding Director/DRG Coordinator, Coding Supervisor, Coding Auditor or similar job title.
- RHIA or RHIT and CCS

Preferred Qualifications:

- 3-5 years experience working with MS-DRGs, APR-DRGs, APCs and HCCs.
- 1-2 years experience with CDI program.
- CCDS Certification
]]> Thu, 29 Mar 2012 16:00:00 GMT 2305217-Oakland-Medical-Records Responsible for project management for assigned organizational initiatives, the creation of training materials, organization of the training sessions on subjects complementing organizational and audit operations departmental initiatives, needs, regulation and coding updates.
Builds working relationships with senior managers at the National, Divisional, Regional, Service Area and Medical Center levels for the development of a team environment for consistent application of audit operations directives across the region.
Responsible for partnering with local providers, and other leadership and administrative teams to oversee the quality and accuracy of coded physician professional services clinical and administrative data.
Develops, implements, and manages utilization review and cost containment programs for appropriate areas within the Kaiser Foundation Health Plan, Kaiser Foundation Hospitals, TPMG and SCPMG.
Oversees the communication and implementation of organization directives within the assigned functional area and as needed throughout the organization.
Within the functional areas (where appropriate), the Assistant Director provides expertise in ICD-9-CM, ICD-10-CM, hierarchical condition categories (HCCs), CPT (including E&M, diagnostic, and procedural services) as well as federal, state, and organizational compliance guidelines to ensure optimal documentation and compliance.


Essential Functions:
- Manages the daily operations of assigned functional area and staff.
- Manage and develop staff within the assigned functional area.
- Provide strategic planning and direction to meet organizational initiatives aligning goals and work completed in the department with organizational objectives.
- Lead the hiring process and interviews. Oversee the on-boarding process.
- Prepare and manage budgets and resource allocations.
- Review vendor contracts and make recommendations to the Director.
- Accountable for the implementation and monitoring of SCPMG initiatives within assigned functional area.
- Assure compliance of operational processes and outpatient encounter charge/data capture throughout Southern California Kaiser Permanente making determinations with respect to appropriateness of documentation, adherence to federal, state, and local regulations.
- Identify and create strategies for increasing efficiency and improving processes. Work with leadership to implement approved departmental changes.
- Review policies and procedures to ensure compliance of operational processes and physician professional services charge/data capture throughout Southern California Permanente Medical Group on an annual basis.
- Review mediation on complex coding and compliance issues and analyze problem trends.
- In collaboration with key stakeholders, assess effectiveness of training, and communication tools for coding documentation, questions and provider and auditor feedback.
- Identify trends, patterns, and/or system issues that may contribute to coding and documentation deficiencies and risk areas and make recommendations to Director.
- Join local committees and collaborate with NCO, KPHC, long term support, and champion physician workgroups to resolve local coding issues, ensure compliance with local and regional audit plan, SOX and Corrective Action Plan ('CAP') requirements, and act as communication link regarding changes to federal and state government billing and coding guidelines.


Qualifications:

Notes:
- Must be available to work flexible days and hours.
- Must be able to travel between all Medical Center facilities if required.
- Position may include assignment to various Medical Centers and/or regional offices.


Basic Qualifications:
- Bachelors Degree or (seven [7] years) equivalent experience in Finance/Business, Medical Records Technology, Health Services Administration, or Nursing.
- Masters Degree preferred.
- A minimum offive (5) years ofexperience in a management/supervisory role, last three (3) years need to be in a manager role.
- Proficient in team building, conflict resolution, group interaction, project management, and budget management required.
- Knowledge of CMS rules and regulations and current coding resources, including CPT, ICD-9-CM, ICD-10-CM, HCPCS, fee schedule and HCCs (where appropriate).
- Critical thinking skills and ability to resolve complex issues and perform root cause analysis.
- Strong interpersonal skills, including the ability to establish and maintain effective relationships with providers, leadership, senior administrators, colleagues and auditing staff.
- Excellent communication (written and verbal), presentation, and facilitation skills.
- Must be flexible to meet the needs of the department and/or provider schedule.
- Proficiency in Microsoft Office (Excel, Word, PowerPoint, Access and Visio, etc.).
- Must be able to work in a Labor/Management Partnership environment.
- Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.


Preferred Qualifications:
- Research skills including knowledge of automated analysis tools and on-line research tools to resolve complex healthcare issues.
- Certification in one or more of the following: Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), and/or Certified Coding Specialist - Physician (CCS-P) is highly desired.
- Specialty coding certification is highly desired.
- Certification in Healthcare Compliance is highly desired.
- Experience in health insurance in billing and charge capture outside Kaiser Permanente is highly desired.
- Medical center operations or clinical experience.
- Experience in adult learning principles in training various content to all levels of staff in small and large group settings.
]]> Thu, 29 Mar 2012 16:00:00 GMT 1431355-Los-Angeles-Medical-Records
Essential Functions:
- Develop action plans as necessary to resolve knowledge gaps w/employees or to address the implementation of new service offerings or code changes
- Facilitate the collection of information to provide feedback to physicians through the consultants on work performance to ensure consistency & accuracy w/all professional coding
- Advise the Region and staff on professional coding & documentation guidelines to ensure regulatory compliance
- Facilitate education to support Medicare Risk requirements & organization goals
- Provide staff with training and resources on coding procedures & system workflow/functionality
- Coordinate proper utilization of human resources necessary for the effective & efficient operation of the department
- Support maintenance of a comprehensive annual budget that reflects department needs & the application of cost-effective management
- Monitor efficiency and productivity to ensure compliance to national metrics & departmental performance standards
- Provide staff supervision to accomplish timely & qualitative response to professional services documentation/coding requests, issues & responsibilities
- Demonstrate positive human relations skills, utilizing effective leadership, written & oral communication skills
- Ensure staff capabilities through established Kaiser Permanente policies & procedures along w/prescribed management & personnel practices
- Participate in the recruitment, development, appraisal & retention of competent professional services coding staff
- Participate in problem identification, data gathering & implementation of strategy actions that are in the best interest of the department and its mission, values & philosophy
- Provide staff with information about the Program's mission, strategic direction, values & the external environment to increase their effectiveness

Qualifications:

Basic Qualifications:
- Minimum of 3 years progressive and in-debth multispecialty coding experience in assignment of diagnostic and procedural coding.
- Minimum of 1 year previous leadership or supervisory experience that includes conducting coaching/training of coding staff.
- Minimum of 1 year experience evaluating coding audits and quality performance measures.
- Associate's degree Health Information Management, or equivalent that is directly related to the duties and responsibilities
- Current credential as a Registered Health Information Administrator (RHIA), or a Registered Health Information Technician (RHIT), Certified Coding Specialist Professional (CCS-P) from AHIMA, or Certified Professional Coder (CPC) from AAPC.s.
- Excellent command of the ICD-9-CM and CPT-4 classification systems with thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement
- Comprehensive working knowledge of hospital/institutional coding in multiple medical specialties, and proper assignment of clinical conditions documented and procedures performed.
- Comprehensive understanding data systems and reporting for health record coding, abstracting, and performance metrics
- Thorough knowledge of professional service delivery in an ambulatory hospital or outpatient setting
- Excellent ability to conduct coding audits to evaluate quality performance measures and using the findings create written reports with recommendations; and then present education and feedback to facilitate improvement of documentation and coding.
- Excellent interpersonal communication skills (written and verbal) to deal effectively in delicate, sensitive and/or complex situations
- Excellent time management and project management skills
- Advanced presentation skills to provide training and education to large or small groups

Preferred Qualifications:
- Minimum of 3 years progressive outpatient multispecialty professional services coding experience including Medicare
- Minimum of 2 years previous leadership or supervisory experience that includes conducting coaching/training of coding staff
- Minimum of 2 years experience evaluating coding audits and quality performance measures
- Bachelor's degree in Health Care Administration, Health Information Management, or equivalent
- Working knowledge of KP HealthConnect, particularly the clinical and billing modules, encoder(s) (i.e. 3M or Encoder Pro), Microsoft Office Suite and other software products

Salary Range:
$58,880 - $77,720]]> Sun, 25 Mar 2012 16:00:00 GMT 2296996-Oregon-Medical-Records
Essential Functions:
- Using Kaiser Permanente auditing tools, conduct concurrent & retrospective audits of documentation supporting E/M, CPT & ICD9 codes assigned by clinical staff.
- Researches correct coding practices in relationship to applicable rules, regulations & coding conventions for billing to determine compliance w/ Federal, State & Kaiser Permanente regulations.
- Using independent judgment & sensitivity, reviews w/ individual physicians their audit findings, making suggestions for documentation improvements.
- Provides feedback to clinicians based on Federal & State government billing & coding guidelines.
- Plans, schedules & performs comprehensive chart audits to identify operational & regulatory issues related to coding, documentation, & compliance requirements & ensure complete & accurate data capture in compliance w/ Federal & State requirements.
- Works w/ Medical Center auditing teams to ensure compliance w/ Federal, State & Kaiser Permanente requirements.
- Designs & implements methodologies to ensure accurate & complete E&M, CPT & ICD9 coding audits.
- Provides technical expertise to Regional & local leadership to identify & resolve coding & chart documentation problems impacting the accuracy & consistency of coded data.
- Works w/ local Trainers to address operational processes that hinder encounter data capture.
- Reads & interprets medical data written by providers.
- Enters audit results into regional audit tools to support quality assurance process, regional analysis & regional training activities.
- Reviews analytical data & audit findings to identify coding trends & other risk areas. Recommends appropriate actions.
- Conducts quality assurance reviews.
- Collaborates in the development & execution of local audit & training plans.
- Partners w/ the EIO Managers to identify audit trends & risk areas based on audit findings & data analysis.
- Assists in developing & implementing policies & procedures / Compliance Audit Standards to ensure compliance w/ Federal, State & other regulatory requirements.
- Travel throughout the Northern California region based on operational needs may be required.
- In addition to the standard auditor accountabilities, the EIO Auditor is also responsible for conducting Claims & Referral audits.
- Responsible for independently implementing the end to end audit process for claims & referrals following established objectives w/ expected completion & accuracy goals.
- Partners w/ Provider Contracting to assess status of claims based on whether associated vendor is a contracted or non-contracted partner. Negotiation approach will need to be tailored to the type of vendor.
- Manage vendor relationship to get access to documentation which requires client management skills & travel to offsite locations.
- Develops a strategy to get access to pertinent medical record information & all supporting documents that need to be audited.
- Conducts audit independently on-site per audit objectives & guidelines.


Secondary Functions:
- Proficiency in Excel and Access (Candidate will utilize these software tools to perform in-depth analytical review of codes and provide outcomes in clear concise manner)



Qualifications:

Basic Qualifications:
- Three (3) or more years CPT, ICD9 & E&M Coding experience.
- Experience using PC applications such as MS Word, Excel, Access & PowerPoint.
- Demonstrated experience conducting Medical Record audits & ability to interpret & apply Federal & State regulations, coding & billing requirements.
- Experience using Epic electronic health record systems preferred.
- Experience using Web based applications preferred.
- Medical center operations or clinical experience preferred.
- Bachelor's degree in business administration, health care, public health, finance, business medical records technology or equivalent experience.
- Certification in one (1) of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H).
- Proficient in the use of CPT, ICD9 & HCPCS coding principles.
- Comprehensive knowledge of medical diagnostic & procedural terminology is required.
- Demonstrated ability to constructively & sensitively provide feedback to providers & medical center leadership regarding federal & state coding, medical documentation & compliance guidelines, audit results & risk areas.
- Ability to work w/ & maintain confidentiality of physician, patient, patient account & personnel data.
- Knowledge of outpatient coding practices at both the clinical & inpatient settings.
- Required knowledge of compliance & regulatory requirements including outpatient CMS regulations.
- Strong interpersonal & excellent written, verbal & presentation skills.
- Demonstrated ability to work independently w/ minimal supervision.
- Ability to prioritize workload & meet deadlines.
- Ability to read & interpret medical data.
- Demonstrated ability to work within a team environment.
- Willingness to be flexible depending upon department and/or physician schedule needs.
- Demonstrated ability to review analytical data & audit findings to identify coding trends & other risk areas.
- Demonstrated ability to develop data requirements & work w/ analytical groups to extract, organize & analyze coded data.
- Must be able to work in a Labor / Management Partnership environment.


Skills Testing: ICD9, CPT and E&M Coding skills assessment will be given to all applicants.
]]> Thu, 22 Mar 2012 16:00:00 GMT 2288583-Oakland-Medical-Records
Essential Functions:
- Develop action plans as necessary to resolve knowledge gaps w/employees or to address the implementation of new service offerings or code changes
- Facilitate the collection of information to provide feedback to physicians through the consultants on work performance to ensure consistency & accuracy w/all facility coding
- Advise the Region & staff on facility coding and documentation guidelines to ensure regulatory compliance
- Facilitate education to support Medicare Risk requirements & organization goals.
- Provide staff w/training and resources on coding procedures & system workflow/functionality
- Coordinate proper utilization of human resources necessary for the effective & efficient operation of the department
- Support maintenance of a comprehensive annual budget that reflects department needs & the application of cost-effective management
- Monitor efficiency and productivity to ensure compliance to national metrics & departmental performance standards
- Provide staff supervision to accomplish timely and qualitative response to facility services documentation/coding requests, issues & responsibilities
- Demonstrate positive human relations skills, utilizing effective leadership, written & oral communication skills
- Ensure staff capabilities through established Kaiser Permanente policies & procedures along w/prescribed management & personnel practices
- Participate in the recruitment, development, appraisal & retention of competent facility services coding staff
- Participate in problem identification, data gathering & implementation of strategy actions that are in the best interest of the department and its mission, values & philosophy
- Provide staff with information about the Program's mission, strategic direction, values & the external environment to increase their effectiveness

Qualifications:

Basic Qualifications:
- 2 years coding experience including Medicare
- 1 year previous leadership or supervisory experience that includes conducting coaching/training of coding staff
- Associate's degree in Health Information Management or equivalent experience
- Current credential from one or more of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) from AHIMA, Certified Professional Coder (CPC) or Certified Professional Coder Hospital (CPC-H) from AAPC
- Excellent command of the ICD-9-CM and CPT-4 classification systems with thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement
- Thorough knowledge of all medical specialties, including the clinical conditions documented and procedures performed
- Understanding data systems and reporting for health record coding, abstracting, and performance metrics
- Thorough knowledge of professional service delivery in a hospital and/or ambulatory setting
- Excellent interpersonal communication skills (written and verbal) to deal effectively in delicate, sensitive and/or complex situations
- Excellent time management and project management skills

Preferred Qualifications:
- Minimum of 3 years progressive inpatient/hospital coding experience including Medicare
- Minimum of 2 years previous leadership or supervisory experience
- Minimum of 1 year experience conducting coaching/training of coding staff
- Bachelor's degree in Health Care Administration, Health Information Management, or equivalent
- Working knowledge of KP HealthConnect, particularly the clinical and billing modules, encoder(s) (i.e. 3M or Encoder Pro)

Salary Range:
$58,880 - $77,720]]> Tue, 20 Mar 2012 16:00:00 GMT 2281384-Oregon-Medical-Records Essential Functions:
- Coordinates monitors and audits all lines of hospital business for coding, to include: all outpatient, inpatient, HOV, ED and Ambulatory surgery cases
- Monitors the accuracy and quality of coding assignments, Present on Admission (POA) indicators and conducts internal coding audits
- Responsible for being the regional coding contact person for the HIM department to work with Clinical Documentation Specialists to support education and coding requirements
- Develops reports of audit results to Regional and facility staff and Senior Management
- Helps set the direction for coding and compliance education and focused projects related to the KPHC (KP Health Connect-EMR)
- Provide oversight and training for 'Coding Compliance Software' to the coding staff
- Run audit selection lists and reports as well as providing education, feedback and guidance based upon data mining activities and processes
- May provide insight (limited) into planning, directing and monitoring daily operations for in-patient medical records including: retrieval, assembly, delivery, abstracting/analyzing, coding, completion, transcriptions, release of information, and vital statistics registration
- Provides oversight of the accuracy of MIRCal data for OSHPD reporting -Collaborates with the HIM Director/Manager relating to coding accuracy and coding functions within the department to assure timely and accurate completion of work that is consistent with regulatory agency requirements
- Prepares statistical and or annual reports as requested by state or federal agencies or any other regulatory agencies understand the direction of the Regional Director of Coding
- Ensures compliance with federal, state and local regulations
- May assist in regional and facility budgets as requested and identifies and recommends opportunities to decrease costs and improve service
- Functions as a liaison for other departments regarding coding questions/issues. Implements changes resulting from internal or external audits which impact collection and reporting of medical records
- Participates in Regional HIM staff meeting and process improvement initiatives
- Travel at Medical Center is required, in addition to the 'Regional Offices'


Qualifications:

Basic Qualifications:
- 5+ years of acute care, inpatient, outpatient, DRG (Diagnosis Related Group) & APC (Ambulatory Payment Classifications) coding required
- 5+ years supervisory experience in a Medical Records department required
- Electronic Health Record experience preferred
- Bachelors' degree in Health Information Management, Business Administration, Health Administration or related field preferred
- CCS or CCS eligible, or RHIA/RHIT credentialed preferred
- In-depth understanding of all state/federal regulations & CMRI, NCQA, JCAHO, & CMS
- Demonstrated strong interpersonal communication skills
]]> Tue, 20 Mar 2012 16:00:00 GMT 2281326-California-Medical-Records
To insure that all technical aspects w/ regard to release of protected health information are carried out in accordance w/ established standards & in compliance w/ federal, state, local, regulatory agencies, & Kaiser Permanente policies. This function includes, but is not limited to, copying records, abstracting information from records & releasing records to authorized parties.
Essential Functions:
- Coordinates the release of medical information for correspondence & in-person requests.
- Processes legal requests, Subpoena Duces Tecum & Court Orders.
- Represents Kaiser as the Custodian of Medical Records in legal proceedings, subpoenas & Court Orders.
- Abstracts & retrieves medical information for third party, disability & FMLA requests.
- Maintains record of correspondence requests in a standard format.
- Coordinates activities w/ copy service vendor (if applicable) including computer entry of data collection, report compilation, etc., as requested
- Participates in regular quality assurance activities by providing technical support, such as data collection, report compilation, etc., as requested.
- Receives & reviews interdepartmental & U.S. mail of a technical nature addressed to the Department, routes correspondence to appropriate parties.
- Maintains working knowledge of all information systems & applications utilized w/in HIMs to support department operations.
- Completes special projects & assignments for Supervisor &/or Regional HIMS Management team.
- Abstracts & assigns ICD-9 & CPT 4 codes as requested by patient, third party requestors, &/or legal requests\
- Maintains working knowledge of all information systems & applications utilized w/in HIMS to support department operations.
- Performs other duties & accepts responsibility as assigned.


Qualifications:

Basic Qualifications:
- 1 year of medical record experience required.
- AA degree in Health Information Management Technology, Business, or related field, or equivalent combination of education & experience, required.
- Experience & enrollment in an approved Accredited Records Technician program required.
- Ability to operate a computer & typing skills required (25 wpm, at a minimum)
- Technical knowledge in State & Federal regulations & KP policy regarding release of protected health information & confidentiality required.
- Thorough knowledge of HIPPA rules & regulations as it relates to the release of protected health information.
- Knowledge of ICD-9-CM & CPT-4 coding skills required & a successful pass of the coding test required.
- Familiarity w/ coding rules & protocol in order to interpret & formulate an opinion on the appropriate code required.
- Knowledge of anatomy, physiology, & medical terminology required.
- Ability to effectively abstract records for medical information in order to complete Disability/Insurance forms required.
- Organizational skills (ability to maintain standard logs) required.
Preferred Qualifications:
- 2 years of experience in releasing protected health information preferred.
- ART certification by the American Health Information Association preferred.
]]> Mon, 23 Jan 2012 14:00:00 GMT 2017251-Baltimore-Medical-Records Essential Functions:
- Coordinates the release of medical information for correspondence & in-person requests.
- Processes legal requests, Subpoena Duces Tecum & Court Orders.
- Represents Kaiser as the Custodian of Medical Records in legal proceedings, subpoenas & Court Orders.
- Abstracts & retrieves medical information for third party, disability & FMLA requests.
- Maintains record of correspondence requests in a standard format.
- Coordinates activities w/ copy service vendor (if applicable) including computer entry of data collection, report compilation, etc., as requested
- Participates in regular quality assurance activities by providing technical support, such as data collection, report compilation, etc., as requested.
- Receives & reviews interdepartmental & U.S. mail of a technical nature addressed to the Department, routes correspondence to appropriate parties.
- Maintains working knowledge of all information systems & applications utilized w/in HIMs to support department operations.
- Completes special projects & assignments for Supervisor &/or Regional HIMS Management team.
- Abstracts & assigns ICD-9 & CPT 4 codes as requested by patient, third party requestors, &/or legal requests\
- Maintains working knowledge of all information systems & applications utilized w/in HIMS to support department operations.
- Performs other duties & accepts responsibility as assigned.


Qualifications:

Basic Qualifications:
- 1 year of medical record experience required.
- AA degree in Health Information Management Technology, Business, or related field, or equivalent combination of education & experience, required.
- Experience & enrollment in an approved Accredited Records Technician program required.
- Ability to operate a computer & typing skills required (25 wpm, at a minimum)
- Technical knowledge in State & Federal regulations & KP policy regarding release of protected health information & confidentiality required.
- Thorough knowledge of HIPPA rules & regulations as it relates to the release of protected health information.
- Knowledge of ICD-9-CM & CPT-4 coding skills required & a successful pass of the coding test required.
- Familiarity w/ coding rules & protocol in order to interpret & formulate an opinion on the appropriate code required.
- Knowledge of anatomy, physiology, & medical terminology required.
- Ability to effectively abstract records for medical information in order to complete Disability/Insurance forms required.
- Organizational skills (ability to maintain standard logs) required.
Preferred Qualifications:
- 2 years of experience in releasing protected health information preferred.
- ART certification by the American Health Information Association preferred.
]]> Mon, 23 Jan 2012 14:00:00 GMT 1994553-Maryland-Medical-Records Essential Functions:
- Using independent judgment & sensitivity, coach's individual physicians, reviewing their audit findings, making suggestions for documentation improvements & updating on changes to Federal & State government billing & coding guidelines
- Partners w/ Trainer in the development of future training that will address documentation risk areas identified through local & regional audits.
- Plans, schedules, & performs encounter audits to monitor performance & ensure lasting improvement.
- Encounter audits will be the primary monitoring tool used to identify operational & regulatory issues related to coding, documentation, & compliance requirements & to ensure complete & accurate data capture in compliance w/ Federal & State requirements
- Monitors corrective actions for audit review findings
- Serves as a local resource in meeting internal & external regulatory requirements (e.g., Centers for Medicare & Medicaid Service (CMS), National Committee for Quality Assurance (NCQA) and actively participates w/ local CMS (Center for Medicare/Medical Services) team to ensure local objectives are met & regional CMS compliance activities are supported.
- Works w/ medical center leadership to provide confidential audits & feedback on an 'as needed' basis
- Assists in the identification of operational processes that hinder encounter data capture
- Enters encounter audit results into regional audit database to support quality assurance process, regional analysis & regional training activities.
- Prepares &/or performs medical center auditing analysis &/or special projects as assigned.
- Partners w/ Data Quality Trainer & other local analytical workgroups to identify audit trends & risk areas based on audit findings & data analysis.
- Assists in developing & implementing policies & procedures / Compliance Audit Standards to ensure compliance w/ Federal, State, & other regulatory requirements


Qualifications:

Basic Qualifications:
- Significant experience coding (three or more years) based on Coding Clinical Guidelines for inpatient & outpatient.
- Bachelor's degree (Business Administration, Health Care, Public Health, Finance, Business Medical Records Technology) or equivalent experience
- Certification in one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC)
- Experience using PC applications such as MS Word, Excel, Access, and PowerPoint preferred
- Medical center operations or clinical experience preferred
- Demonstrated experience conducting Medical Record audits & ability to interpret & apply Federal & State regulations, coding & billing requirements.
- Demonstrated project management experience including design & implementation of audit plans
- Ability to provide feedback constructively and sensitively to providers & medical center leadership regarding federal & state coding, medical documentation & compliance guidelines, audit results & risk areas
- Ability to work w/ & maintain confidentiality of physician, patient, patient account & personnel data
- Strong interpersonal & excellent written, verbal & presentation skills
- Ability to work independently w/ minimal supervision
- Ability to work w/in a team environment
- Willingness to be flexible depending upon department &/or physician schedule needs.
- Ability to review analytical data & audit findings to identify documentation trends & other risk areas
- Ability to develop data requirements & work w/ analytical groups to extract, organize & analyze coded data
- Travel between Medical Center facilities may be required
- Must be able to work in a Labor/Management Partnership environment


++NOTE: Travel to all four facilities is required ++]]> Mon, 19 Dec 2011 14:00:00 GMT 2042118-Stockton-Medical-Records Responsible for project management for assigned organizational initiatives, the creation of training materials, organization of the training sessions on subjects complementing organizational and audit operations departmental initiatives, needs, regulation and coding updates.
Builds working relationships with senior managers at the National, Divisional, Regional, Service Area and Medical Center levels for the development of a team environment for consistent application of audit operations directives across the region.
Responsible for partnering with local providers, and other leadership and administrative teams to oversee the quality and accuracy of coded physician professional services clinical and administrative data.
Develops, implements, and manages utilization review and cost containment programs for appropriate areas within the Kaiser Foundation Health Plan, Kaiser Foundation Hospitals, TPMG and SCPMG.
Oversees the communication and implementation of organization directives within the assigned functional area and as needed throughout the organization.
Within the functional areas (where appropriate), the Assistant Director provides expertise in ICD-9-CM, ICD-10-CM, hierarchical condition categories (HCCs), CPT (including E&M, diagnostic, and procedural services) as well as federal, state, and organizational compliance guidelines to ensure optimal documentation and compliance.

Essential Functions:
- Manages the daily operations of assigned functional area and staff.
- Manage and develop staff within the assigned functional area.
- Provide strategic planning and direction to meet organizational initiatives aligning goals and work completed in the department with organizational objectives.
- Lead the hiring process and interviews. Oversee the on-boarding process.
- Prepare and manage budgets and resource allocations.
- Review vendor contracts and make recommendations to the Director.
- Accountable for the implementation and monitoring of SCPMG initiatives within assigned functional area.
- Assure compliance of operational processes and outpatient encounter charge/data capture throughout Southern California Kaiser Permanente making determinations with respect to appropriateness of documentation, adherence to federal, state, and local regulations.
- Identify and create strategies for increasing efficiency and improving processes. Work with leadership to implement approved departmental changes.
- Review policies and procedures to ensure compliance of operational processes and physician professional services charge/data capture throughout Southern California Permanente Medical Group on an annual basis.
- Review mediation on complex coding and compliance issues and analyze problem trends.
- In collaboration with key stakeholders, assess effectiveness of training, and communication tools for coding documentation, questions and provider and auditor feedback.
- Identify trends, patterns, and/or system issues that may contribute to coding and documentation deficiencies and risk areas and make recommendations to Director.
- Join local committees and collaborate with NCO, KPHC, long term support, and champion physician workgroups to resolve local coding issues, ensure compliance with local and regional audit plan, SOX and Corrective Action Plan ('CAP') requirements, and act as communication link regarding changes to federal and state government billing and coding guidelines.


Qualifications:

Basic Qualifications:
- Bachelors Degree or (seven [7] years) equivalent experience in Finance/Business, Medical Records Technology, Health Services Administration, or Nursing.
- Masters Degree preferred.
- A minimum offive (5) years ofexperience in a management/supervisory role, last three (3) years need to be in a manager role.
- Proficient in team building, conflict resolution, group interaction, project management, and budget management required.
- Knowledge of CMS rules and regulations and current coding resources, including CPT, ICD-9-CM, ICD-10-CM, HCPCS, fee schedule and HCCs (where appropriate).
- Critical thinking skills and ability to resolve complex issues and perform root cause analysis.
- Strong interpersonal skills, including the ability to establish and maintain effective relationships with providers, leadership, senior administrators, colleagues and auditing staff.
- Excellent communication (written and verbal), presentation, and facilitation skills.
- Must be flexible to meet the needs of the department and/or provider schedule.
- Proficiency in Microsoft Office (Excel, Word, PowerPoint, Access and Visio, etc.).
- Must be available to work flexible days and hours.
- Must be able to travel between all Medical Center facilities if required. Position may include assignment to various Medical Centers and/or regional offices.
- Must be able to work in a Labor/Management Partnership environment.
- Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.


Preferred Qualifications:
- Research skills including knowledge of automated analysis tools and on-line research tools to resolve complex healthcare issues.
- Certification in one or more of the following: Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), and/or Certified Coding Specialist - Physician (CCS-P) is highly desired.
- Specialty coding certification is highly desired.
- Certification in Healthcare Compliance is highly desired.
- Experience in health insurance in billing and charge capture outside Kaiser Permanente is highly desired.
- Medical center operations or clinical experience.
- Experience in adult learning principles in training various content to all levels of staff in small and large group settings.
- Experience in Word, Excel, PowerPoint and Access.
- 10-key KSPM skills.]]> Mon, 24 Oct 2011 16:00:00 GMT 1135632-Los-Angeles-Medical-Records
To provide professional services training, consultation, audit & feedback to clinicians on their documentation & coding to ensure the KPMAS receives appropriate reimbursement & conforms to applicable guidelines & regulation. This position is expected to be a Subject Matter Expert in one of the following coding Family Practice Specialties: Internal Medicine, Family Medicine,orPediatrics.

Essential Functions:
- Performs periodic quality provider documentation & coding audits for encounters utilizing KP HealthConnect.Verifies the accuracy, completeness, & precision of ICD-9-CM, CPT-4, & HCPCs coding, including modifiers, units, & other variables impacting workload accountability & billing.This requires independently re-coding the encounter from source documentation, completing supporting worksheets documenting rationale for coding decisions, comparing auditor findings against those generated from the provider, identifying & recording discrepancies, & recording the rationale for changes in coding decisions.Determine that providers & relevant support systems are sufficiently capturing services rendered to patients & to assess compliance with Medicare, & other third party requirements for coding & billing purposes. Provides specialty-specific training to clinicians on documentation of services & appropriate coding of level of service (CPT-4), diagnoses (ICD9-CM), procedures (CPT-4) & HCPCS coding including modifiers, units & other variable impacting workload accountability & billing.This covers all settings of care & includes tips & techniques to help clinicians do this correctly & efficiently in KP HealthConnect. Analyzes audit data & provides summary feedback to individual clinicians, making recommendations for improvement.
- Maintains current knowledge to ensure that KPMAS coding & documentation meets regulatory guidelines & audit standards & results in appropriate reimbursements. Maintains professional competency in professional services coding & documentation requirements.
- Provides input in the development, refinement, & implementation of methods & procedures used to complete audit functions.
- Collaborates with the KP HealthConnect team to develop & implement strategies to make appropriate documentation & coding easier for clinicians.
- Develops training materials & information derived from audit findings for feedback to physicians, other audit staff, & project management.
- Participates in KPHC training by providing a coding course to new providers.
- Excellent command of the ICD-9-CM & CPT-4 classification systems with thorough understanding of the effect of data quality on prospective payment, utilization, & reimbursement for multiple medical professional service specialties.
- Thorough working knowledge of outpatient/hospital/institutional coding in multiple medical specialties.Thorough understanding data systems & reporting for health record coding, abstracting, & performance metrics.
- Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology & concepts of disease processes & the link to proper assignment of clinical conditions documented & procedures performed.
- Proficient & in-depth knowledge of ICD-9-CM, CPT & HCPCS & Evaluation & Management coding guidelines.
- SEE JOB DESCRIPTION


Qualifications:

Basic Qualifications:
- Minimum of 4 years of coding experience is required.
- Minimum of 4 years of experience in a health care setting is required.
- Minimum of 2 years of medical terminology required.
- Minimum of 3 years of knowledge of compliance and regulatory requirements is required.
- Associate's degree in health administration or RHIT certification or equivalent years experience is required.
- Formal course training in human anatomy/physiology, medical terminology & medical science is required.
- CPC/CPC-H or CCS/CCS-P required.
- CPMA required within 1 year of employment
- Certified Compliance Specialist (CCP-P) required within 1 year of employment.

Preferred Qualifications:
- Working knowledge of KP HealthConnect, particularly the clinical & billing modules, encoder(s) (i.e., Craneware & Encoder Pro), Microsoft Office Suite & other software products is preferred.
- Experience conducting training/educational sessions for professional staff including preparations of instructional materials is preferred.
- Experience with physician documentation audit experience is preferred.
- Experience evaluating coding audits & quality performance preferred.
]]> Sun, 20 Mar 2011 16:00:00 GMT 1293371-Maryland-Medical-Records