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Coding Auditor II

Location: Clackamas, Oregon;

Job ID : 3665671

Description

Provides coding assistance performs audits and prepares feedback for clinicians on their medical service documentation and coding to ensure that KPNW receives appropriate reimbursement and conforms to applicable guidelines and regulations.



Essential Functions:
- Perform periodic quality audits of documentation and coding in EpicCare.
- Analyze results and prepare summary feedback for individual clinicians, making recommendations for improvement.
- Contribute to the maintenance of tools to audit service data.
- Provide coding consultation to specialists or primary care clinicians are assigned on coding and documentation questions.
- Within assigned clinical specialties, maintain current knowledge to ensure that KPNW coding and documentation meets regulatory guidelines and audit standards, and results in appropriate reimbursement


Qualifications: Basic Qualifications:
- 2 years work experience in an outpatient healthcare setting (see below for exception).
- 6 months of outpatient coding experience (see below for exception).
- Medical Terminology is required.
- Require CPC or CCS Certification with in 18 months of hire date
- Required Cert is an acceptable equivalent to outpatient coding experience and work experience.
- Must have completed coding and auditing training modules with satisfactory scores.
- Must have achieved competencies as outlined in training objectives.
- Must have achieved competencies as outlined in training objectives.
- Ability to write reports summarizing audit findings and recommendations
- Working knowledge of medical terminology and pathophysiology.
- Or equivalent combination of education and experience.
- Strong interpersonal and communication skills.
- Strong time management skills and ability to meet deadlines

Preferred Qualifications:
Perferred Qualifications:
- Prefer 1 year outpatient work experience at a KP facility.
- Prefer 1 year of outpatient coding experience.
- Completion of an accredited Health Information program and certification as a CPC or CCS is preferred.
- Working knowledge of a medical specialty, including the clinical conditions seen and procedures performed.
- Working knowledge of the EpicCare system.



Primary Location:Oregon,Clackamas,Regional Process Center 10220 SE Sunnyside Rd.

Scheduled Hours (1-40):40

Shift:Day

Working Days:Mon - Fri

Schedule:Full-time

Job Type:Standard

Employee Status:Regular

Employee Group:SEIU - Local 49

Job Level:Individual Contributor

Job:Medical Records

Public Department Name:Professional Coding Services

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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