Certified Coding Auditor II (Must reside in KPNW region)

Job Summary :

This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations.

Essential Responsibilities :

Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding.

Maintain current knowledge to ensure that KPNW coding and documentation meets regulatory guidelines and audit standards. Escalate trends and identified issues through appropriate department channels. Continued development of coding knowledge and regulatory guidelines with maintenance of certification.

Performs other duties as requested to include complex coding issues and project work as assigned

Basic Qualifications :

Experience

Minimum Two (2) years work experience in a healthcare setting.

Minimum One (1) year of professional coding experience.

Education

N / A

License, Certification, Registration

Certified Professional Coder OR Registered Health Information Technician OR Certified Coding Associate OR Certified Professional Medical Auditor OR Certified Coding Specialist OR Certified Coding Specialist - Physician Based OR Registered Health Information Administrator

Additional Requirements :

Working knowledge of Microsoft Word, Excel and Medical Terminology. Strong interpersonal and communication skills. Strong time management skills and ability to meet deadlines.

Preferred Qualifications :

Prefer two (2) year work experience at a KP facility. Prefer one (1) year of professional coding and / or auditing experience in one or more of the following areas : evaluation and management (E&M), procedural / surgical, emergency department or anesthesia. Working knowledge of the KPHC / EpicCare system.