Post Acute Care Coder
Posted on: January 18, 2023
Under direct supervision, the Post-Acute Care Coder is
responsible for the accurate coding and abstracting of diagnoses,
conditions, and procedures from medical record documentation for
Post-Acute Care cases or services. Monitor clinical documentation
and ensure accurate coding from appropriate documentation, assign
the correct codes and modifiers with ICD-CM, and if applicable,
CPT, and HCPCS Level II codes.All work must be performed in
accordance with the rules, regulations and/or coding conventions of
ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic
published by the American Hospital Association, the ICD-CM, CPT,
and HCPCS, Outcome Assessment Information Set (OASIS), National
Correct Coding Initiative (NCCl) Edits, Office of Statewide Health
Planning and Development (OSHPD), and Kaiser Permanentes
organizational and institutional coding guidelines.Essential
- Review Medical Records to identify diagnoses/procedures.
- Independently organizes and prioritizes work assignments to
ensure that records are coded in a timely and compliant manner and
in conformance with regulatory requirements.
- Codes all appropriate diagnosis and procedures from the medical
record using ICD-CM, and if applicable, CPT, and HCPCS coding
- Responsible for the sequencing of diagnoses and procedure codes
in accordance with guidelines outlined in lCD-CM, CPT, Uniform
Hospital Discharge Data Set, Outcome Assessment Information Set
(OASIS), Medicare regulations, and other appropriate classification
- Validates abstracted data that impacts coding from the medical
records to meet requirements for data submission and
- Monitor regulations and work within the guidelines to ensure
that all data abstracted is consistent with guidelines outlined by
TJC, OSHPD, CMS, and regional and local KP policies.
- Ensures the accuracy and integrity of data abstracted and coded
based on medical record documentation prior to data submission or
- Interacts with physicians to clarify and accurately document
patient diagnostic and procedural information when appropriate,
acts as a qualified coding resource for clinicians and other coding
- Confidentiality/Security of Systems - Maintains and complies
with policies and procedures for confidentiality of all patient
- Demonstrates knowledge of privacy and security of systems and
associated policies and procedures for maintaining the security of
the data contained within the systems.
- Other duties as assigned within the coding job function.Basic
- Minimum of (2) two years of continuous hospital coding
experience or Post-Acute care coding experience within the last
five years. -Education
- Demonstrated completion of classes in medical terminology,
anatomy, physiology, current ICD- CM and CPT coding conventions and
- High School Diploma or GED. -License, Certification,
- Certified Coding Specialist OR Outpatient Coder Certificate OR
Registered Health Information Technician Certificate OR Coding
Associate Certificate OR Registered Health Information
Administrator Certificate OR Coding Specialist Certificate -
Physician Based OR Professional Coder Certificate -Additional
- Achieve a minimum score of 75% on the Kaiser Post-Acute Care
- Basic knowledge of and use of computer keyboard and mouse.
- Must be able to meet productivity and quality standards
established for the position (Yet to be bargained).
- Demonstrated ability to understand the clinical content of a
health record and translate into the appropriate code.
- Demonstrated knowledge of anatomy, physiology, medical
terminology, and disease process to interpret general medical
classifications for Post-Acute Care services
- Demonstrated ability to work in an electronic medical records
- Demonstrated knowledge pertaining to all guidelines that
concern the coding and sequencing of diagnoses and procedures
outlined in but not limited to current ICD-CM, CPT, Medicare
guidelines and other sources.
- Basic knowledge of reimbursement methodologies and conventions
and knowledge of rules and guidelines for the appropriate and
current coding classifications.
- Must maintain coding credential and complete the required
Continuing Education (CE) units.
- Must abide by the AHIMA and/or AAPC code of ethics.
- Must be willing to work in a Labor Management Partnership
- The Work at Home Agreement (WAH) applies to this job position.
- BCHH-C or HCS-D or HCS-O or HCS-H or COS-C
- BCHH-C - Board Certified Home Health - Coding
- HCS-D - Home Care Coding Specialist - Diagnosis
- HCS-O - Home Care Clinical Specialist - OASIS
- HCS-H - Home Care Coding Specialist - Hospice
- COS-C - Certificate for OASIS Specialist - ClinicalJob
Schedule: Job Category: Health Information Management
Keywords: Kaiser, Berkeley , Post Acute Care Coder, Other , Berkeley, California
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