Documentation & Coding Educator (Apprentice) Northwest Permanente, P.C.
- Portland, OR Overview: Northwest Permanente (NWP) is a self-governed
(physician led), multi-specialty group of over 1,500 physicians,
surgeons, and clinicians, caring for over 600,000 members in OR and
Southwest WA. Northwest Permanente has a position available for an
apprentice level Documentation and Coding Educator in our Documentation
& Coding Department. JOB PURPOSE Develop coding and presentation skills
to provide training, consultation, audit and feedback to clinicians on
their medical service documentation and coding to ensure that KPNW
receives appropriate reimbursement and conforms to applicable guidelines
and regulations. MAJOR ACCOUNTABILITIES * Research Coding guidelines and
develop skills to Provide expert consultation to specialists or primary
care clinicians as 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 utilizing the support of a Coding Educator or Coding
Lead. * Sequences all codes appropriately using coding rules and
guidelines. * Researches new diagnostic and procedure codes utilizing
CPT4, ICD9-CM/ICD-10 and HCPCS codes and assigns codes as appropriate. *
Reviews and verifies component parts of the medical records to ensure
the accuracy of diagnostic and therapeutics procedures is complete and
conforms to CMS coding rules and guidelines under the direction of the
Coding Educator or Coding Lead. * Provide support to Coding Educator to
present 20 minutes of material within a lunchtime team meeting; as well
as up to 4 hours of medical specialty specific training or as part of
the New Hire Clinician training team. * Carefully analyzes and chooses
educational presentation training points to emphasize; to ensure
training is relevant and meets provider needs appropriately to improve
or maintain, consistent and accurate provider code selection under the
direction of the Coding Educator or Coding Lead * Utilizes appropriate
department resources and processes (i.e. discussions with team members)
when code assignment is not straightforward or documentation is
inadequate, ambiguous or unclear for coding purposes. * Under the
direction of a Coding Lead, Performs periodic quality audits of
documentation and coding in EpicCare. * Reviews and verifies information
(such as POS, attending provider) to make sure the transaction of
medical data is complete and accurate, under the direction of a Coding
Lead or Coding Educator * Analyzes audit results and provides summary
feedback under the direction of a Coding Lead, to individual clinicians,
making recommendations for improvement by providing coding education. *
Creates and maintains tools to audit professional coding service data. *
Applies consistent coding practice standards when conducting chart
audits, using good judgment in preparing individualized recommendations
for improvement under the direction of a Coding Lead or Coding Educator.
- Uses overall audit data results to develop topics for future
department training opportunities for physician and coders, under the
direction of a Coding Lead or Coding Educator. * Shadow and develop
skillset to provide on-site specialty specific training to individuals
or groups of clinicians regarding documentation of services and
appropriate coding of level of service, diagnoses, and procedures;
including tips and techniques to help clinicians work more efficiently
in KP Health Connect. * Contributes to the development and maintenance
of specialty-specific coding education materials under supervision of
Coding Educator or Coding Lead * Responds to or clarifies internal
requests for coding information under supervision of the Coding Educator
or Coding Lead. * Develop system skillset to Collaborate with the KP
Health Connect team and provide recommendations to develop and implement
strategies to make appropriate documentation and coding more efficient
for clinicians, under the direction of a Coding Lead or Coding Educator.
- Participates in development of organizational procedures and updates
of forms and manuals. * Willingness to work evenings or weekends to meet
client goals. * Perform other duties as requested. REQUIREMENTS * High
school diploma or equivalent * Currently enrolled in college course work
for coding and/or communication course or equivalent work experience in
Healthcare field * Must complete and attain certification within 12
months of hire date. Preferred and acceptable certification/licenses are
CPC, CCS-P, RHIT. * Ability to evaluate, analyze, compute, and summarize
mathematical statistics related to medical record audits performed with
ability to prepare materials to present findings, trends, outcomes under
supervision of Coding Educator or Coding Lead. * Ability to learn and
comprehend importance of conducting coding audits to evaluate quality
performance measures and using the findings create written reports with
recommendations; and then develop skills to present education and
feedback to facilitate improvement of documentation and coding. * Gain
Understanding of medical terminology, pharmacology, body
systems/anatomy, physiology and concepts of disease processes during
training and enrolled course work. * Gain Understanding of ICD-9-CM,
ICD-10, CPT and HCPCS and Evaluation and Management coding guidelines
under supervision and guidance of Coding Educator or Coding Lead. *
Attention to detail and completeness with a thorough understanding of
government rules and regulations and areas of scrutiny for potential
areas of risk for fraud and abuse in regards to coding and
documentation. * Computer experience and ability to learn new computer
applications quickly and independently, including: EMR(s), Microsoft
Office Suite and other software programs. * Ability to manage a
significant work-load and to work efficiently under pressure meeting
established deadlines under supervision of Coding Educator or Coding
Lead. * Communicates in a clear and understandable manner; exercises
independent judgment; influences and coordinate the efforts of others
over whom one has no direct authority. * Attends workshops to keep
abreast of current trends and changes in the laws and regulations
governing medical record coding and documentation to minimize the risk
of fraud and abuse and to optimize revenue recovery. * Abides by the
Standards of Ethical Coding as set forth by AHIMA and AAPC. * Meets
department standards for performance and quality - Maintains an
acceptable level of accuracy rate based on monthly results. At Northwest
Permanente, P.C., we are committed to providing an environment of mutual
respect where equal employment opportunities are available to all
applicants without regard to race, color, religion, sex, pregnancy
(including childbirth, lactation and related medical conditions),
national origin, age, physical and mental disability, marital status,
sexual orientation, gender identity, gender expression, genetic
information (including characteristics and testing), military and
veteran status, and any other characteristic protected by applicable
law. Northwest Permanente, P.C. believes that diversity, inclusion, and
equity among our employees is critical to our success and we seek to
recruit, develop and retain the most talented people from a diverse
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Documentation Coding Educator salaries in Portland, OR Northwest
Permanente, P.C. Northwest Permanente, P.C. Northwest Permanente PC is a
physician-led, multispecialty group of 1200 physicians caring for
495,000 members in Oregon & SW Washington. Let employers find you
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