Inpatient Facility Medical Coder (WA/OR Remote)

Kaiser Permanente - Clackamas, OR

Full-time - Entry Level

Remote - Clackamas, OR

Ambulatory Health Care Services

About the position

This entry-level position at Kaiser Permanente involves independently coding patient health information records across various departments, including Emergency Department, Ambulatory Surgical Center, and Inpatient records. The coder will ensure accurate diagnosis and procedure coding in compliance with established guidelines and regulations, while maintaining high standards of quality and productivity. The role requires effective communication with physicians and a strong understanding of clinical content to abstract data accurately.

Responsibilities

• Perform medical record reviews and translate clinical information into coded data.
• Identify and assign appropriate codes for diagnoses, procedures, and services rendered.
• Validate Computer Assisted Coded (CAC) assignments for dual coding.
• Utilize the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software for professional surgical services.
• Access patient encounter information using electronic patient data systems and EpicCare.
• Abstract and enter clinical data elements as defined by organizational needs.
• Identify and assign principal diagnosis and procedure codes, sequencing them for proper classification assignments.
• Demonstrate knowledge of CMS HCC Risk Adjustment coding.
• Perform chart analysis to identify incomplete or inconsistent documentation.
• Review and verify chart information to ensure completeness and accuracy of procedures.
• Meet and maintain department standards for productivity and quality.
• Stay current on coding and regulatory publications and attend workshops.
• Assist in implementing solutions to reduce coding errors and participate in special projects.

Requirements

• Minimum five (5) years experience in coding with four (4) years inpatient facility coding or four (4) years in the Kaiser Coding Auditor position.
• High School Diploma or General Education Development (GED) required.
• Must have one certification from the following: Registered Health Information Technician, Certified Coding Specialist, or Registered Health Information Administrator.
• Previous experience with EMR patient documentation systems and intermediate computer skills.
• Advanced knowledge of disease processes, diagnostic and surgical procedures, and coding systems (ICD-10-CM, ICD-10-PCS, HCPCS/CPT).
• Fluent in English with strong oral and written communication skills.
• Skills in time management, organization, and analytical skills.

Nice-to-haves

• Experience with coding audits and compliance checks.
• Familiarity with government regulations regarding medical coding.

Benefits

• Health insurance coverage
• 401k retirement savings plan
• Paid holidays
• Flexible scheduling options
• Professional development opportunities