DaVita Coding Specialist 1 in HENDERSON, Nevada

Coding Specialist 1

Description

DaVita Medical Group manages and operates medical groups and affiliated physician networks in California, Nevada, New Mexico, Florida, Colorado and Washington in its pursuit to deliver excellent-quality health care in a dignified and compassionate manner. As of June 30, 2016 DaVita Medical Group (formerly HealthCare Partners) provided integrated care management for approximately 760,000 patients. DaVita Medical Group’s leadership development initiatives and social responsibility efforts have been recognized by Fortune, Modern Healthcare, Newsweek and WorldBlu.

We are committed to bringing the benefits of coordinated care to our patients and to taking a leading role in the transformation of the national healthcare delivery system to assure quality, access, and affordable care for all.

If you're looking to make a difference with a large, financially stable, well-recognized medical group, DaVita Medical Group may be the employer for you.

Overview:

Under limited supervision, the Coding Specialist I will ensure accurate coding of encounters, review and assign appropriate ICD-10, CPT and HCPC's codes, recommend processes to ensure accurate and efficient coding applicable to outpatient services, Medicare Risk adjustment and/or Fee for Service (FFS), and clinician documentation to ensure that HCPNV is in compliance with all regulatory guidelines and internal controls.

Essential Functions:

  • Responsible for quality and continuous improvement within the job scope

  • Evaluate medical record documentation to ensure accurate coding or encounter data and recommend processes for accurate coding practices

  • Coordinate collection of supporting documentation for encounter data coding and corrections

  • Utilize query process when code assignments or documentation is not clear

  • Participate with peers in coding in-services, staff meetings, and report performance measures and quality outcomes

  • Provide operational input and assist in decision making relevant to coding education for CHAPS (Comprehensive Health Assessment Programs) and/or FFS purposes

  • Work directly with management to establish policies and procedures for continuous clinical documentation improvement.

  • Maintain set productivity standards

  • Use, protect and disclose HCPNV patient’s protected health information only in accordance with the Health Insurance Portability and Accountability Act (HIPAA) standards.

Qualifications

Education

High School diploma or equivalent required. Successful completion of a coding certificate program from an accredited organization (e.g. CPC, CPC-H from AAPC or CCS-P, CCS from AHIMA) and demonstration of current maintenance of continuing education/membership is required. Two years undergraduate education in related field and/or relevant equivalent work experience preferred.

Experience

One year coding experience preferred.

Knowledge, Skills and Abilities

  • Excellent organization and problem-solving skills required. Strong verbal and written communication skills required.

  • Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology and concepts of disease processes.

  • Extensive knowledge of ICD-10-CM coding guidelines; with knowledge and demonstrated understanding of CMS Hierarchical Condition Categories (HCC) Risk Adjustment and/or FFS coding and data validation requirements.

  • Ability to demonstrate extensive Excel, Word and Outlook skills.

  • Ability to learn new computer applications quickly and independently, including but not limited to electronic medical records systems and practice management software.

  • Ability to manage significant work load, and to work efficiently under pressure, meeting established guidelines with minimal supervision.

  • Demonstrated ability to communicate clearly and effectively with a wide variety of individuals at all levels of the organization.

  • Must possess a high degree of accuracy, efficiency, dependability and strong time management skills

  • Ability to establish and maintain working relationships with providers and support staff.

  • Must work effectively and professionally under pressure.

  • Ability to obtain 75% or better on HealthCare Partners Coding Skills Assessment for Coding Specialist test

Primary Location NV-HENDERSON - 89015

Req ID: 305103