Benefit Coding Consultant II

Kaiser Permanente • Pasadena, CA

97d

About The Position

The Benefits Administration Coding Team (BACT) is a dynamic team composed of certified medical coding professionals. BACT closely partners with the benefit policy team to codify policy language into industry standard medical coding methodologies (CPT, HCPCS, ICD-10-CM) to allow for the systematic adjudication of medical claims through our systems. The BACT leads initiatives for California benefit policy and national preventive medicine. The Benefit Coding Consultant II will work across teams within Kaiser Permanente to project manage and support the implementation of benefit changes by providing coding recommendations that leverage their coding certification, Microsoft Excel proficiency, departmental resources, and tools.

Requirements

• Bachelors degree from an accredited college or university OR Minimum three (3) years experience in consulting, project management, data analytics, operations or a directly related field.
• Knowledge, Skills, and Abilities (KSAs): Creativity; Applied Data Analysis; Conflict Resolution; Service Focus

Responsibilities

• Serves as part of a consultant team under the guidance of more senior team members to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects.
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state.
• Supports strategic planning and organizational alignment and prioritization of business initiatives.
• Manages projects or project components under the guidance of team members, participates in change management activities, and performs data analyses in support of business initiatives.
• Supports compliance of work activities by adhering to relevant policies and procedures.
• Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members.
• Listens to, addresses, and seeks performance feedback.
• Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage/improve them.
• Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work.
• Assesses and responds to the needs of others to support a business outcome.
• Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship.
• Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information.
• Supports the completion of priorities, deadlines, and expectations.
• Identifies and speaks up for ways to address improvement opportunities.
• Develops requirements for business, process, or system solutions within assigned business domain(s) by working with stakeholders and cross-functional teams as appropriate.
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a working understanding of how current processes impact business operations.
• Supports strategic planning and organizational alignment and prioritization of business initiatives by evaluating performance metrics, standards, and methods to establish business success.
• Serves as an advocate of continuous learning and professional development by building a working knowledge of industry practices, standards, and benchmarks.
• Manages projects or project components under the guidance of team members by coordinating stakeholder contacts.
• Participates in change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes.
• Performs data analyses to support business initiatives by using appropriate data analysis tools and approaches to assess business performance.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree