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Coding Quality Educator - Revenue Integrity Spokane

Providence St. Joseph Health

Spokane, WA

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JOB DETAILS
JOB TYPE
Full-time, Employee
SKILLS
Best Practices, Billing, Certified Coding Specialist (CCS), Click Through Rate (CTR), Clinical Study Publications, Coding Standards, Community and Social Services, Data Analysis, Data Quality, Diversity, Documentation, Federal Laws and Regulations, Genetics, Health Information Management, Health Insurance, Healthcare, Hospital, Insurance, Maintain Compliance, Medical Billing, Medical Coding, Medical Records, Medical Treatment, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Regulations, Regulatory Compliance, Reimbursement, Relative Value Unit (RVU), Social Work, Training/Teaching
LOCATION
Spokane, WA
POSTED
30+ days ago
Description

Coding Compliance Auditor and Educational Specialist audits medical records to ensure compliance with the organization's coding procedures and standards. Reviews insurance payments and denials and recommends billing corrections. Serves as a coding expert, working with the Coding Supervisor/Manager and the Clinical Documentation Improvement Program (CDIP) Data Integrity Liaison to ensure compliance with Official Coding Guidelines for Coding and Reporting, coding conventions and regulatory oversight agencies.

Providence caregivers are not simply valued - they're invaluable. Join our team at Physician Management Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them.

Required qualifications:

Upon hire: National Certification from American Academy of Professional Coders. Or

Upon hire: National Certified Coding Associate - American Health Information Management Association. Or

Upon hire: National Certified Coding Specialist - American Health Information Management Association. Or

upon hire: National Certified Coding Specialist - Physician - American Health Information Management Association. Or

Upon hire: National Certified Documentation Improvement Practitioner - American Health Information Management Association. Or

Upon hire: National Certified Health Data Analyst - American Health Information Management Association. Or

Upon hire: National Registered Health Information Administrator - American Health Information Management Association. Or

Upon hire: National Registered Health Information Technician - American Health Information Management Association.

5 years Experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVU's.

Experienced in reviewing patient account information, insurance explanation of benefits, computer screens, and financial records.

Preferred qualifications:

Associate's Degree

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Requsition ID: 416542

Company: Providence Jobs

Job Category: Coding

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Business Professional

Department: 3042 REVENUE INTEGRITY SPOK

Address: WA Spokane 20 W 9th Ave

Work Location: Mother Gamelin Ctr-Spokane

Workplace Type: On-site

Pay Range: $31.73 - $49.27

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

About the Company

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Providence St. Joseph Health

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