Sr. Certified Coder Adventist Health SystemSr. Certified CoderPortland, ORLicenses/Certifications: Certified Coding Specialist (CCS) or Outpatient Certified Professional Coder (CPC) or Radiation Oncology Certified Coder (ROCC) or Certified Interventional Radiology Cardiovascular Coder (CIRC) or Certified Professional Coder (CPC) or Certified Outpatient Coder(COC) or Certified Coding Specialist-Physician Based(CCS-P) or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT): Required. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Preferred Associates/Technical Degree or equivalent combination of education/related experience: Preferred Two years coding experience: Preferred.
Certified Coder II or III for Central Admin in NE Portland (Multispecialty Healthcare) The Oregon ClinicCertified Coder II or III for Central Admin in NE Portland (Multispecialty Healthcare)Portland, OR$30.81–$41.68 / hourBy providing patients and internal and external stakeholders with a consistent, efficient, and easy experience, you'll help ensure that patients at The Oregon Clinic receive the highest value care tailored to their needs. Knowledge of overall healthcare payment system (FFS, PPOS, HMOs, capitation, etc.) and local players (Regence Blue Cross, Providence Health Plans, etc.).
Billing and Credentialing Specialist The Villa HealthBilling and Credentialing SpecialistVancouver, WAFull timeOur multidisciplinary team integrates psychiatric care, therapy, case management, addiction treatment, and holistic practices such as acupuncture, fostering an inclusive environment where every aspect of wellness is nurtured with dignity and respect. Serving communities across Oregon and Washington, we are especially dedicated to supporting QTBIPOC, LGBTQ2S+, Latinx individuals, families, and all people seeking compassionate, whole-person care.
Medical Scribe Oregon Health & Science UniversityMedical ScribePortland, OregonFunction/Duties of Position: Accurately and efficiently record the History of Present Illness (HPI) and Review of Systems (ROS) into the Electronic Health Record, as well as, update the Past Medical History (PMH), Social History, Medications, Allergies, specialty specific metrics, visit Summaries, discharge summaries, while the clinician interacts with the patient. Accurately and efficiently record the details of the Physical Exam, Medical Decision Making, Assessment and Plan, and pend any computerized Orders as directed by the clinician, including ICD Codes, prescriptions, diagnostics, referrals and medical equipment.
Pharmacy/Pharmacy Tech Outpatient IMCS Group IncPharmacy/Pharmacy Tech OutpatientPortland, ORJob Specific Duties: "Working knowledge of medical terminology, HCPCS, CPT & ICD-10 coding applications, basic anatomy and physiology, confidentiality guidelines, pharmaceuticals, pharmacy service models in various practice settings, and pharmacy billing & pricing of pharmaceuticals. ESSENTIAL FUNCTIONS: "Coordinates and processes independently pharmacy prior authorizations taking into consideration pharmacy benefits, medication utilization policies, documented technician approval criteria, information submitted by prescriber, and age-related presentation of member requesting.
Manager - Clinical Documentation Integrity, Clinical Licensure Kaiser PermanenteManager - Clinical Documentation Integrity, Clinical LicensurePortland, ORLeads clinical documentation reviews by: reviewing applicable cases of medical/health records and managing the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation; guiding team members to work with medical providers to rectify identified omissions or contradictions in medical records; mentoring team members on resolving complex coding issues to facilitate the accurate capture of medical codes and diagnostic-related groups (DRGs); serving as a resource for identifying and documenting the presence of medical conditions that impact severity of illness (SOI) and risk of mortality (ROM) indicators; and coordinating the resolution of all open clinical documentation improvement/integrity (CDI) queries. Oversees regulatory compliance by: providing guidance to CDI team on completing clinical documentation work in line with regulatory requirements; performing audits of clinical documentation to facilitate compliance with coding guidelines and federal regulations; collaborating with the team and leaders to address cases of non-compliance; and coordinating training opportunities to ensure the team has up-to-date knowledge on relevant regulations.
Coder I - Home & Community Care Admin (Remote) Peace HealthCoder I - Home & Community Care Admin (Remote)Vancouver, WARemote$23.74–$35.62 / hourUtilizes knowledge of medical terminology, anatomy and physiology, coding software, coding conventions, local medical review policy, APC's, and hospital procedures to code outpatient medical records with ICD-10-CM and CPT4 coding classification systems to ensure accurate, complete and consistent coding for quality data. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
NewDirector of Revenue Cycle The Portland ClinicDirector of Revenue CyclePortland, ORIdentify opportunities to reduce overall coding efforts through provider education, EMR enhancements, Charge Router improvements and other innovations that will deliver efficiencies and increase velocity in the Revenue Cycle.*. Develop and implement Revenue Cycle process improvements, working closely with key stakeholders to ensure success for patients, staff, and TPC providers.*.
ABA Clinical Reviewer TriWest Healthcare AllianceABA Clinical ReviewerPortland, ORRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinker with the ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. General knowledge of TRICARE or other government health care programs; Knowledge in the application of clinical criteria: InterQual, ICD-10-CM, DSM, and CPT coding; Proficient with Microsoft Office.
RN Hospital Claims Auditor Moda HealthRN Hospital Claims AuditorPortland, OR$78,911.43–$98,639.28 / yearCollaborate with other Moda areas to provide clinical policy representation at meetings to ensure that decisions which affect claim processing are appropriate and will result in cost effective, efficient, and accurate claims payment. Assist with specific claim reviews such as diagnosis-related group (DRG) validation, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team.
Medical Billing Representative - Collections The Vancouver ClinicMedical Billing Representative - CollectionsVancouver, WA$21.81–$30.53 / hourVancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). This person will also work with patients to establish payment plans when appropriate, and also maintains Self-Pay accounts receivable at acceptable aging levels by prompt follow-up on accounts.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementPortland, ORRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
NewNew Patient Coordinator Compass OncologyNew Patient CoordinatorVancouver, Washington$19.52–$30.95 / hourAs a member of The US Oncology Network , one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity to be proud of what you do, to work hard, to have fun, to learn and grow, and to go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!
Patient Access Specialist HealogicsPatient Access SpecialistPortland, OregonLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Patient Access Resource Specialist/Patient Navigator Healogics IncPatient Access Resource Specialist/Patient NavigatorPortland, OR$19.69–$24.20 / hourLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Physician Assistant Surgical Legacy Health SystemPhysician Assistant SurgicalGresham, OREducation: Requires Bachelor's degree and successful completion of a PA program accredited by any of the following accrediting bodies: Committee on Allied Health, Education Accreditation of the American Medical Association (CAHEA); Commission on Accreditation of Allied Health Education Programs (CAAHEP); Accreditation Review Commission on the Education of the PA (ARC-PA). Provides medical services under the direction of a physician to patients presenting specialty conditions or disease (depending on assigned department), consistent with the PA's current Practice Description approved by the State of Oregon Board of Medical Examiners.
Physician Assistant Surgical Oncology Legacy Health SystemPhysician Assistant Surgical OncologyTualatin, OREducation: Requires Bachelor's degree and successful completion of a PA program accredited by any of the following accrediting bodies: Committee on Allied Health, Education Accreditation of the American Medical Association (CAHEA); Commission on Accreditation of Allied Health Education Programs (CAAHEP); Accreditation Review Commission on the Education of the PA (ARC-PA). Provides medical services under the direction of a physician to patients presenting specialty conditions or disease (depending on assigned department), consistent with the PA's current Practice Description approved by the State of Oregon Board of Medical Examiners.
Physician Assistant Neurosurgery Legacy Health SystemPhysician Assistant NeurosurgeryGresham, OR$77.16–$101.20 / hourEducation: Requires Bachelor's degree and successful completion of a PA program accredited by any of the following accrediting bodies: Committee on Allied Health, Education Accreditation of the American Medical Association (CAHEA); Commission on Accreditation of Allied Health Education Programs (CAAHEP); Accreditation Review Commission on the Education of the PA (ARC-PA). Provides medical services under the direction of a physician to patients presenting specialty conditions or disease (depending on assigned department), consistent with the PA's current Practice Description approved by the State of Oregon Board of Medical Examiners.
Pediatric Orthopedic Surgeon Legacy Health SystemPediatric Orthopedic SurgeonPortland, OR$517,523–$582,214 / yearCompensation & Benefits: Legacy offers competitive compensation with a production-based bonus structure and a generous benefits package, including a hire-on bonus, medical, dental, and vision coverage, CME allowance, malpractice coverage, retirement plans, and relocation bonus. The Portland-Vancouver area consistently ranks among the nation's most livable regions, offering vibrant urban neighborhoods, family-friendly communities, and endless opportunities for outdoor recreation throughout the year.
Physician Assistant Colon and Rectal Surgery Legacy Health SystemPhysician Assistant Colon and Rectal SurgeryPortland, OR$74.84–$97.56 / hourEducation: Requires Bachelor's degree and successful completion of a PA program accredited by any of the following accrediting bodies: Committee on Allied Health, Education Accreditation of the American Medical Association (CAHEA); Commission on Accreditation of Allied Health Education Programs (CAAHEP); Accreditation Review Commission on the Education of the PA (ARC-PA). Provides medical services under the direction of a physician to patients presenting specialty conditions or disease (depending on assigned department), consistent with the PA's current Practice Description approved by the State of Oregon Board of Medical Examiners.