Medical Coder The Progressive CorpMedical CoderFederal Way, WA$24.03–$26.68 / hourThe ideal candidate will have strong customer service and interpersonal skills - which you'll rely on while assisting medical representatives with coding questions and answering calls from customers, providers, billing offices and attorneys. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Certified Coder III International Community Health ServicesCertified Coder IIIRenton, WAInternational Community Health Services (ICHS) is a nationally-recognized federally qualified health center, and for over 50 years ICHS has provided culturally and linguistically appropriate health and wellness services, including increasing health equity for uninsured and medically underserved individuals of all languages and walks of life. Knowledge of specialized service areas preferred: Programs of All-Inclusive Care for the Elderly (PACE), inpatient hospital visits, Vision, Behavioral Health, Telehealth services during the public health emergency, Acupuncture.
NewData Science & Informatics Specialist 1 | Medicaid Fraud Control Division | Olympia State of WashingtonData Science & Informatics Specialist 1 | Medicaid Fraud Control Division | OlympiaOlympia, WA$7,224–$9,712With the goal of employee health and wellness, we also offer: Flexible schedules and part-time/hybrid telework options; A Wellness Program, an Infants in the Workplace Program, and the Employee Assistance Program, which provides counseling, webinar, and other cost-free support resources; Numerous employee-driven affinity groups to foster community and connection, including Bereavement, Elder Care, Parenting, POC, LGBTQ+, Veterans and more. MFAD involves protecting not only the Medicaid program of roughly 13 billion dollars per annum, but also its most vulnerable persons, typically elderly persons in residential facilities or persons abused or neglected by a Medicaid Provider.
NewPayment Integrity Analyst CareOregon IncPayment Integrity AnalystWA$32.06–$39.19 / hourCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Research and audit simple to complex claims payments including researching tools provided by the Oregon Health Authority (OHA), Medicare billing guidelines, CareOregon's claims processing policies and procedures and other resources to identify claims overpayments.
Charge Master Analyst Sutter HealthCharge Master AnalystOlympia, WA$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Seattle, WA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)WA$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Billing Specialist III Sea Mar Community Health CentersBilling Specialist IIIFederal Way, WashingtonAdjust sliding fee discounts according to the sliding fee policy Process all clean claims and correct and process all failed and rejected claims Follow-up with insurance companies on claim correction questions or on outstanding accounts Correct and rebill patient accounts billed with the incorrect insurance, plan or no insurance. Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State.
COBCO Health Insurance Specialist (MAS3/AHSO) State of WashingtonCOBCO Health Insurance Specialist (MAS3/AHSO)Olympia, WA$48,048–$64,512 / yearThe Apple Health Services and Operations (AHSO) Division works across the Health Care Authority (HCA) and in partnership with the health care community at local, state and federal levels, in order to develop, and manage high quality, and evidence-based health care programs and purchase services that enhance Washington State's citizens' ability to access appropriate, quality health care. Option 5: One year as a Medical Assistance Specialist 2. Qualifying experience is defined as: providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits; public assistance eligibility determination; health insurance premiums/claims processing, adjusting, and investigation; other medical premiums/claims/eligibility related experience; or.
Senior Coder - Physicians Billing Providence St. Joseph HealthSenior Coder - Physicians BillingSeattle, WATogether, 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. 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.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemoteSeattle, WARemoteWe are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments.
Billing and Patient Services Representative TRA Medical ImagingBilling and Patient Services RepresentativeTacoma, WA$19.54–$23.77 / hourJob Summary: This position is responsible for addressing and resolving complex patient inquiries, concerns, and billing-related issues across various areas including eligibility, claims, denials, appeals, patient balances, collections and financial assistance. Essential Job Functions: Address complex patient inquiries, questions and concerns in all areas including eligibility, claims, denials, appeals, refunds, authorizations, collections, price quotes, financial assistance and grant matching.
Charge Description Master Specialist - Full time, Day, Remote Providence St. Joseph HealthCharge Description Master Specialist - Full time, Day, RemoteWARemoteAs a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement.
Charge Description Master Specialist - Full time, Day, Remote Providence Health & ServicesCharge Description Master Specialist - Full time, Day, RemoteWARemoteRequsition ID: 431486 Company: Providence Jobs Job Category: Patient Financial Services Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4001 SS RC CHARGE DECR MSTR Address: CA Apple Valley 18300 Hwy 18 Work Location: St Mary Medical Center-Apple Valley Workplace Type: Remote Pay Range: $See Posting - $See Posting 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. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Auburn, WA$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWA$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Associate Program Director - Resident Affairs (39754) Community Health CareAssociate Program Director - Resident Affairs (39754)Tacoma, WAAttains and maintains current knowledge of the ACGME Special Requirements for Residency in Family Medicine found at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/120_FamilyMedicine_2020.pdf . Supervises, teaches, mentors, evaluates and advises residents and rotating medical students in full-spectrum ambulatory and inpatient settings in accordance with ACGME Special Requirements for Residency in Family Medicine.
Billing and Patient Services Representative Downtown TacomaBilling and Patient Services RepresentativeTacoma, WashingtonThis position is responsible for addressing and resolving complex patient inquiries, concerns, and billing-related issues across various areas including eligibility, claims, denials, appeals, patient balances, collections and financial assistance. We are led by a progressive group of approximately 100 sub-specialized radiologists who take pride in delivering high-quality, patient-centered care while fostering a practice culture intended to feel more like a family than a corporation.
HIM Coder II - Remote *Must live in WA State* Kaiser PermanenteHIM Coder II - Remote *Must live in WA State*Renton, WARemoteJob Summary: HIM Coders are responsible for coding a variety of services including: Ambulatory Surgery, hospital professional visits and procedures, clinic visits and procedures (including Urgent Care), Pathology and EKGs. Coders read and interpret medical record documentation to identify codeable diagnoses, services and supplies, and assign codes as appropriate.
HIM Coder II - REMOTE *Must Reside in WA State* Kaiser PermanenteHIM Coder II - REMOTE *Must Reside in WA State*Renton, WARemoteJob Summary: HIM Coders are responsible for coding a variety of services including: Ambulatory Surgery, hospital professional visits and procedures, clinic visits and procedures (including Urgent Care), Pathology and EKGs. Coders read and interpret medical record documentation to identify codeable diagnoses, services and supplies, and assign codes as appropriate.