Coding Quality Educator- Revenue Integrity Spokane Providence Health & ServicesCoding Quality Educator- Revenue Integrity SpokaneSpokane, WARemote$31.73–$49.27 / hourThe Revenue Integrity Coding Educator serves as a subject matter expert who advances accurate, compliant, and optimized coding across assigned specialties by auditing medical record documentation and coded services; translating current CPT, ICD-10-CM, HCPCS, payer, and regulatory requirements into practical education; and providing timely coaching to providers, coders, and operational teams. Requsition ID: 456816 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
Coding Quality Educator- Revenue Integrity Spokane Providence St. Joseph HealthCoding Quality Educator- Revenue Integrity SpokaneSpokane Valley, WARemoteThe Revenue Integrity Coding Educator serves as a subject matter expert who advances accurate, compliant, and optimized coding across assigned specialties by auditing medical record documentation and coded services; translating current CPT, ICD-10-CM, HCPCS, payer, and regulatory requirements into practical education; and providing timely coaching to providers, coders, and operational teams. This role develops and delivers training materials, identifies documentation, charge-capture, denial, and workflow trends, partners with clinical and Revenue Cycle leaders to implement corrective actions, and monitors outcomes to strengthen coding quality, reimbursement accuracy, regulatory compliance, and provider confidence.
Coding Specialist Volt Information Sciences IncCoding SpecialistSpokane, WA$28–$38 / hourPrevious hands-on technical support experience preferred Solid understanding of billing software and electronic medical records Proven experience troubleshooting Meditech and other billing software Must have the ability to multitask and manage time effectively Excellent written and verbal communication skills Outstanding problem-solving and organizational abilities 3 years experiencePay Rate28.00- 38.00 per hourPay range offered to a successful candidate will be based on several factors including the candidates education work experience work location specific job duties certifications etc. The ideal candidate will have Proven work experience as a Medical Coder or similar role Three years of experience working directly for a Critical Access Facility or Rural Health Clinic.
Coding Policy Analyst - Remote Providence St. Joseph HealthCoding Policy Analyst - RemoteLiberty Lake, CARemoteThe analyst is responsible for monitoring changes to codes, coding guidelines and regulations, and coding edits from external agencies such as AMA, CMS, Medicaid, and specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing appropriate CPT, CMS, specialty society, Coding Policy, and/or other official documented rationale for Coding Policy edits.
Risk Adjustment Coding and Documentation Specialist Kootenai HealthRisk Adjustment Coding and Documentation SpecialistCoeur dAlene, IDCoding certifications through AHIMA or AAPC; Outpatient Coding: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician, (CCS-P), or other related certification required. Serves as a resource by independently educating KCN clinicians and their staff by identifying errors and issues related to diagnosis coding and documentation to bring about a positive network value program outcome.
Coding Policy Analyst - Remote Providence Health & ServicesCoding Policy Analyst - RemoteLiberty Lake, WARemoteRequsition ID: 432922 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 5018 HCS MEDICAL MANAGEMENT OR REGION Address: WA Liberty Lake 24021 E Mission Ave Work Location: Liberty Lake 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. The analyst is responsible for monitoring changes to codes, coding guidelines and regulations, and coding edits from external agencies such as AMA, CMS, Medicaid, and specialty societies, and assists with implementation of such changes to the claims adjudication and editing software.
NewSurgery Scheduler ProvisionalSurgery SchedulerSpokane, WAThe ideal candidate will play a crucial role in coordinating surgical appointments, ensuring that patients receive timely and efficient service. Join our team and contribute to delivering high-quality surgical care while enhancing the patient experience through effective scheduling and coordination.
NewMedical Billing Specialist ProvisionalMedical Billing SpecialistCoeur d'Alene, IDThis position is responsible for accurate claims processing, insurance follow-up, payment posting, denial resolution, and accounts receivable management while providing responsive service to client practices. The Medical Billing Specialist manages billing and reimbursement activities for healthcare provider clients.
Medical Coder AptiveMedical CoderSpokane, WashingtonRemoteFull timeWe specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day. Locate Financial Identification Numbers (FINs) and accurately link documents to the correct veteran record in Cerner/Oracle; immediately flag and report mismatches to the COR.
Revenue Integrity Chargemaster Analyst Kootenai HealthRevenue Integrity Chargemaster AnalystCoeur d'Alene, IDMonitors compliance initiatives related to Chargemaster data, working closely with the Compliance Officer to monitor compliance investigatory activities and published findings, which may be correlated to Chargemaster billed data. Position Summary: Maintains the integrity of the Chargemaster and ensures all charging information including pricing, HCPCS/CPT codes and descriptions, and revenue codes are current and compliant with payer requirements.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Spokane, 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.
Patient Care Coordinator Orthopedic Surgery and SportsPatient Care CoordinatorCoeur d’Alene, IdahoOrthopedic Surgery and Sports Medicine provides the highest quality comprehensive orthopedic experience for patients in the Inland Northwest. In addition, we also offer Orthopedic Physical and Occupational Therapy, as well as providing patient access to our same day walk in clinic for acute orthopedic or occupational injuries.
Supervisor - Compliance & Quality Assurance Frontier Behavioral HealthSupervisor - Compliance & Quality AssuranceSpokane, WashingtonThe QA Supervisor oversees a team and directly participates in tasks including ensuring accuracy of clinical documents, review of specialist billing add-ons, receipt and response to client concerns and complaints, review of internal incident reports. Provide direct supervision to compliance and quality improvement employees, including allocation or workload, timecard approval, time off requests, oversight of training completion, training of new employees.
Patient Care Coordinator Orthopedic Surgery and Sports, PLLCPatient Care CoordinatorCoeur d’Alene, IDFull timeThe primary responsibility is to answer incoming phone calls from patients to make an initial appointment and process incoming referrals to the clinic. The Patient Care Coordinator works closely with the triage nurse and follows physician protocols and insurance guidelines.
Full Stack Software Engineering Manager (On-Site) CHAS HealthFull Stack Software Engineering Manager (On-Site)Spokane, Washington$86,800–$131,293 / yearEnsures consistent, organization-wide communication practices for technical changes, including translating technical concepts for non-technical and executive stakeholders; serves as an escalation point for high-impact changes. Owns the team's security and compliance posture, ensuring applications meet HIPAA and organizational data privacy requirements; drives adoption of improved secure development practices.
Director Clinical Operations and Medical Policy Cambia Health Solutions IncDirector Clinical Operations and Medical PolicySpokane, WADemonstrated knowledge of the following: Health Plan and benefit design structures and application; Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Knowledge of health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities, health insurance operations, or legal research helpful; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. These activities include services pertaining to: evidence reviews of medications, formulary development, Pharmacy and Therapeutics (P&T) Committee support, medication use policy development, the Medication Policy Group (MPG), clinical prior authorization, implementation of utilization management activities, guidance for clinical edit coding for prescription claims processor or medical claims system, medication pipeline monitoring, medication trend management, and consultation and guidance on medication-related issues.
Revenue Integrity Analyst Kootenai HealthRevenue Integrity AnalystCoeur dAlene, IDWe have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet Status for Nursing Excellence. General Talent Community Internal Talent Community Nursing Talent Community Provider Talent Community.
Payment Integrity Nurse I Cambia Health Solutions IncPayment Integrity Nurse ICoeur d'Alene, IDRemote$73,230.90–$99,077.10 / yearAs a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post service review of claims in prepayment, post payment or audit capacity to ensure appropriate clinical review, reimbursement of claims and accuracy of coding. Excellent computer skills and proficiency working software programs (i.e. Microsoft Word, Excel, and PowerPoint); learn new processes and systems quickly.
Payment Integrity Nurse I Cambia HealthPayment Integrity Nurse ISpokane, WARemote$66,273–$106,036 / yearAs a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post service review of claims in prepayment, post payment or audit capacity to ensure appropriate clinical review, reimbursement of claims and accuracy of coding. Excellent computer skills and proficiency working software programs (i.e. Microsoft Word, Excel, and PowerPoint); learn new processes and systems quickly.
Area Director of Clinical Operations Team Select Home Care LLCArea Director of Clinical OperationsSpokane, WA$120,000–$150,000 / yearDuties/Responsibilities: Responsible for clinical oversight and management of the following: coaching, orienting and developing the clinical team in an assigned area which consists as applicable of Director of Nursing (DON), Clinical Supervisors, Case Managers, and field staff who treat adult and pediatric patients, as applicable. The Area Director of Clinical Operations (ADCO) is responsible for the day-to-day management of clinical operations in assigned Area/States to ensure excellent patient-centered care, efficient use of clinical resources and excellent customer service.