Coding Consultant I, II, or III DOE Cambia Health SolutionsCoding Consultant I, II, or III DOESpokane, WAFull timeCoding Review Consultant: Certification in at least 1 of the following is required at the time of hire, and throughout tenure in job: Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), RHIT (Registered Health Information Technician), or RHIA (Registered Health Information Administrator). * Identify trends and patterns; collate audit results and analyze findings; identify root cause analysis; and identify system issues that may contribute to claims, coding, provider contracting and revenue cycle deficiencies.
Coding Policy Analyst - Remote Providence St. Joseph HealthCoding Policy Analyst - RemoteLiberty Lake, WARemoteFull timeThe 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.
Coding Specialist Volt Management Corp.Coding SpecialistSpokane, WAFull timeBy applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from VOLT and its affiliates, and contracted partners. *Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.
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.
Coder Providence St. Joseph HealthCoderSpokane, WAFull timeCoding Specialist is a nationally certified professional coder who educates and support Providers, Division Directors/Managers and clinical staff by providing ongoing coding training to ensure adherence to agency regulations. 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.
Scheduler Compass OncologySchedulerSpokane, WAFull timeInquires about patients family, medical, social services needs.-On behalf of the patient, coordinates physician referrals, schedules oncology related medical appointments within and outside the practice, resolves insurance billing and coding issues, contacts agencies. ESSENTIAL DUTIES AND RESPONSIBILITIES:-Prior to a patients first appointment, contacts or meets with patient to obtain basic chart information (diagnosis, referring physician, personal data, insurance, etc).
Patient Coordinator - Scheduler Compass OncologyPatient Coordinator - SchedulerSpokane, WAFull timeFor over five decades Cancer Care Northwest has been the Inland Northwest's premier cancer center, providing an integrated approach to the diagnosis, treatment and healing of cancer and blood-related diseases. Our collective passion to fight against cancer is what motivates and inspires us every day and is the reason Cancer Care Northwest has become the Inland Northwest's premier cancer center.
Pharmacy Services (Digital Support) Technician Cambia Health SolutionsPharmacy Services (Digital Support) TechnicianSpokane, WAFull timeThis function assists the Clinical Pharmacy Consultants and Pharmacy Services staff with formulary-related operations and other operational processes which require knowledge and experience with pharmaceuticals, all-in service of creating a person-focused health care experience. * Additional requirements for Pharmacy Services Technician II, requires a high school diploma or related certificate along with 4 years of pharmacy technician experience in a retail, hospital, or licensed pharmacy setting.
Vice President Payment Integrity Cambia Health SolutionsVice President Payment IntegritySpokane, WAFull timeMinimum of 8-10 years of experience in business process design, improvement, and transformation within healthcare payment environments and a minimum of 12-15 years of progressive leadership experience in Healthcare Payment Integrity, Health Plan Claims, Health Plan Operations or related Healthcare management or an equivalent combination of education and experience. This position drives enterprise-wide strategic vision and execution across post-pay and pre-pay audit functions, provider-facing operations and advance analytics capabilities - all in service of creating an economically sustainable health care system.
Coding Specialist I COMMUNITY HEALTH ASSOCIATION OF SPOKANECoding Specialist ISpokane, WA$25.67–$37.70 / hourQualifications: Education/Experience: Certified Professional Coder (CPC) or CPC-A credential combined with three years of front and/or back office experience in lieu of CPC credential required. Essential Duties and Responsibilities: Reviews health documentation and records to extract and ensure appropriate codes, including CPT, HCPCS, ICD-10/HCC, are captured in the electronic health records system.
Policy & Implementation Analyst or Sr. DOE Cambia Health SolutionsPolicy & Implementation Analyst or Sr. DOESpokane, WAFull timeServes as primary support for CPT/HCPCS procedure and ICD-9/ICD-10 diagnosis coding questions across Cambia, ensuring decision-making related to coding is consistent, clinically appropriate and thoroughly documented. * Facilitates development, understanding and documentation of business requirements related to policy implementation, clinical editing, and reimbursement policy development including issue identification, research, approval, implementation, documentation and education.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorPost Falls, ID$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Care Review Clinician Integrated Resources, IncCare Review ClinicianSpokane Valley, WashingtonContractorActing as a clinical resource, provides clinical review of claims to determine coding and billing accuracy and medical appropriateness of various types of provider claims. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates.
Patient Coordinator - Scheduler CCNW-Cancer Care NorthwestPatient Coordinator - SchedulerSpokane Valley, Washington$22.33–$33.30 / hourWork Environment: While performing the essential duties/responsibilities of this job, the employee will not be exposed to any workplace environmental conditions caused by extreme noise, heat, cold, workplace hazards, atmospheric dust/fumes/vapors/mists, pathogens, or toxic chemicals. For over five decades Cancer Care Northwest has been the Inland Northwest's premier cancer center, providing an integrated approach to the diagnosis, treatment and healing of cancer and blood-related diseases.
NewPatient Accounts Specialist Northwest Orthopaedic SpecialistsPatient Accounts SpecialistSpokane, WashingtonRemoteThe Patient Accounts Specialist is also responsible for promptly and efficiently responding to requests for cost estimates for minor and major surgical procedures, ensuring accurate collection of patient payments prior to scheduled appointments, and accurately posting and reconciling insurance and patient payments and processing refunds to maintain accurate financial records . The Patient Accounts Specialist is responsible for supporting the organization's self-pay accounts receivable efforts by managing patient account inquiries, providing timely follow-up on outstanding self-pay balances, and working directly with patients to resolve billing questions and collect payments.
Billing (RCM) Supervisor BC Beacon Cancer CareBilling (RCM) SupervisorCoeur d'Alene, IdahoCoordinate system/workflow improvements and collaborate with clinical leadership, pharmacy, infusioncenters, clearinghouses, collection agencies, and other vendorsalongside RCM Manager. This individual will lead day-to-day revenue cycle operations for a growing multi-disciplinary practice to maximize cash flow, minimize days in A/R, and ensureaccurate, compliant billing and coding.
Billing (RCM) Supervisor Beacon ClinicBilling (RCM) SupervisorCoeur d'Alene, IdahoCoordinate system/workflow improvements and collaborate with clinical leadership, pharmacy, infusion centers, clearinghouses, collection agencies, and other vendors alongside RCM Manager. This individual will lead day-to-day revenue cycle operations for a growing multi-disciplinary practice to maximize cash flow, minimize days in A/R, and ensure accurate, compliant billing and coding.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)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.
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.
Practice Manager - Axis Spine Center Surgery PartnersPractice Manager - Axis Spine CenterPost Falls, IDThe Practice Manager will ensure that fiscal functions of the department(s) are conducted in accordance with generally accepted accounting practices and specific practices as established from time to time by the hospital and the corporation. Northwest Specialty Hospital includes 12 operating rooms and 28 inpatient beds, along with a variety of clinics and services throughout Kootenai County that span across multiple specialties.
PRACTICE MANAGER - AXIS SPINE CENTER Surgery Partners IncPRACTICE MANAGER - AXIS SPINE CENTERPost Falls, IDThe Practice Manager will ensure that fiscal functions of the department(s) are conducted in accordance with generally accepted accounting practices and specific practices as established from time to time by the hospital and the corporation. Northwest Specialty Hospital includes 12 operating rooms and 28 inpatient beds, along with a variety of clinics and services throughout Kootenai County that span across multiple specialties.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorCoeur D Alene, ID$57,400–$99,000 / yearReporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
Lead Patient Financial Counselor - Clinical Program Services Providence Health & ServicesLead Patient Financial Counselor - Clinical Program ServicesSpokane, WARequsition ID: 428860 Company: Providence Jobs Job Category: Patient Financial Services Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3041 CLINICAL PROGRAM SERVICES WA SHMC SPOKANE Address: WA Spokane 101 W 8th Ave Work Location: Sacred Heart Medical Center-Spokane Workplace Type: Hybrid Pay Range: $23.84 - $36.48 Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
NewProvider Engagement Specialist I/II Blue Cross and Blue Shield AssociationProvider Engagement Specialist I/IICoeur d'Alene, ID$66,353–$92,894 / yearThe pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, internal equity, geography, business or organizational needs, and alignment with market data. Required Licenses/Certifications: Must hold: Certified Professional Coder Certification (CPC) or Clinical Certification/Clinical License (MA or above).
Patient Authorization and Referral Representative - Cardiology Providence Health & ServicesPatient Authorization and Referral Representative - CardiologySpokane, WARequsition ID: 440640 Company: Providence Jobs Job Category: Patient Access Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3042 CARDIOLOGY WA PSHI Address: WA Spokane 62 W 7th Ave Work Location: Spokane Heart Institute-Spokane Workplace Type: On-site Pay Range: $19.97 - $30.54 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.
Payment Integrity Nurse I Cambia HealthPayment Integrity Nurse ICda, 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 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.
Patient Authorization and Referral Representative - Cardiology Providence St. Joseph HealthPatient Authorization and Referral Representative - CardiologySpokane, 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.
NewMedical Billing Specialist Cardiac Study CenterMedical Billing SpecialistSpokane, WARemote$19.67–$35.67In 2016, CSC joined with MultiCare Health System to form Pulse Heart Institute—bringing together clinical excellence, innovation, research, and education to improve heart health in our communities. Cardiac Study Center (CSC) partners with Pulse Heart Institute to deliver trusted outpatient cardiology care across the Puget Sound region for over 50 years.
NewMedical Billing Specialist (Remote) Cardiac Study CenterMedical Billing Specialist (Remote)Spokane, WARemote$19.67–$35.67 / hourIn 2016, CSC joined with MultiCare Health System to form Pulse Heart Institute—bringing together clinical excellence, innovation, research, and education to improve heart health in our communities. Cardiac Study Center (CSC) partners with Pulse Heart Institute to deliver trusted outpatient cardiology care across the Puget Sound region for over 50 years.
Medicaid Utilization Review Analyst - MED State of IdahoMedicaid Utilization Review Analyst - MEDCoeur dAlene, IDAs an analyst, you will play a crucial role in conducting preliminary investigations by reviewing claims data and medical records, reviewing provider billing practices, conducting provider and participant interviews, and ensuring that Medicaid services are billed and paid in accordance with Medicaid rules and regulations. This position will communicate findings and provide program education to Medicaid providers through written and oral communication, recovering identified overpayments, assessing civil monetary penalties and taking other administrative actions when warranted.
NewSoftware Developer Boeing Employees Credit UnionSoftware DeveloperID$117,200–$143,200 / yearYou'll play a key role in modernizing our digital platforms by developing scalable applications, building APIs and integrations, and supporting personalized member experiences. Support Digital Transformation: Contribute to website modernization initiatives, personalization capabilities, and digital experience enhancements that improve how members interact with BECU.
AI Scientist Senior II Cambia HealthAI Scientist Senior IISpokane, WA$148,000–$196,000 / yearThis position applies deep expertise in advanced analytical tools such as generative AI, machine learning, deep learning, optimization, and statistical modeling to solve complex, high-impact business problems in the healthcare payer domain. What You Bring to Cambia: Qualifications: The AI Scientist Sr II would have a degree (masters or PhD preferred) in a strongly a strongly quantitative field such as Computer Science, Statistics, Applied Mathematics, Physics, Operations Research, Bioinformatics, or Econometrics, and typically at least 12 years of related work experience.
AI Scientist Senior II Cambia Health Solutions IncAI Scientist Senior IISpokane, WA$148,000–$196,000 / yearThis position applies deep expertise in advanced analytical tools such as generative AI, machine learning, deep learning, optimization, and statistical modeling to solve complex, high-impact business problems in the healthcare payer domain. What You Bring to Cambia: Qualifications: The AI Scientist Sr II would have a degree (masters or PhD preferred) in a strongly a strongly quantitative field such as Computer Science, Statistics, Applied Mathematics, Physics, Operations Research, Bioinformatics, or Econometrics, and typically at least 12 years of related work experience.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Spokane, WARequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Spokane, Washington$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.