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.
Coding Specialist I CHAS HealthCoding Specialist ISpokane, WashingtonEducation/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. No matter what clinic or location you join, you become a part of the bigger picture – providing trustworthy, patient-centered, and attentive care to anyone who walks through our doors.
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.
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.
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.
Revenue Cycle Specialist Volt Management Corp.Revenue Cycle SpecialistSpokane, WAFull timeThis role supports our customers with claims processing, including gathering required documentation and coding information, updating patient accounts with payments, vouchers and claims/payment status, and communicating with patients and 3rd party insurers about claims and payments. * Processing rejections by either making accounts private and generating a letter of rejection to patient or correcting any billing error and resubmitting claims to third-party insurance carriers.
Patient Authorization and Referral Representative Providence St. Joseph HealthPatient Authorization and Referral RepresentativeSpokane, WAFull timeOur 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. Under the general direction of the Supervisor or Manager, the Authorizations Representative - caregivers' primary duties revolve around authorizations, but may also perform a variety of tasks related to patient scheduling, pre-registration, and authorization/verification of benefits in a fast paced, ever changing environment.
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.
Lead Patient Financial Counselor - Clinical Program Services Providence St. Joseph HealthLead Patient Financial Counselor - Clinical Program ServicesSpokane, WAFull timeOur 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. Lead Patient Financial Counselor - Clinical Program Services, Providence Health Care Region supporting Providence Sacred Heart Medical Center & Children's Hospital and Providence Holy Family Hospital in Spokane, WA.
Medical Billing Supervisor Volt Management Corp.Medical Billing SupervisorSpokane, WAFull timeComplete understanding and in-depth working knowledge of healthcare revenue cycle; Good working knowledge of medical terminology, billing guidelines, HIPAA and compliance; Solid knowledge of third-party billing requirements and HIPAA 837/835 electronic language. * Supervise the work of the Revenue Cycle Team by delegating work, monitoring progress, and evaluating work product for timeliness, quality, and compliance with policy and procedures.
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.
Code Enforcement Officer Spokane County WACode Enforcement OfficerSpokane, WA$85,336.25–$119,397.71 / hourAll County employees are responsible for contributing to a safe and positive work environment, actively demonstrating the County values in their daily work and interactions: Respect: Appreciating and valuing customers, other County employees and County leadership by showing courtesy, friendliness and fairness. Duties include responding to complaints and inquiries; conducting on site inspections; documenting violations; advising responsible parties of corrective actions; pursuing civil and administrative remedies, including those that require contracting with third parties; and preparing cases for hearings or court.
Billing (RCM) Supervisor BC Beacon Cancer CareBilling (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.
NewClinical Registrar Providence St. Joseph HealthClinical RegistrarSpokane, 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.
Pharmacy Services Technician Cambia Health Solutions IncPharmacy Services TechnicianWARemote$20.50–$30.80 / hourAssist with auditing and investigations of medication-related claims, cases, and providers to identify misuse of medications, misuse of resources, substance abuse, and erroneous and fraudulent billing practices; investigate and organize workflow for claims referred to Pharmacy Services for review and allowable determination including miscellaneous J codes, providers on review, and reconsiderations. Support wellness and disease state management programs for Pharmacy Service and corporately which contribute to NCQA accreditation and ongoing quality improvement; contribute to and support the corporation's quality initiatives through process improvement teams and by encouraging team and individual contributions toward quality improvement efforts.
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.
BILLING SPECIALIST/SR BILLER University Health Services IncBILLING SPECIALIST/SR BILLERSPOKANE, WAReview daily unbilled and claim edit reports to ensure clean claim submission, correcting errors related to authorizations, service dates, diagnoses, revenue codes, and reimbursement methods. Responsibilities Position Summary: The Billing Specialist is a key contributor to the Revenue Cycle and is responsible for the accurate and timely submission of clean claims to third‑party payers, whether electronically or on paper.
Sr Software Developer Boeing Employees Credit UnionSr Software DeveloperIDDeep experience in one of the following domains: server-side web dev, modern client-side web dev, REST/web services, large scale data analytics using Machine Learning frameworks, networking, and service mesh required. IMPACT YOULL MAKE: In this role, youll strengthen BECUs engineering capabilities by designing and delivering scalable, secure software that directly enhances the digital experiences our members rely on.
NewNurse 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.
NewAI 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.
Data Conversion Lead MaximusData Conversion LeadSpokane, WAFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.