28 Results for

Coding Jobs in Spokane Valley, WA

Jobs

New!

Spokane, WA6 days ago

Full-time
Employee

Coding 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.

New!

Liberty Lake, WA2 days ago

Remote

Full-time
Employee

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. 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.

Spokane, WA7 days ago

Full-time
Employee

By 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.

Spokane, WA15 days ago

Full-time
Employee

Coding 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.

Spokane, WA30+ days ago

Full-time
Employee

This 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.

Spokane, WA30+ days ago

Full-time
Employee

Make non-clinical appeal determinations as permitted by department business processes and guidelines; follow processes to receive clinical review and decisions from licensed health professionals; present complex cases to appeal panels; document decisions and communicate determinations to members, providers. * Ability to switch from one task or type of work to another as business needs require while effectively prioritizing work to meet strict timelines and maintaining quality and consumer-centric focus.

Spokane, WA16 days ago

Full-time
Employee

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. 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.

Spokane, WA12 days ago

Full-time
Employee

Spokane, WA30+ days ago

Full-time
Employee

The HEDIS Medical Record Analyst's primary responsibilities will be to retrieve, abstract, or overread medical records in order to capture pertinent, required, data elements for HEDIS reporting. Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history.

Spokane, WA30+ days ago

Full-time
Employee

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. 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.

Spokane, WA30+ days ago

Full-time
Employee

Respond to non-clinical pharmacy issues from providers, pharmacy services staff, case managers, preauthorization nurses, ENCC personnel, government programs personnel, and customer service regarding formulary drug coverage, appeal and reconsideration claim status. * Prepare reconsideration requests for Clinical Pharmacy Consultant review by obtaining and organizing appropriate documentation including medical chart notes, reports, and medication profiles; communicate information and determinations to providers and members orally and through written documentation as necessary.

Spokane, WA30+ days ago

Full-time
Employee

Responds to non-clinical pharmacy issues from providers, pharmacy services staff, case managers, preauthorization nurses, ENCC personnel, government programs personnel, and customer service, including formulary drug coverage, appeal and reconsideration claim status, and pricing for drug claims. * Prepares reconsideration requests for Clinical Pharmacy Consultant review by obtaining and organizing appropriate documentation, including but not limited to medical chart notes/reports and medication profiles, and communicates information and determinations to providers and members as necessary (orally and by written documentation).

Spokane, WA30+ days ago

Remote

Full-time
Employee

Overseas and coordinates team activities to achieve business objectives and ensure the timely processing of member and provider claims and are in alignment with contract provisions, proper coding, policy or regulatory compliance across multiple lines of business, all in service of creating a person-focused health care experience. Develops and maintains desk reference guides on work procedures, ensures new hires complete necessary training, and assesses training needs while playing an active role in staff development.

Spokane, WA30+ days ago

Full-time
Employee

Minimum 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.

Spokane, WA29 days ago

Full-time
Employee

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. 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.

Spokane, WA30+ days ago

Full-time
Employee

What You Bring to Cambia: Qualifications: * Provider Education Coordinator would have a Bachelor's degree in a related field and at least 5 years of Medicare Advantage or Commercial risk adjustment experience including at least 4 years of experience in a HCC Coding Audit or Network Management role or equivalent combination of education and experience. What You Will Do at Cambia: * Develops, coordinates, and drives risk adjustment education initiatives with network providers and acts as primary point of contact for assigned key provider engagements across Commercial and Medicare lines of business.

Spokane, WA30+ days ago

Full-time
Employee

Performs file review to ensure Loan Operation Associates are performing tasks in an accurate and quality fashion, including a predetermined quantity performance level for all servicing activities performed by Loan Servicing such as loan boarding review, loan codes review, and loan monetary and non-monetary maintenance review. SUMMARYThe HL Quality Control Specialist II is responsible for performing a review of loan data as a result of loan servicing functions ensuring accuracy, adherence to established policies and procedures, and to ensure all internal and external compliance, regulatory, and audit requirements are met.

Spokane, WA30+ days ago

Full-time
Employee

Complete 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.

Spokane, WA13 days ago

Full-time
Employee

Serves 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.

Spokane, WA28 days ago

$150,000–$160,000 Per Year
Full-time
Employee

In this role, you will collaborate with business and technical teams to design and implement scalable solutions that support core revenue cycle functions, including order processing, documentation, claims, reimbursement, billing, and collections. This position operates within an established enterprise architecture framework and partners closely with senior architects and engineering teams to deliver high-quality, compliant, and business-aligned solutions.

Spokane, WA8 days ago

$29.05–$67.97 Per Hour

Job Qualifications** **REQUIRED QUALIFICATIONS:** - At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. **Job Description** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.

Spokane Valley, Washington10 days ago

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).

New!

Spokane, WA5 days ago

$22.33–$33.30 Per Hour

Work 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.

New!

Rathdrum, ID4 days ago

Additional Perks: Student loan repayment program for eligible positions, LifeFlight membership for emergency medical transport, and access to a dedicated benefits advocate team for personalized support. • Physician Assistant: A medical license from the State of Idaho to practice medicine as a Physician Assistant under a Physician's supervision plus a medical certification from the National Commission on Certification of Physician Assistants Inc. (NCCPA) is required.

Spokane, WA30+ days ago

Remote

$19.67–$35.67

In 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.

Spokane, WA30+ days ago

Full-time

Maximus 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.

Spokane, WA30+ days ago

$21.82–$48.94 Per Hour

Job Qualifications** **REQUIRED QUALIFICATIONS:** + Active license or certification as one of the following: Medical Assistant (MA), Certified Nursing Assistant (CNA), Licensed Vocational/Practical Nurse (LVN/LPN), or Phlebotomist. **Job Description** **Job Summary** The Specialist, Patient Care Delivery is a multi-disciplinary healthcare professional who delivers high-quality, compassionate care to health plan members in their homes.

Spokane, WA30+ days ago

$83,000–$139,000 Per Year

PHYSICAL DEMANDS AND WORKING CONDITIONS:** + Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians + Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit, and corporate meetings may be required. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease.

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Coding Jobs in Spokane Valley, WA

Coding Consultant I, II, or III DOE Cambia Health Solutions

Coding Policy Analyst - Remote Providence St. Joseph Health

Coding Specialist Volt Management Corp.

Coder Providence St. Joseph Health

Revenue Cycle Specialist Volt Management Corp.

Appeals Specialist I Cambia Health Solutions

Patient Coordinator - Scheduler Compass Oncology

Scheduler Compass Oncology

HEDIS Medical Record Analyst - TEMP Cambia Health Solutions

Patient Authorization and Referral Representative Providence St. Joseph Health

Pharmacy Services Technician Cambia Health Solutions

Pharmacy Services (Digital Support) Technician Cambia Health Solutions

Supervisor of Appeal Operations Cambia Health Solutions

Vice President Payment Integrity Cambia Health Solutions

Lead Patient Financial Counselor - Clinical Program Services Providence St. Joseph Health

Risk Adjustment Provider Educator Cambia Health Solutions

Home Loans Quality Control Specialist II First Interstate BancSystem

Medical Billing Supervisor Volt Management Corp.

Policy & Implementation Analyst or Sr. DOE Cambia Health Solutions

Senior IT Solutions Architect ABC Medical, Inc

Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare

Scheduler CCNW-Cancer Care Northwest

Patient Coordinator - Scheduler US Oncology Network-wide Career Opportunities

Medical Advanced Practice Provider| Rathdrum, ID|Full-Time|$133,304.66 +|Work Life Balance| Dirne Health Center

Medical Billing Specialist Cardiac Study Center

Data Conversion Lead Maximus

Specialist, Patient Care Delivery Travel in Spokane Area Molina Healthcare

Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical Care

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