NewMedical Coder III, Inpatient Hospital Coding (Must reside in KPNW region) Kaiser PermanenteMedical Coder III, Inpatient Hospital Coding (Must reside in KPNW region)Portland, OR$37.59Completes medical coding by: translating clinical information into coded data to enter appropriate codes for diagnoses, procedures, and other services rendered, following coding guidelines for the most current version of the International Classification of Diseases Clinical Modification (ICD-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II for patient encounters; identifying and assigning appropriate codes for diagnoses, procedures, and other services rendered independently; resolving coding issues through partnership with clinicians, department administration, and other coding staff based on review, coding guidelines, and queries or issues with practitioner-submitted medical codes to reduce denials and improve time to submission; and assisting team members with providing consultation to staff and care providers on all coding and documentation questions. Additional Requirements: Knowledge, Skills, and Abilities (KSAs): Medical Coding; Medical Terminology; Health Care Coding; Time Management; Compliance Management; Quality Assurance and Effectiveness; Health Records; Health Information Systems; Data Quality; Data Entry; Maintain Files and Records.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorTualatin, ORRemote$57,400–$99,000The 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.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorBeaverton, ORRemote$57,400–$99,000Reporting - 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.
Coding Consultant I, II, or III DOE Cambia Health SolutionsCoding Consultant I, II, or III DOEVancouver, 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.
Oncology Coding Specialist Compass OncologyOncology Coding SpecialistVancouver, WAFull timeAs a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!
Coding Specialist Compass OncologyCoding SpecialistVancouver, WAFull timeAs a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!
Coding Quality Educator - Remote Providence St. Joseph HealthCoding Quality Educator - RemotePortland, ORRemoteTogether, 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. This position will assist with new employee training and ongoing department education as well as assist with the identification, development and delivery of new and ongoing provider education and training related to coding and clinical documentation.
Coding Compliance Specialist Virginia Garcia Memorial Health CenterCoding Compliance SpecialistHillsboro, ORMonitoring billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special emphasis on seasonal and migrant farm workers and others with barriers to receiving healthcare.
Documentation and Coding Consultant 1 (Permanent/Hybrid) Northwest PermanenteDocumentation and Coding Consultant 1 (Permanent/Hybrid)Portland Metro Area, OregonResearches new diagnostic and procedure codes utilizing CPT4, ICD-10 and HCPCS codes and assigns codes as appropriate, utilizing Consultant II, Consultant III, Supervisor expertise in decision making. Analyzes and chooses educational presentation training points to emphasize; to ensure training is relevant and meets clinician needs appropriately to improve or maintain, consistent and accurate clinician code selection.
Pharmacy Services (Digital Support) Technician Cambia Health SolutionsPharmacy Services (Digital Support) TechnicianVancouver, 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.
Insurance Specialist - Billing/ Follow Up Compass OncologyInsurance Specialist - Billing/ Follow UpVancouver, WAFull timeAs a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!
Policy & Implementation Analyst or Sr. DOE Cambia Health SolutionsPolicy & Implementation Analyst or Sr. DOEVancouver, 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.
Manager Coding - Hospital Coding Peace HealthManager Coding - Hospital CodingVancouver, WA$46.27–$69.41 / hourManages the daily operations of a designated coding team to ensure that diagnoses and procedures have been collected, coded and accurately reflected utilizing PeaceHealth coding and compliance regulations, as well as other legal or accreditation organization requirements. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
Radiation Medicine Coder (Coding Specialist 3) Oregon Health & Science UniversityRadiation Medicine Coder (Coding Specialist 3)Portland, ORMonitoring and Compliance Monitor coding and billing information from CMS guidelines, Professional licensing organizations, Internal communication memos, and transmittals from coding publishers and governmental agencies to advise facility and team of billing practice changes in CPT, ICD-10-CM, and HCPCS and ensure changes are implemented to maximize revenue and reflect medical evaluation of patient encounters. Depending on posted job need, assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or surgical coding.
Family Medicine Coder (Coding Specialist 2) Oregon Health & Science UniversityFamily Medicine Coder (Coding Specialist 2)Portland, ORAssign correct CPT, ICD-10-CM, and HCPCS codes for professional charges, which could include all E&M services including outpatient and inpatient; diagnostic services; procedural services; and/or Charge Routers and Charge entry. Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM, and HCPCS.
Inpatient Coder (Coding Specialist 3) Oregon Health & Science UniversityInpatient Coder (Coding Specialist 3)Portland, ORRemoteCoding certification from AAPC or AHIMA: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in ICD-10.
IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, Informatics Kaiser PermanenteIT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, InformaticsLake Oswego, OREssential Responsibilities: Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities. Ability and/or having the capacity to learn -knowledge representation- logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
Instructor - Billing/Coding (Part-Time) Mt Hood Community CollegeInstructor - Billing/Coding (Part-Time)Gresham, ORSalary level will be based on educational level and total accumulated ILCs as part-time instructors at the College; initial placement will not exceed Level 2. Level Accumulated ILCs $ Per Term Per ILC 10 - 44.9 $944.15 45 - 89.9 $986.65 90 - 134.9 $1031.05 135 - 179.9 $1077.45 180 - 224.9 $1125.94 225 - 269.9 $1176.67 270 - 314.9 $1229.56 315 - 359.9 $1284.99 360 - 404.9 $1342.72 405 - 449.9 $1403.13 450 or more $1601.20. Level Accumulated Work Hours ABE, GED, ESL Instructors 10 - 1000 $85.87 1001 - 2000 $90.72 2001 - 3000 $94.77 3001 - 4000 $99.05 4001 - 5000 $103.48 5001 - 6000 $108.13 6001 - 7000 $112.99 7001 - 8000 $118.09 8001 - 9000 $123.41 9001 - 10000 $128.95 10001 - 11000 $134.75 11001 or more $140.81.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Beaverton, ORIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Surgery Coding Specialist 3 Oregon Health & Science UniversitySurgery Coding Specialist 3Portland, ORWe are seeking a detail‑driven, credentialed Level III Professional Fee Coder with strong multispecialty surgery experience, including General Surgery, Plastic Surgery, Dental, Gastroenterology, and Trauma. If you're a highly skilled, credentialed multispecialty surgery coder seeking flexibility, professional growth, and the opportunity to support world‑class healthcare, we would love to welcome you to our team.
Registration Representative - Coded Replacement Kaiser PermanenteRegistration Representative - Coded ReplacementClackamas, ORAssist patients by providing phone numbers, facility directions and office layouts; Directing to other departments and administrative services for further information, for example (but not limited to) Membership Services, Dental and Pharmacy. Essential Responsibilities: Registration: Greets and registers patients for various medical care in the clinic setting potentially in a 24 hour, 7 day a week environment and in a highly active fast paced setting such as the Emergency department.
NewDesign Engineer: Shape UI/UX, Ship Code for 100k+ Users AshbyDesign Engineer: Shape UI/UX, Ship Code for 100k+ UsersPortland, ORCandidates must demonstrate experience in both UI/UX design and engineering, with a track record of shipping code to real users.#J-18808-Ljbffr. This role uniquely combines design and coding, impacting a product with over 100,000 weekly active users.
Urgent Care - Associate Veterinarian - Portland , {State_Code UsvtaUrgent Care - Associate Veterinarian - Portland , {State_CodePortland, OregonAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. This hospital is open to considering veterinarians who are experienced, as well as new graduates who are interested in exploring Urgent Care practice.
Medical Coder The Progressive CorpMedical CoderTigard, OR$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/ .
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorOR$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Medical Scribe Oregon Health & Science UniversityMedical ScribePortland, ORAccurately and efficiently record the History of Present Illness (HPI) and Review of Systems (ROS) into the Electronic Health Record, as well as, update the Past Medical History (PMH), Social History, Medications, Allergies, specialty specific metrics, visit Summaries, discharge summaries, while the clinician interacts with the patient. Accurately and efficiently record the details of the Physical Exam, Medical Decision Making, Assessment and Plan, and pend any computerized Orders as directed by the clinician, including ICD Codes, prescriptions, diagnostics, referrals and medical equipment.
Sr. Certified Coder Adventist Health SystemSr. Certified CoderPortland, ORLicenses/Certifications: Certified Coding Specialist (CCS) or Outpatient Certified Professional Coder (CPC) or Radiation Oncology Certified Coder (ROCC) or Certified Interventional Radiology Cardiovascular Coder (CIRC) or Certified Professional Coder (CPC) or Certified Outpatient Coder(COC) or Certified Coding Specialist-Physician Based(CCS-P) or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT): Required. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Preferred Associates/Technical Degree or equivalent combination of education/related experience: Preferred Two years coding experience: Preferred.
Certified Coder for Central Admin in NE Portland (Cardiology & Multispecialty Care) The Oregon ClinicCertified Coder for Central Admin in NE Portland (Cardiology & Multispecialty Care)Portland, OR$28.01–$37.89 / hourBy providing patients and internal and external stakeholders with a consistent, efficient, and easy experience, you'll help ensure that patients at The Oregon Clinic receive the highest value care tailored to their needs. Experience coding in other multispecialty healthcare settings (GI, ENT, Neurosurgery, Plastic Surgery, General Surgery, Orthopedics, OB/GYN, and Primary Care) is a plus!
Coder I - Home & Community Care Admin (Remote) Peace HealthCoder I - Home & Community Care Admin (Remote)Vancouver, WARemote$23.74–$35.62 / hourUtilizes knowledge of medical terminology, anatomy and physiology, coding software, coding conventions, local medical review policy, APC's, and hospital procedures to code outpatient medical records with ICD-10-CM and CPT4 coding classification systems to ensure accurate, complete and consistent coding for quality data. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
Director of Finance Mac's ListDirector of FinancePortland, OR$120,000–$140,000 / yearPosition Summary: The Director of Finance oversees Orchid Health's financial operations, including revenue generation, expenses, budgeting, forecasting, accounts payable and receivable, medical billing and coding, insurance contracts, grants, credentialing, leases, business insurance, and related administrative functions. Responsibilities: Lead Orchid Health's finance, revenue cycle, and administrative finance functions, including cash flow, budgeting, forecasting, accounts payable, accounts receivable, and monthly budget reporting.
Director of Finance Orchid HealthDirector of FinancePortland, ORFull timePosition Summary: The Director of Finance oversees Orchid Health's financial operations, including revenue generation, expenses, budgeting, forecasting, accounts payable and receivable, medical billing and coding, insurance contracts, grants, credentialing, leases, business insurance, and related administrative functions. Responsibilities: Lead Orchid Health's finance, revenue cycle, and administrative finance functions, including cash flow, budgeting, forecasting, accounts payable, accounts receivable, and monthly budget reporting.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorOR$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Billing/Follow-up Specialist - Professional Billing Peace HealthBilling/Follow-up Specialist - Professional BillingVancouver, WARemote$19.62–$29.44 / hourResponsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, and resolution of reimbursement issues for multi-facility, multi-specialty organization. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
Medical Billing Specialist GN Store Nord ASMedical Billing SpecialistVancouver, WA$22–$24 / hourLeveraging your strong attention to detail and at least three years of experience in billing for primary care or specialty medicine, you will be responsible for managing accounts receivable, investigating and resolving insurance claims, and supporting our commitment to outstanding customer service. Participates in educational activities and enhances knowledge and skills to keep up to date of current coding changes, fee schedules, and applicable state and federal programs as they relate to claim submission.
Pharmacy/Pharmacy Tech Outpatient IMCS Group IncPharmacy/Pharmacy Tech OutpatientPortland, ORJob Specific Duties: "Working knowledge of medical terminology, HCPCS, CPT & ICD-10 coding applications, basic anatomy and physiology, confidentiality guidelines, pharmaceuticals, pharmacy service models in various practice settings, and pharmacy billing & pricing of pharmaceuticals. ESSENTIAL FUNCTIONS: "Coordinates and processes independently pharmacy prior authorizations taking into consideration pharmacy benefits, medication utilization policies, documented technician approval criteria, information submitted by prescriber, and age-related presentation of member requesting.
Neurointerventionalist Legacy Health SystemNeurointerventionalistPortland, ORWorks with other specialists in multidisciplinary cerebrovascular programs (radiology, neurosurgery, neurology) to build cohesive neurointerventional services and ensure Comprehensive Stroke Center requirements are met. As a Neurointerventionalist, you will provide medical and surgical services within an assigned clinic, forging relationships with staff and delivering expert care to patients.
Physician Assistant Gastroenterology Legacy Health SystemPhysician Assistant GastroenterologyVancouver, WA$72.84–$94.95 / hourEducation: Requires Bachelor's degree and successful completion of a PA program accredited by any of the following accrediting bodies: Committee on Allied Health, Education Accreditation of the American Medical Association (CAHEA); Commission on Accreditation of Allied Health Education Programs (CAAHEP); Accreditation Review Commission on the Education of the PA (ARC-PA). Provides medical services under the direction of a physician to patients presenting specialty conditions or disease (depending on assigned department), consistent with the PA's current Practice Description approved by the State of Oregon Board of Medical Examiners.
Nurse Practitioner Oncology Legacy Health SystemNurse Practitioner OncologyVancouver, WA$69.17–$101.20 / hourProvides medical services under the direction of a physician to patients presenting specialty conditions or disease (depending on assigned department), consistent with the NP's current Practice Description approved by the State of Oregon Board of Medical Examiners. Performs minor surgical, diagnostic, and therapeutic procedures, administers treatments and medications consistent with the NP's current Practice Description approved by the State of Oregon Board of Medical Examiners.
Physician Assistant Neurosurgery Legacy Health SystemPhysician Assistant NeurosurgeryGresham, OREducation: Requires Bachelor's degree and successful completion of a PA program accredited by any of the following accrediting bodies: Committee on Allied Health, Education Accreditation of the American Medical Association (CAHEA); Commission on Accreditation of Allied Health Education Programs (CAAHEP); Accreditation Review Commission on the Education of the PA (ARC-PA). Provides medical services under the direction of a physician to patients presenting specialty conditions or disease (depending on assigned department), consistent with the PA's current Practice Description approved by the State of Oregon Board of Medical Examiners.
Pediatric Orthopedic Surgeon Legacy Health SystemPediatric Orthopedic SurgeonPortland, OR$517,523–$582,214 / yearCompensation & Benefits: Legacy offers competitive compensation with a production-based bonus structure and a generous benefits package, including a hire-on bonus, medical, dental, and vision coverage, CME allowance, malpractice coverage, retirement plans, and relocation bonus. The Portland-Vancouver area consistently ranks among the nation's most livable regions, offering vibrant urban neighborhoods, family-friendly communities, and endless opportunities for outdoor recreation throughout the year.
Nurse Practitioner - Oncology Legacy HealthNurse Practitioner - OncologyVANCOUVER, Washington$69.17–$101.20 / hourFull timeProvides medical services under the direction of a physician to patients presenting specialty conditions or disease (depending on assigned department),consistent with the NP’s current Practice Description approved by the State of Oregon Board of Medical Examiners. Performs minor surgical, diagnostic, and therapeutic procedures, administers treatments and medications consistent with the NP’s current Practice Description approved by the State of Oregon Board of Medical Examiners.
Neurointerventionalist Legacy HealthNeurointerventionalistPORTLAND, OregonFull timeWorks with other specialists in multidisciplinary cerebrovascular programs (radiology, neurosurgery, neurology) to build cohesive neurointerventional services and ensure Comprehensive Stroke Center requirements are met. As a Neurointerventionalist, you will provide medical and surgical services within an assigned clinic, forging relationships with staff and delivering expert care to patients.
Pediatric Orthopedic Surgeon Legacy HealthPediatric Orthopedic SurgeonPORTLAND, Oregon$517,523–$582,214 / yearFull timeLegacy offers competitive compensation with a production-based bonus structure and a generous benefits package, including a hire-on bonus, medical, dental, and vision coverage, CME allowance, malpractice coverage, retirement plans, and relocation bonus. The Portland–Vancouver area consistently ranks among the nation’s most livable regions, offering vibrant urban neighborhoods, family-friendly communities, and endless opportunities for outdoor recreation throughout the year.
Physician Assistant Neurosurgery Legacy HealthPhysician Assistant NeurosurgeryGRESHAM, Oregon$77.16–$101.20 / hourFull timeRequires Bachelor’s degree and successful completion of a PA program accredited by any of the following accrediting bodies: Committee on Allied Health, Education Accreditation of the American Medical Association (CAHEA); Commission on Accreditation of Allied Health Education Programs (CAAHEP); Accreditation Review Commission on the Education of the PA (ARC-PA). Provides medical services under the direction of a physician to patients presenting specialty conditions or disease (depending on assigned department),consistent with the PA’s current Practice Description approved by the State of Oregon Board of Medical Examiners.
Physician Assistant - Gastroenterology Legacy HealthPhysician Assistant - GastroenterologyVANCOUVER, WashingtonFull timeRequires Bachelor’s degree and successful completion of a PA program accredited by any of the following accrediting bodies: Committee on Allied Health, Education Accreditation of the American Medical Association (CAHEA); Commission on Accreditation of Allied Health Education Programs (CAAHEP); Accreditation Review Commission on the Education of the PA (ARC-PA). Provides medical services under the direction of a physician to patients presenting specialty conditions or disease (depending on assigned department),consistent with the PA’s current Practice Description approved by the State of Oregon Board of Medical Examiners.
Pharmacy/Pharmacy Tech Outpatient APN Consulting IncPharmacy/Pharmacy Tech OutpatientPortland, ORJob Specific Duties: " Working knowledge of medical terminology, HCPCS, CPT & ICD-10 coding applications, basic anatomy and physiology, confidentiality guidelines, pharmaceuticals, pharmacy service models in various practice settings, and pharmacy billing & pricing of pharmaceuticals. ESSENTIAL FUNCTIONS: "Coordinates and processes independently pharmacy prior authorizations taking into consideration pharmacy benefits, medication utilization policies, documented technician approval criteria, information submitted by prescriber, and age-related presentation of member requesting.
Cardiothoracic Surgeon Legacy HealthCardiothoracic SurgeonPORTLAND, OregonFull timeSuch care is provided in an office, outpatient, or inpatient setting and includes the full and expected mix of patient problems and surgical approaches. We value every member of our community and work together to make life better for others - guided by professionalism, integrity, and, fittingly, a lot of heart.
NewSurgical Oncologist Legacy HealthSurgical OncologistTUALATIN, OregonFull timeSuch care is provided in an office, outpatient, or inpatient setting and includes the full and expected mix of patient problems and surgical approaches. As a nationally respected healthcare organization, Legacy Health offers the resources, culture, and support you need to thrive both professionally and personally.
Compliance Auditor -Remote Providence St. Joseph HealthCompliance Auditor -RemotePortland, ORRemoteAreas of audit focus for this position may involve clinical and non-clinical services, including but not limited to revenue cycle: Rev Cycle departments, Rev Cycle Billing Offices, External Vendor; HIM Coding, Revenue Integrity RI, Chargemaster CDM, EPIC, and Clinical Documentation CDT. This position works collaboratively with Case Management, Utilization Review, Revenue Integrity, our PB Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs and Finance under the supervision of the Rev Cycle Compliance Senior Manager.
Registered Nurse / RN - Utilization Management I CareOregon IncRegistered Nurse / RN - Utilization Management IPortland, OR$102,330–$125,070 / yearCareOregon 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.). Determine appropriate level of care and length of stay for inpatient members to include hospitals, skilled nursing facilities, long term acute care hospitals, inpatient rehabilitation hospitals, and respite care programs.