Kforce Inc.NewSoftware Development Engineer Kforce Inc.Software Development EngineerRedmond, WA$72–$81Participate in the development design, integration and improvement of the software; This includes designing and implementing a wide range of software using AWS stack, sometimes requiring partnership with low level embedded code software systems and architecting scalable design solutions for software distribution and deployment for satellites. We are looking for an Engineer with experience in system design and backend services along with advanced knowledge of AWS cloud services infrastructure such as Dynamo DB, Lambdas, Cloud watch, API gateways, CDK and Pipelines.
Providence St. Joseph HealthManager Coding - Remote - Most states eligible Providence St. Joseph HealthManager Coding - Remote - Most states eligibleSeattle, WARemoteFull timeRevenue Cycle Shared Services reflect the Providence employees who work throughout Providence St. Joseph Health in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska, Washington, Montana, Oregon, California, Texas, and New Mexico. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Cambia Health SolutionsCoding Consultant I, II, or III DOE Cambia Health SolutionsCoding Consultant I, II, or III DOENewcastle, 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.
Providence St. Joseph HealthCoding Quality Auditor - Revenue Cycle Providence St. Joseph HealthCoding Quality Auditor - Revenue CycleSeattle, WAFull timeOur strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services. The incumbent reviews and abstracts HCC codes to ensure they are coded accurately, to the highest specificity, queries providers to clinically validate or clarify diagnosis criteria, and reviews for compliant documentation resulting in compliant reporting/billing and RVU capture.
Providence St. Joseph HealthSenior Director CDI and Coding - Remote Providence St. Joseph HealthSenior Director CDI and Coding - RemoteRenton, WARemoteFull timeThis position is responsible for process improvement work to optimize people, processes and technology utilized for specific revenue cycle functions by Providence and Providence vendors building effective partnerships and promoting collaborative relationships with Providence leaders, caregivers and multiple vendors. Demonstrates service excellence and positive interpersonal relations in dealing with others, including patients/families/members, employees, managers, medical staff, volunteers, vendors and community members, so that positive relations are maximized.
Providence St. Joseph HealthSenior Director CDI and Coding - Remote Most States Eligible Providence St. Joseph HealthSenior Director CDI and Coding - Remote Most States EligibleRenton, WARemoteFull timeThis position is responsible for process improvement work to optimize people, processes and technology utilized for specific revenue cycle functions by Providence and Providence vendors building effective partnerships and promoting collaborative relationships with Providence leaders, caregivers and multiple vendors. Demonstrates service excellence and positive interpersonal relations in dealing with others, including patients/families/members, employees, managers, medical staff, volunteers, vendors and community members, so that positive relations are maximized.
MultiCare Health SystemHB Coding Supervisor MultiCare Health SystemHB Coding SupervisorTacoma, WAFull timeThe Supervisor works closely with the vendor coding team to ensure complete, accurate, and timely coding & billing, management or work queues to include denials, and claim edits; oversees coding staff/coding vendor to complete accurate and timely coding/billing of charges, management of denials, and claim edits; ensures maintenance and completion of compliance audits for the coding staff/coding vendor and provides coverage for the Directors of Coding, as needed. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
MultiCare Health SystemPB Coding Supervisor MultiCare Health SystemPB Coding SupervisorTacoma, WAFull timeThe Supervisor works closely with the vendor coding team to ensure complete, accurate, and timely coding & billing, management or work queues to include denials, and claim edits; oversees coding staff/coding vendor to complete accurate and timely coding/billing of charges, management of denials, and claim edits; ensures maintenance and completion of compliance audits for the coding staff/coding vendor and provides coverage for the Directors of Coding, as needed. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
First American Title Insurance CompanyNewAppian Engineer (Low Code) - Remote First American Title Insurance CompanyAppian Engineer (Low Code) - RemoteSeattle, WARemote$121,900–$132,950 / yearFull timeFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. As a member of First American's family of companies, First American Home Warranty offers a wide range of home warranty products and services to home sellers, buyers and agents.
Snowflake Inc.AI Engineer - Cortex Code Quality Snowflake Inc.AI Engineer - Cortex Code QualityBellevue, WA$160,000–$230,000 / yearFull timeWe're shipping production-ready AI applications at scale and want you to join us in building the future of how businesses interact with their data throughCortex Code, Cortex agents, Cortex analyst, Cortex search. We look for low-ego individuals who thrive in dynamic and fast-moving environments and move with an experimental mindset - who rapidly test emerging capabilities to discover simpler, more powerful ways to deliver results.
Snowflake Inc.Staff Machine Learning Engineer - Cortex Code Quality Snowflake Inc.Staff Machine Learning Engineer - Cortex Code QualityBellevue, WA$236,000–$339,200 / yearFull timeAs a Staff MLE/AI Engineer on Cortex Code Quality, you will help define architect agent behavior at enterprise scale by building the agentic systems and methodology that make our users build cutting edge agentic systems that are efficient,repeatable, auditable, and shippable. Hill-climb infrastructure: Design and evolve pipelines and tooling that support large-scale experimentation, error mining, and iteration on prompts/tools/workflows with clear before/after signals.
MongoDB, Inc.Senior Engineer, Code Generation MongoDB, Inc.Senior Engineer, Code GenerationSeattle, WA$212,202–$240,000 / yearFull timeProgramming in Python, Kotlin, and Java, including developing backend services and data processing pipelines for enterprise applications; Familiarity with implementing transpiler technologies, including backend parsing and frontend code generation; Designing and implementing distributed systems, including microservices architectures, asynchronous processing, and orchestration of multi-stage computational workflows; Working with relational database systems and SQL, including schema design and understanding of procedural SQL languages such as PL/SQL or T-SQL; and. Integrating large language models (LLMs) or generative AI systems into production applications, including prompt engineering, output validation, and hybrid deterministic/non-deterministic processing pipelines.
University of WashingtonInpatient Coding Education Analyst University of WashingtonInpatient Coding Education AnalystSeattle, WARemoteMust hold one of the following certifications: RHIT (Registered Health Information Technician): RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist - Physician Based), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIRCC (Certified Interventional Radiology Cardiovascular Coder), RCC (Radiology Certified Coder), ROCC (Radiation Oncology Certified Coder). **Compensation, Benefits and Position Details** **Pay Range Minimum:** $69,000.00 annual **Pay Range Maximum:** $104,004.00 annual **Other Compensation:** - **Benefits:** For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/ **Shift:** First Shift (United States of America) **Temporary or Regular?**
Providence St. Joseph HealthCoder - Physicians Billing Providence St. Joseph HealthCoder - Physicians BillingSeattle, WAFull timeIt is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. National Certified Inpatient Coder upon hire or, National Certified Professional Coder upon hire or, National Certified Coding Specialist - American Health Information Management Association upon hire or, National Certified Coding Specialist - Physician - American Health Information Management Association upon hire or, National Registered Health Information Technician - American Health Information Management Association upon hire or, National Registered Health Information Administrator - American Health Information Management Association upon hire.
Providence St. Joseph HealthLead Reimbursement Specialist - Physicians Billing Providence St. Joseph HealthLead Reimbursement Specialist - Physicians BillingRenton, WAFull timeTogether, 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. Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care.
AmazonNewCoding Compliance Auditor, Revenue Cycle Management, Amazon One Medical AmazonCoding Compliance Auditor, Revenue Cycle Management, Amazon One MedicalSeattle, WADescription Application deadline: Jun 8, 2026 As a key member of the Amazon One Medical Revenue Cycle team the Coding Compliance Auditor will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. Basic Qualifications - Associate's degree in related field - 3+ years of coding/auditing experience in the professional fee and/or risk adjustment setting working with Medicare, Medicare Advantage, and Commercial payers required.
AmazonCoding Compliance Auditing Manager, Amazon One Medical Revenue Cycle AmazonCoding Compliance Auditing Manager, Amazon One Medical Revenue CycleSeattle, WAPreferred Qualifications - Experience in project management including resource planning, managing schedules, reporting project status and prioritizing own tasks and those of other team members for multiple projects - Experience that includes strong analytical skills, attention to detail, and effective communication abilities - Experience working proactively and independently, meeting deadlines, and delivering on projects and tasks - Demonstrates ability to identify and communicate trends in coding and documentation. Description As a key member of the Amazon One Medical Revenue Cycle team, the Coding Compliance Auditing Manager will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations.
MultiCare Health SystemClinical Documentation Specialist for Professional Billing (PB) MultiCare Health SystemClinical Documentation Specialist for Professional Billing (PB)Tacoma, WAFull timeThe Clinical Documentation Specialist for Professional Billing (PB) conducts billing integrity reviews/audits, including reviewing billing submitted with all supporting clinical documentation to assess the extent to which applicable documentation and coding criteria have been met and to identify clinical documentation improvement opportunities. This position will work remotely but primary residence cannot be located in the following states:California, Connecticut, Florida, Hawaii, Illinois, Louisiana, Maryland/Washington DC, Massachusetts, Missouri, New Jersey, New York, Pennsylvania, and Vermont.
Providence St. Joseph HealthSenior Charge Description Master Specialist - FT/Day Providence St. Joseph HealthSenior Charge Description Master Specialist - FT/DayRenton, WAFull timeThe Senior CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Providence St. Joseph HealthSenior Charge Description Master Specialist - Remote - Most States Eligible Providence St. Joseph HealthSenior Charge Description Master Specialist - Remote - Most States EligibleRenton, WARemoteFull timeThe Senior CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The Senior CDM Specialist acts as a resource to other CDM Specialists in the research and resolution of requests in a timely manner; and is responsible for the training and skill development of the CDM Specialists to maximize available tools for chargemaster compliance.
Providence St. Joseph HealthCharge Description Master Specialist - Full Time, Day, Remote Providence St. Joseph HealthCharge Description Master Specialist - Full Time, Day, RemoteRenton, WARemoteFull timeAs a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Providence St. Joseph HealthCharge Description Master Specialist - Full time, Day, Remote Providence St. Joseph HealthCharge Description Master Specialist - Full time, Day, RemoteRenton, WARemoteFull timeAs a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Providence St. Joseph HealthNewSenior Charge Description Master Specialist - Full time, Day, Remote Providence St. Joseph HealthSenior Charge Description Master Specialist - Full time, Day, RemoteRenton, WARemoteFull timeAs a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Cambia Health SolutionsAppeals Specialist I Cambia Health SolutionsAppeals Specialist ITacoma, WAFull timeMake 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.
Providence St. Joseph HealthSenior Coder - Physicians Billing Providence St. Joseph HealthSenior Coder - Physicians BillingSeattle, WAFull timeTogether, 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. 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.
University of WashingtonOutpatient Coding Education Analyst University of WashingtonOutpatient Coding Education AnalystSeattle, WARemoteNearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. **Compensation, Benefits and Position Details** **Pay Range Minimum:** $69,576.00 annual **Pay Range Maximum:** $104,352.00 annual **Other Compensation:** - **Benefits:** For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/ **Shift:** First Shift (United States of America) **Temporary or Regular?**
Providence St. Joseph HealthCoder - Revenue Cycle Providence St. Joseph HealthCoder - Revenue CycleSeattle, WAFull timeOur strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services. Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in King, Snohomish and Pierce counties.
Signature Performance, Inc.AI Model Engineer - Remote/Nationwide Signature Performance, Inc.AI Model Engineer - Remote/NationwideSeattle, WARemote$100,000–$140,000 / yearFull timeIn the role of AI Model Engineer, you will design, fine-tune, evaluate, and deploy large language models (LLMs), multimodal models, retrieval systems, and agentic frameworks that support high-volume medical coding, billing, claims processing, health insurance discovery, eligibility verification, customer service support, EDI ingestion, and enterprise automation. We need someone who is responsible for architecting, optimizing, and operationalizing advanced AI systems that power Signature Performance's WorkflowXM platform, agentic workflow automation tools, and AI-enabled healthcare administrative solutions.
Providence St. Joseph HealthSupervisor Health Plan Operations - USFHP Providence St. Joseph HealthSupervisor Health Plan Operations - USFHPRenton, WAFull timeResponsibilities include ensuring accurate and timely accounting to Pacific Medical Center's revenues and expenses for Outside Purchased Services (OPS), timely and accurate processing of claims and materials needed for accurate adjudication of claims. 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.
Providence St. Joseph HealthPatient Authorization and Referral Representative- Sports Medicine Providence St. Joseph HealthPatient Authorization and Referral Representative- Sports MedicineSeattle, WAFull timeTogether, 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. 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.
Providence St. Joseph HealthPatient Authorization and Referral Representative Neurology Providence St. Joseph HealthPatient Authorization and Referral Representative NeurologySeattle, WAFull timeIt is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. 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.
Cambia Health SolutionsRisk Adjustment Auditor I or II Cambia Health SolutionsRisk Adjustment Auditor I or IINewcastle, WAFull timeAs a member of the Risk Adjustment team, our Risk Adjustment Auditors perform Retrospective/Prospective chart reviews both on and off-site utilizing various types of records to ensure accurate risk adjustment reporting. They also Identify trends in provider coding/documentation and works closely with Provider Education Consultants to develop intervention strategies - all in service of making our members' health journeys easier.
MultiCare Health SystemDRG Denial Prevention Clinical Documentation Specialist MultiCare Health SystemDRG Denial Prevention Clinical Documentation SpecialistTacoma, WAFull timeThe incumbent is fully responsible for clinical related DRG denials; writes appeals, collects and analyzes denial data, educates staff on all areas of opportunity and works with CDI leadership across the MultiCare Health System to facilitate knowledge and proficiency in all aspects of HB CDI to assist leadership reach their department annual goals. The Diagnosis Related Grouping (DRG) Denial Prevention Clinical Documentation Specialist (CDS) is responsible for all Hospital Billing Clinical Documentation Integrity (HB CDI) across the system and serves as expert in the field.
Community Health Center of Snohomish CountyNewMedical Assistant $4,000 Sign on Bonus Community Health Center of Snohomish CountyMedical Assistant $4,000 Sign on BonusLynnwood, WA$25.71–$31.88 / hourFull timeGreets patients, interpreters and visitors, in person and by phone, in a prompt, courteous and helpful manner, responds to inquiries, takes messages, and provides accurate information regarding schedules and services. Monitors schedules and patient arrivals, participates in sequencing patients, and provides assistance to co-workers to maintain a smooth and efficient patient flow for entire clinic for maximum productivity.
Mallinckrodt PharmaceuticalsField Reimbursement Manager - Northwest Mallinckrodt PharmaceuticalsField Reimbursement Manager - NorthwestSeattle, WAFull timeStrong leadership role to the field teams by establishing a solutions oriented approach, working with your Sales Representatives/ASMs to build and execute local plans to overcome barriers to Buy/Bill products access. Proactively use business analytics to understand common logistical issues in top accounts and proactively develop plans for education and to find solutions for better patient access to all supported specialty products.
Nice ActimizeNewSenior Software Engineer - AI Coding Agents Nice ActimizeSenior Software Engineer - AI Coding AgentsSeattle, WAExperience building agentic coding tools, AI agent frameworks, or developer-facing SDKs/APIs (Claude Agent SDK, OpenAI Agents SDK) . (NASDAQ: NICE) software products are used by 25,000+ global businesses, including 85 of the Fortune 100 corporations, to deliver extraordinary customer experiences, fight financial crime and ensure public safety.
Cambia Health SolutionsStop Loss Underwriting Specialist Cambia Health SolutionsStop Loss Underwriting SpecialistRenton, WAFull timeAdditionally, they complete travel and expenses for stop loss director and team when applicable, and provide other administrative support as directed - all in service of creating an economically sustainable health care system. The expected hiring range for a Stop Loss Underwriting Specialist is $19.40 - $26.80/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history.
Virginia Mason Franciscan HealthNewCoding Auditor Virginia Mason Franciscan HealthCoding AuditorSeattle, WA$30.49–$46.03 / hourJob Requirements** **Required** + High school diploma or equivalent + Minimum of one (1) year of coding experience or two (2) years experience in any capacity in a health care environment or medical office setting + Requires one of the following coding certifications from either the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA): Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) + Working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology + Requires critical thinking and analytical skills, decisive judgment and the ability to work with minimal supervision + Applicants must be able to work under pressure to meet imposed deadlines and take appropriate actions **Preferred** + Associate degree in related field + Healthcare revenue cycle experience preferred Where You'll Work Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.
Providence St. Joseph HealthPatient Services Specialist - Patient Access Providence St. Joseph HealthPatient Services Specialist - Patient AccessSeattle, WAPart timeOur strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services. Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in King, Snohomish and Pierce counties.
Cambia Health SolutionsPharmacy Services Technician Cambia Health SolutionsPharmacy Services TechnicianTacoma, WAFull timeRespond 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.
Cambia Health SolutionsPharmacy Services (Digital Support) Technician Cambia Health SolutionsPharmacy Services (Digital Support) TechnicianRenton, WAFull timeResponds 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).
Cambia Health SolutionsHEDIS Medical Record Analyst - TEMP Cambia Health SolutionsHEDIS Medical Record Analyst - TEMPNewcastle, WAFull timeThe 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. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Providence St. Joseph HealthCoder - PACE Providence St. Joseph HealthCoder - PACESeattle, WARemoteFull timeTogether, 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. 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.
University of WashingtonCoding Specialist 4 University of WashingtonCoding Specialist 4Seattle, WARemoteJob Description** **UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for a **CODING SPECIALIST 4, INTEGRATED PROCEDURES.** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote **POSITION HIGHLIGHTS** Implements the mission and goals of Enterprise Records and Health Information and incorporating a "patients are first" service culture Performs daily activities related to coding and charge submission of abstract Current Procedural Terminology (CPT) professional fee and facility integrated procedure coding and billing Analyzes the medical record to assign International Classification of Diseases (ICD), CPT and/or Healthcare Common Procedure Coding System (HCPCS) codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines. + Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
WRC Real Estate, LLCTenant Services Coordinator WRC Real Estate, LLCTenant Services CoordinatorSeattle, WA$68,000–$70,000 / yearFull timeAreas include reception area, kitchen, supply cabinets, storage areas, including IT room and creating work orders if additional janitorial is needed to clean cabinets, refrigerator, microwave, etc. For employees working 20 or more hours per week, the Company offers a comprehensive benefits package that includes employer-subsidized medical, dental, and vision premiums for the employee; Health Care and Dependent Care Flexible Spending Accounts; employer-paid life insurance, and long-term disability insurance.
DaVitaRevenue Specialist III, ROPS DaVitaRevenue Specialist III, ROPSFederal Way, WAFull timeThis position will also be responsible for implementing, designing, and providing support for business and administrative analytics within revenue cycle functional areas; develops reports with key performance indicators, metrics, data points, and formulas to support management objectives; determines how processes can be aligned with best practices to achieve optimal results, measurable change, and a quantifiable, positive contribution. We are seeking a revenue operations specialist to work closely with practices and leaders to investigate and design strategic initiatives in order to improve revenue cycle statistics, reporting capabilities, and overall performance.
Cambia Health SolutionsVice President Payment Integrity Cambia Health SolutionsVice President Payment IntegrityTacoma, 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.
BloodworksSupervisor, Immunohematology Reference Laboratory BloodworksSupervisor, Immunohematology Reference LaboratorySeattle, WA$103,463.70–$164,852 / yearFull timeAdditionally required physical activities include standing, walking, reaching, and repetitive hand/wrist motions (all used frequently); stooping, sitting, bending, kneeling, feeling, and repetitive foot motions (all used occasionally); and climbing (used rarely). Required mental activities include continuous use of interpersonal skills, teamwork, customer service, decision-making, mentoring, problem analysis, independent judgment, and/or independent action, and the Ability to read, write, speak, and comprehend English.
Providence St. Joseph HealthSenior Business Analyst - Remote Providence St. Joseph HealthSenior Business Analyst - RemoteRenton, WARemoteFull timeBusiness Analyst will be assigned to one of the following areas based on number of years experience and education: Patient Yield/Front, Mid/Coding Metrics, Payer Yield/Denials, Vendor Performance, PB and/or Post Acute requiring minimal oversight. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
MultiCare Health SystemPNW PACE Authorization Specialist MultiCare Health SystemPNW PACE Authorization SpecialistTacoma, WAFull timeResponsibilities include verification of insurance information (eligibility and benefits), referral management, submitting and monitoring of pre-authorizations, determines medical necessity and identifies any coverage concerns and works with providers and billing to resolve authorization denials. OR Graduate of a health vocational program such as Medical Assistant, or Medical Billing & Insurance, and 1-year experience in healthcare AND Minimum two (2) years of experience in dealing with the public in a customer service role.