Sr. Medical Coding Quality Analyst -Hybrid/Remote Career StrategiesSr. Medical Coding Quality Analyst -Hybrid/RemoteSalem, OregonRemoteExperience: 5+ years of medical coding experience, including 2+ years in multispecialty coding and 2+ years in a quality analyst or leadership role. This is a Contract to hire role, offering $35-$41 an hour, and is on a hybrid remote work schedule and fully remote after first week training.
Compliance Consultant IV - Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV - Medical Coding - Risk AdjustmentPortland, ORCompletes 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 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. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Compliance Consultant IV, Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV, Medical Coding - Risk AdjustmentPortland, ORCompletes 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 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. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Compliance Consultant V, Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant V, Medical Coding - Risk AdjustmentPortland, ORManages projects or compliance components of larger cross-functional projects by identifying and managing stakeholder contacts; assembling teams based on project needs and team member strengths; developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; and managing project financials and deliverables. Job Summary: In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing and monitoring the quality of coding assignments across all lines of business.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantPortland, ORIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Medical Coder III, Inpatient Hospital Coding (Must reside in KPNW region) Kaiser PermanenteMedical Coder III, Inpatient Hospital Coding (Must reside in KPNW region)Portland, ORCompletes 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. Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives.
Medical Coder II, Hospital-Based Coding (Must reside in KPNW region) Kaiser PermanenteMedical Coder II, Hospital-Based Coding (Must reside in KPNW region)Portland, ORCompletes 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 with guidance; identifying and assigning appropriate codes for diagnoses, procedures, and other services rendered with day-to-day supervision; identifying and assisting with 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 supporting team members who provide consultation to staff and care providers on all coding and documentation questions. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship.
Auditor, Coding II Certified (Must reside in KPNW region) Kaiser PermanenteAuditor, Coding II Certified (Must reside in KPNW region)Portland, ORCertified Professional Coder OR Registered Health Information Technician OR Certified Coding Associate OR Certified Professional Medical Auditor OR Certified Coding Specialist OR Certified Coding Specialist - Physician Based OR Registered Health Information Administrator. Prefer one (1) year of professional coding and/or auditing experience in one or more of the following areas: evaluation and management (E&M), procedural/surgical, emergency department or anesthesia.
Outpatient Coding Supervisor (Hybrid) Career StrategiesOutpatient Coding Supervisor (Hybrid)Salem, OregonReview coded outpatient records (e.g., same-day surgeries, ED visits, ancillary services) for accuracy and compliance with ICD-10-CM, CPT, and HCPCS coding systems. Collaborate with other departments including billing, compliance, and clinical documentation improvement (CDI) teams to resolve coding issues and discrepancies.
Radiation Medicine Coder (Coding Specialist 3) Oregon Health & Science UniversityRadiation Medicine Coder (Coding Specialist 3)Portland, OregonMonitor 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.
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.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystPortland, ORRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
Coding Policy Analyst - Remote Providence Health & ServicesCoding Policy Analyst - RemoteOregon, ORRemoteRequsition 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.
Surgery Coding Specialist 3 Oregon Health & Science UniversitySurgery Coding Specialist 3Portland, OregonWe 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.
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.
Mental Health Registered Nurse (Code Blue Nurse) - Oregon State Hospital State of OregonMental Health Registered Nurse (Code Blue Nurse) - Oregon State HospitalSalem, OR$8,443–$11,149 / yearSubmissions will be reviewed for clarity, consistency, and communication skills, and for alignment with the guidance provided in the below: Submission Requirements: Resume - Attach your current resume that clearly outlines your education and work experience relevant to this position. Experience developing curriculum and instructional materials including establishing course objectives, researching and incorporating current evidence-based literature, selecting appropriate content and visual aids and preparing course materials.
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.
NewJob TitleResidential Plans Examiner (Building Codes)\n Clackamas CountyJob TitleResidential Plans Examiner (Building Codes)\nOregon City, ORResidential Plans Examiner (Building Codes). Oregon City, Oregon.
Revenue Cycle Billing Manager Retina ConsultantsRevenue Cycle Billing ManagerSalem, OregonParticipate in all aspects of the medical billing process, including claim submission, payment posting, denial management, accounts receivable follow-up, appeals, insurance verification, and reimbursement, while providing leadership and oversight to the billing department. Retina Consultants, LLC is seeking an experienced Billing Manager to lead our medical billing department and oversee the day-to-day management of the revenue cycle.
Urgently Medical Record Clerk Easy RecruiterUrgently Medical Record ClerkPortland, OregonGo365 perks for well-beingResponsibilitiesMedical Records Retrieval Specialist/ Risk Adjustment Representative 2 requires 75% travel to provider offices in GeorgiaThe Medical Records Retrieval Specialist ensures accurate and properly supported clinical documentation within the health record. The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 conducts quality assurance review of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies.