Medical 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.
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/ .
NewCertified Medical Coder (ONGOING POSITION) Macpower Digital Assets Edge Private LimitedCertified Medical Coder (ONGOING POSITION)Clackamas, ORRemote$30.67–$37.93 / hourSelected Certified Medical Coder must be located in the Portland, OR Metro Area, while our preferences will go to candidates live within the Portland Metro Area or Southern Washington state counties like Clark and Cowlitz County . What are the nice-to-have skills: Prior experience using MS Excel, OneNote, Teams -- MS Office Suite.
NewOutpatient Facility Medical Coder with RHIT/RHIA (Remote for WA/OR ONLY) Macpower Digital Assets Edge Private LimitedOutpatient Facility Medical Coder with RHIT/RHIA (Remote for WA/OR ONLY)Clackamas, ORRemote$27.26–$32 / hourAll work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and organization/institutional coding directives. Identifies and assigns principal diagnosis and procedure codes, sequencing them as needed for proper Ambulatory Payment Classification (APC), Medicare Severity-Drug Related Group (MS-DRG), All Patients Refined Diagnosis Related Groups (APR-DRG) assignment, utilizing applicable coding conventions.
Medical Coder - Full Time - Three Positions Lake Health DistrictMedical Coder - Full Time - Three PositionsLakeview, ORFull timeProvides coding for inpatient and/or outpatient medical records with the ICD-10CM, ICD-10-PCS, CPT and HCPCS classifications systems to ensure accurate, complete and consistent coding for quality data. If currently on active-duty you must submit a certification of expected discharge or release from active-duty service under honorable conditions not later than 120 days after the date the certification is submitted.
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.
NewInpatient Facility Medical Coder Macpower Digital Assets Edge Private LimitedInpatient Facility Medical CoderClackamas, ORRemote$27.26–$32 / hourAdvance knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues. Advanced knowledge of medical terminology, pharmacology and medical coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT and coding.
Medical Biller & Coder - Podiatry Max AIMedical Biller & Coder - PodiatryOregonJoin our dedicated team where your expertise will contribute to the efficient operation of our healthcare services while ensuring patients receive the care they deserve through accurate billing practices. Strong knowledge of podiatry-related medical terminology, DRG (Diagnosis Related Group), and various coding systems (ICD-10, ICD-9, CPT, HCPCS).
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)OR$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
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.
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.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)OR$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Certified Senior Coder Corvallis Clinic Business OfficeCertified Senior CoderCorvallis, Oregon4. Process and input billings accurately in the practice management system; CPT codes, modifiers, units, fees, ICD-10 codes, using tools available to confirm codes, units and fees will be correctly billed, e.g., checking batch with the charge report. The Certified Senior Coder reviews provider service records to ensure accurate coding for all services to maximize reimbursement and meet coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid).
HCC Certified Coder Monogram Health IncHCC Certified CoderRemoteRemotePart timeMonogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
Billing Certified Coder Northwest Human Services IncBilling Certified CoderSalem, ORQUALIFICATIONS: Current Certified Coder credential through an accredited organization or college Minimum 12 years of coding experience in physician-based services Knowledge of CPT-4, HCPCS, and ICD-10 coding Basic understanding of medical billing processes and accounting principles related to payments and adjustments Strong computer skills and ability to navigate electronic medical records and billing systems. We are a mission focused organization providing compassionate and professional medical, dental, psychiatry, mental health, and wraparound services for those in our community who need it most - uninsured individuals, families, the homeless, and migrant workers.
Coder OP 1706-McKenzie Physician ServicesCoder OPSpringfield, OR$18.28–$26.37 / hourPart timePreferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to perform chart audits, perform provider education, and build positive working relationships.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorOR$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Coding Quality Educator - Remote Providence Health & ServicesCoding Quality Educator - RemoteOregon, ORRemoteRequsition ID: 443735 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4010 SS PE OPTIM Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: On-site 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. 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.
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.
Coding Associate 2 Asante Health SystemCoding Associate 2Medford, ORRemoteCertified Coding Associate (CCA or CCA-A) by AHIMA; or Certified Professional Coder (CPC or CPC-A) by AAPC; or a more advanced certification (RHIT: Registered Health Information Technician, RHIA: Registered Health Information Associate) is required upon start. The Coding Associate 2 is primarily responsible for the coding and abstracting of ancillary/outpatient records, including ambulatory surgery and emergency room records pertaining to the patient's occasion of service.
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.
NewCoding Specialist Willamette Valley Cancer Institute & Research CenterCoding SpecialistEugene, Oregon$21–$46.71 / hourWillamette Valley Cancer Institute – Oregon’s largest private oncology practice and a member of the US Oncology network – is looking for a Coding Specialist to join the team. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, etc.
Director of Quality and Risk Adjustment Advanced HealthDirector of Quality and Risk AdjustmentCoos Bay, OregonDepartment: QUALITY | Reports to: CHIEF COMPLIANCE & QUALITY OFFICER | Supervision Exercised: QUALITY STAFF OVERSIGHT Job Purpose: Director of Quality and Risk Adjustment The Director of Quality and Risk Adjustment provides strategic leadership for the development, implementation, oversight, and continuous improvement of organizational quality, risk adjustment, population health, and performance improvement programs. The Director collaborates with leadership, providers, and cross-functional teams to improve member outcomes, support value-based care initiatives, enhance revenue integrity, and drive organizational performance through data-informed decision making.
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.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Portland, ORRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTSalem, ORRemote$35–$45 / hourBy joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.* 2,500 Sign on Bonus **As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Systems: Cerner PowerChart, 3M360.What you will bring to the table:3+ years experience coding and auditingAssociate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCSPreferred: CCS, RHIT, or RHIA credentials.
NewProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTSalem, ORRemote$35–$45 / hourSign on BonusWhat We're Looking For: As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
FQHC Billing Account Manager Nexus HR ServicesFQHC Billing Account ManagerRemote, ORRemote$60,000–$65,000 / yearThe RCM Billing Account Manager is responsible for overseeing all aspects of Revenue Cycle Management (RCM), including billing operations, coding compliance, claims submission, denial management, and reimbursement optimization for FQHC clients. Serve as a trusted advisor on FQHC billing rules, UDS reporting, wraparound payments, PPS/APM reimbursement models, sliding fee schedules, and Medicaid/Medicare billing.
Clinical Documentation Specialist 2 St. Charles Health SystemClinical Documentation Specialist 2OR$95,680–$143,520 / yearDEPARTMENT SUMMARY: The Clinical Documentation Department performs concurrent and selected retrospective medical record reviews in order to facilitate appropriate provider documentation that captures the most complete and accurate clinical conditions impacting patient visits. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Special Investigations Unit Investigator CareOregon IncSpecial Investigations Unit InvestigatorOR$72,765–$88,935 / yearStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
Special Investigations Unit Investigator CareOregonSpecial Investigations Unit InvestigatorOregonStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
Investigations Unit Investigator, Senior CareOregon IncInvestigations Unit Investigator, SeniorOR$90,225–$110,275 / 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.). Help identify potential areas of FWA vulnerability and risk; assist department leadership in developing and implementing corrective action plans for resolution of problematic issues and provide general guidance on how to avoid or deal with similar situations in the future.
Investigations Unit Investigator, Senior CareOregonInvestigations Unit Investigator, SeniorOregonCareOregon 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.). Help identify potential areas of FWA vulnerability and risk; assist department leadership in developing and implementing corrective action plans for resolution of problematic issues and provide general guidance on how to avoid or deal with similar situations in the future.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusSalem, ORRemote$35–$45 / hourWhat You Will Do:Performs inpatient facility coding audits according to scope of work, for the purpose of onboarding, focused, service level agreements or other types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews.
Director of Laboratory Revenue Cycle Services Adaugeo Healthcare SolutionsDirector of Laboratory Revenue Cycle ServicesPendleton, OregonOur family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest’s leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. We’re looking for a Director of Laboratory Revenue Cycle Services to own the strategy, performance, and people that keep lab billing accurate, compliant, and financially strong—from the moment a test is ordered to the day the claim is paid.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)OR$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.
Investigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)OR$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
RCM Billing Account Manager - Remote Nexus HR ServicesRCM Billing Account Manager - RemoteRemote, ORRemote$28–$30 / hourRCM Billing Account Managers oversee billing and RCM accounts and the team members who work them. They must communicate clearly and effectively with clients, team members, and coworkers.
Director of Laboratory Revenue Cycle Services Adaugeo Healthcare Solutions LLCDirector of Laboratory Revenue Cycle ServicesPendleton, OROur family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. We're looking for a Director of Laboratory Revenue Cycle Services to own the strategy, performance, and people that keep lab billing accurate, compliant, and financially strong-from the moment a test is ordered to the day the claim is paid.