Coder - 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.
Coder - 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.
Senior 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.
Medical Coder The Progressive CorpMedical CoderFederal Way, WA$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/ .
HEDIS Medical Record Analyst - TEMP Cambia Health SolutionsHEDIS Medical Record Analyst - TEMPTacoma, 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. Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)WA$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.
Coding 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.
Inpatient Coder, Level 1 Trauma University of WashingtonInpatient Coder, Level 1 TraumaSeattle, WARemotePRIMARY JOB RESPONSIBILITIES** + Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement + Reviews patient records upon admission and at discharge to the inpatient Rehabilitation Unit; assigns codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients + Abstracts and/or reviews necessary patient data within EPIC and 3M 360 CAC to ensure data integrity, accurate reimbursement, proper case mix and hospital decision support. + Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing + Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines **DEPARTMENT DESCRIPTION** Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.
HB 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.
PB 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.
Coder - Physicians Billing Providence Health & ServicesCoder - Physicians BillingSeattle, WA$29.62–$45.31 / hourIt 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. Requsition ID: 427824 Company: Swedish Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3908 PHYSICIANS BILLING WA Address: WA Seattle 1730 Minor Ave Work Location: Swedish Metropolitan Park East-Seattle Workplace Type: On-site Pay Range: $29.62 - $45.31
NewSr Outpatient Coder Houston Methodist HospitalSr Outpatient CoderWAMust have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC).
NewProfessional Fee Coder Seattle Children's Hospital Research and FoundationProfessional Fee CoderSeattle, WA$29.16–$43.73 / hourTogether, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho - the largest region of any children's hospital in the country. Seattle Children's welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families.
Vice President Payment Integrity Cambia Health SolutionsVice President Payment IntegrityNewcastle, 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.
Senior Coder - Physicians Billing Providence Health & ServicesSenior Coder - Physicians BillingSeattle, WARequsition ID: 431336 Company: Swedish Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3908 PHYSICIANS BILLING WA Address: WA Seattle 1730 Minor Ave Work Location: Swedish Metropolitan Park East-Seattle Workplace Type: Remote Pay Range: $35.06 - $54.43 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.
Coder/Abstractor III (Remote, WA residents only) Valley Medical CenterCoder/Abstractor III (Remote, WA residents only)Renton, WARemoteEssential Responsibilities and Competencies: Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG). Reviews coding-based payment denials, identifies patterns, corrects errors, and educates clinic and revenue cycle staff on appropriate coding procedures when services are denied due to inappropriate diagnosis or procedure coding.
Coding 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.
Senior 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.
Inpatient Coder Houston Methodist HospitalInpatient CoderWAHouston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.
Creative Coder MetaCreative CoderSeattle, WAIdentity potential large scale opportunities within Meta and partner with design and engineering teams to deliver state of the art audio functionality, tooling and pipeline solutions 2. Provide audio engineering leadership to cross-functional partners, improving audio quality and automating workflows across Meta products and platforms through agentic pipelines 3. Use creativity and product thinking to develop audio-focused prototypes and experiences that drive team and company success 4. Support AI Audio teams throughout every stage of the model lifecycle, from training through implementation 5. Experience building AI audio pipelines using tools such as TensorFlow, PyTorch, Langchain and audio processing libraries (e.g., Librosa, torchaudio), integrating models, data preprocessing, feature extraction and building RAG pipelines 23.
Medical Accounts Receivable Billing Specialist (CB replacement) Washington Center for Bleeding DisordersMedical Accounts Receivable Billing Specialist (CB replacement)Seattle, WashingtonIdentify and evaluate outstanding claims to determine when corrections are needed and supply the biller with complete, accurate information required for proper rebilling, including updates to coding, NDC units, modifiers, prior authorizations, and payer‑specific guidelines relevant to hemophilia and specialty infusion services. The Medical Accounts Receivable Billing Specialist, reporting directly to the Revenue Cycle Manager, is responsible for managing and resolving insurance and patient accounts receivable, and ensuring accurate and timely billing, reimbursement, and collections.
Medical Billing Specialist II KITSAP MENTAL HEALTH SERVICESMedical Billing Specialist IIBremerton, WA$24.94–$30.55 / hourUnder the direction of the Manager of the Billing Team, the Medical Billing Specialist II performs advanced behavioral health billing and accounts receivable functions involving moderate to high-complexity and high-dollar claims. This role is responsible for managing denials, collections, payment variances, and Special Accounts, ensuring accurate billing practices and timely reimbursement across all payer types.
Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical AmazonCoding Compliance Auditor, Revenue Cycle Management, Amazon One MedicalSeattle, WADescription Application deadline: Jun 18, 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.
Coding Specialist 3 - Neurological Surgery. University of WashingtonCoding Specialist 3 - Neurological Surgery.Seattle, WARemoteCertified 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). Reviews and resolves accounts for coding issues like missing modifiers, incorrect modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS codes.
Coding Specialist 4 University of WashingtonCoding Specialist 4Seattle, WACertified 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) **Compensation, Benefits and Position Details** **Pay Range Minimum:** $34.16 hourly **Pay Range Maximum:** $48.89 hourly **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?** Analyzing 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 **DEPARTMENT DESCRIPTION** Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.
Coding Specialist 2 - GIM-Hospitalist University of WashingtonCoding Specialist 2 - GIM-HospitalistSeattle, WashingtonRemoteCertified 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). • Identify all billable services (regardless of location rendered) requiring professional fee billing, as determined jointly by UWP and the Clinical Department: • Review all applicable data sources (EPIC, ORCA, Mindscape,) or other, as applicable, for new admissions, transfers, discharges, expirations, ambulatory procedures, ambulatory visits or other possible sources of billable services.
Coding Quality Educator - Remote Providence Health & ServicesCoding Quality Educator - RemoteRenton, WARemoteRequsition 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 - RemoteRenton, WARemoteTogether, 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 Specialist 2 - Gastroenterology University of WashingtonCoding Specialist 2 - GastroenterologySeattle, WARemoteCertified 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). Identify all billable services (regardless of location rendered) requiring professional fee billing, as determined jointly by UWP and the Clinical Department: Review all applicable data sources (EPIC, ORCA, Mindscape,) or other, as applicable, for new admissions, transfers, discharges, expirations, ambulatory procedures, ambulatory visits or other possible sources of billable services.
Coding Specialist 2 University of WashingtonCoding Specialist 2Seattle, WARemoteMINIMUM QUALIFICATIONS** - High school diploma or equivalent - 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). **WORK SCHEDULE** - 40 hours per week - Day Shift - This position is Remote **PRIMARY JOB RESPONSIBILITIES** - Identify all billable services (regardless of location rendered) requiring professional fee billing, as determined jointly by UWP and the Clinical Department: - Review all applicable data sources (EPIC, ORCA, Mindscape,) or other, as applicable, for new admissions, transfers, discharges, expirations, ambulatory procedures, ambulatory visits or other possible sources of billable services.
Coding and Revenue Auditor (Remote, WA residents only) Valley Medical CenterCoding and Revenue Auditor (Remote, WA residents only)Renton, WARemoteEssential Responsibilities and Competencies: Collaborates with the Manager, Revenue Charge Capture on educational programming for coding staff, and providers of all levels as they relate to coding and, clinical documentation. Performs medical chart reviews to ensure all diagnosis and procedure codes that are submitted are appropriate, accurate and sufficiently supported by written clinical documentation including co-morbidities.
Coding Compliance Specialist (40589) Community Health CareCoding Compliance Specialist (40589)Tacoma, WAAssociates degree in related field plus Accredited Record Technician (RHIT) or Certified Professional Coder (CPC/CCS) certification plus one year of experience OR equivalent combination of education and experience. In addition, they assist clinicians and other clinical staff by providing information and direction regarding coding (CPT, HCPCS AND ICD-9/ICD-10) documentation and other reimbursement issues.
Coding Quality Auditor Houston Methodist HospitalCoding Quality AuditorWASKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Knowledge of an electronic medical record and imaging systems Working knowledge of medical terminology, anatomy and physiology Proficiency with electronic encoder application AHIMA designated ICD-10 Approved Trainer preferred. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities.
Ambulatory Payment Classification Coordinator Houston Methodist HospitalAmbulatory Payment Classification CoordinatorWAMust have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC) • CPC-H - Certified Professional Coder - Hospital (AAPC) • CPC-I - Certified Professional Coder Instructor (AAPC) • CPC-A - Certified Professional Coder Associate (AAPC) • CCC - Certified Cardiology Coder (AAPC) • COC - Certified Outpatient Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC) •CPC-H - Certified Professional Coder - Hospital (AAPC) •CPC-I - Certified Professional Coder Instructor (AAPC) •CPC-A - Certified Professional Coder Associate (AAPC) •CCC - Certified Cardiology Coder (AAPC) •COC - Certified Outpatient Coder (AAPC).
Outpatient Analyst University of WashingtonOutpatient AnalystSeattle, WARemoteCertified 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); Extensive knowledge of DRG, ICD, CPT and/or HCPCS coding principles and. Respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadSeattle, WA$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Risk Adjustment Auditor and Physician Educator (4088) Valley Medical CenterRisk Adjustment Auditor and Physician Educator (4088)Renton, WAJOB OVERVIEW: The Risk Adjustment Auditor and Physician Educator is responsible for developing the process and reporting for performing annual, period, and other quality assurance reviews of medical record documentation and coding to ensure appropriate capture of Hierarchical Condition Categories (HCC) conditions. This position utilizes expertise and national coding guidelines as reference in performing medical record coding audits and in partnership with the Physician Champion, develops strategies for provider education and training.
Coding Operations Coordinator Overlake Hospital Medical CenterCoding Operations CoordinatorBellevue, WA$35.25–$52.88 / hourThe Coding Operations Coordinator proactively identifies areas of opportunity to improve coding quality through ongoing coding audit results, coder questions, denials information and other feedback; demonstrates attention to detail to minimize coding errors. The Coding Operations Coordinator, as a key member of the Coding team, will support leadership in planning and implementing activities to optimize and/or support the furtherance of organizational performance goals as it relates to coding.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Seattle, WARemoteFull 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.
Sr. Manager Field Reimbursement - West Integra LifeSciences Holdings CorpSr. Manager Field Reimbursement - WestSeattle, WA$109,000–$150,000 / yearExperience and strong subject matter expertise in financial systems and management practices of healthcare providers (physicians, medical directors, HCPs) in a variety of settings (hospitals, hospital outpatient clinics, ASC's, ACO's, wound care clinics, and physician offices). • Execute regional payer strategies, including expanding and optimizing commercial coverage for priority technologies, engaging payer decision-makers, and aligning access initiatives with enterprise market access objectives to accelerate adoption and revenue growth.
Special Investigations Unit Investigator CareOregon IncSpecial Investigations Unit InvestigatorWA$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.
Senior Payer Relations Specialist Adaptive Biotechnologies CorpSenior Payer Relations SpecialistWARemote$80,200–$120,400 / yearBase salary is thoughtfully considered upon offer and is determined through multiple evaluation checks throughout the interview process, including: a candidate's ability to meet minimum qualifications (skills/experience/education), a candidate's ability to thoughtfully address preferred qualifications, current market conditions, and internal pay equity. This role will help manage the operational and administrative processes for coding, billing, and payor follow-up - including overseeing appeals, development requests, and payor projects.
Coding Quality Auditor - Revenue Cycle Providence Health & ServicesCoding Quality Auditor - Revenue CycleSeattle, WA$26.24–$40.86 / hourRequsition ID: 428476 Company: Pacific Medical Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 3060 OTHER FISCAL SERVICES WA Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: Hybrid Pay Range: $26.24 - $40.86 Our 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.
Investigations Unit Investigator, Senior CareOregon IncInvestigations Unit Investigator, SeniorWA$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.
NewInvestigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)WA$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.
NewInvestigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)WA$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.