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.
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/ .
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.
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.
Certified Medical Coder Feed My People Food BankCertified Medical CoderPortland, OregonRemoteAfter work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Under general supervision, according to established policies, procedures and protocols, codes all disease and operations according to accepted classifications.
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.
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.
Coder I - Home & Community Care Admin (Remote) Peace HealthCoder I - Home & Community Care Admin (Remote)Vancouver, WARemote$23.74–$35.62 / hourUtilizes knowledge of medical terminology, anatomy and physiology, coding software, coding conventions, local medical review policy, APC's, and hospital procedures to code outpatient medical records with ICD-10-CM and CPT4 coding classification systems to ensure accurate, complete and consistent coding for quality data. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
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.
Certified Coder II or III for Central Admin in NE Portland (Multispecialty Healthcare) The Oregon ClinicCertified Coder II or III for Central Admin in NE Portland (Multispecialty Healthcare)Portland, OR$30.81–$41.68 / hourBy providing patients and internal and external stakeholders with a consistent, efficient, and easy experience, you'll help ensure that patients at The Oregon Clinic receive the highest value care tailored to their needs. Knowledge of overall healthcare payment system (FFS, PPOS, HMOs, capitation, etc.) and local players (Regence Blue Cross, Providence Health Plans, etc.).
NewCoder III - Hospital Coding Peace HealthCoder III - Hospital CodingVancouver, WA$34.74–$52.12 / hourRegularly assists in the mentoring and training of coding caregivers and acts as a role model for team members by assisting Coding Leadership in testing and updating coding software, providing support for major implementations and representing the HIM team on critical projects, processes, and initiatives. Utilizes knowledge of medical terminology, anatomy, physiology, 3M encoding software, coding conventions, and local medical review policy to provide coding for inpatient and/or outpatient medical records to ensure accurate, complete and consistent coding for quality data.
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.
RN Hospital Claims Auditor Moda Partners IncRN Hospital Claims AuditorPortland, OR$78,911.43–$98,639.28 / yearCollaborates with other Moda areas to provide clinical policy representation at meetings to ensure that decisions, which affect claim processing, are appropriate and will result in cost effective, efficient, and accurate claims payment. Communicates claim payment decisions to processing staff and recommends and coordinates processes to review large dollar hospital claims.
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.
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.
NewCoding Auditor Educator - Hospital Coding Peace HealthCoding Auditor Educator - Hospital CodingVancouver, WA$34.74–$52.12 / hourThe worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Reviews records for payor, RAC, regulatory denials/appeals, and downgrades by providing in depth coding review, audit findings and appeal strategies to the System Coding Leadership.
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.