NewMedical 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.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorTualatin, ORRemote$57,400–$99,000Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorGresham, ORRemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
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.
Medical Coder HumanaMedical CoderVancouver, WARemote$59,300–$80,900 / yearParticipate in cross-functional teams to improve documentation, data integrity, and workflow processes **Use your skills to make an impact** **Required Qualifications** + AHIMA or AAPC CPC (Certified Professional Coder) Certification + 3 or more years of medical coding education and / or auditing in a healthcare setting experience + Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets + Experience speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers + Risk Adjustment knowledge + Familiar with coding guidelines + Live in NC, SC, GA, VA, MD or TN **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience working with healthcare providers + Strong knowledge of all Microsoft Office applications + Valid Driver's license and reliable transportation + Medicare Risk Adjustment knowledge **Additional Information** Work at home - with travel (up to 5%) to surrounding provider offices As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
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.
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.
Oncology Coding Specialist Compass OncologyOncology Coding SpecialistVancouver, WAFull timeAs a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!
Coding Specialist Compass OncologyCoding SpecialistVancouver, WAFull timeAs a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!
Coding Consultant I, II, or III DOE Cambia Health SolutionsCoding Consultant I, II, or III DOEVancouver, 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.
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.
Certified Coder for Central Admin in NE Portland (Cardiology & Multispecialty Care) The Oregon ClinicCertified Coder for Central Admin in NE Portland (Cardiology & Multispecialty Care)Portland, OR$28.01–$37.89 / 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. Experience coding in other multispecialty healthcare settings (GI, ENT, Neurosurgery, Plastic Surgery, General Surgery, Orthopedics, OB/GYN, and Primary Care) is a plus!
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.
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.
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.
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.
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.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Vancouver, WARequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
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.