Coding Quality Educator - Revenue Integrity Spokane

Description

Coding Compliance Auditor and Educational Specialist audits medical records to ensure compliance with the organization s coding procedures and standards. Reviews insurance payments and denials and recommends billing corrections. Serves as a coding expert, working with the Coding Supervisor/Manager and the Clinical Documentation Improvement Program (CDIP) Data Integrity Liaison to ensure compliance with Official Coding Guidelines for Coding and Reporting, coding conventions and regulatory oversight agencies.

• Upon hire:
  National Certification from American Academy of Professional Coders. Or
• Upon hire:
  National Certified Coding Associate - American Health Information Management Association. Or
• Upon hire:
  National Certified Coding Specialist - American Health Information Management Association. Or
• Upon hire:
  National Certified Coding Specialist - Physician - American Health Information Management Association. Or
• Upon hire:
  National Certified Documentation Improvement Practitioner - American Health Information Management Association. Or
• Upon hire:
  National Certified Health Data Analyst - American Health Information Management Association. Or
• Upon hire:
  National Registered Health Information Administrator - American Health Information Management Association. Or
• Upon hire:
  National Registered Health Information Technician - American Health Information Management Association.
• 5 years Experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVU s.
• Experienced in reviewing patient account information, insurance explanation of benefits, computer screens, and financial records.

• Associate s Degree

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected.

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. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate s placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts 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 Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon;
Swedish Medical Group in Washington  greater Puget Sound area;
Pacific Medical Centers in western Washington;
Kadlec in southeast Washington;
Providence  St. John s Medical Foundation in Southern California;
Providence Medical Institute in Southern California;
Providence Facey Medical Foundation in Southern California;
Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and…