Description

Providence caregivers are not simply valued - they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

The Coding Analyst requires coding and auditing of E&M services, provider/physician and clinic staff coding and compliance education for specialty departments. Reviews payment denials, corrects errors, and educates clinic and business office staff on appropriate coding procedures when services are denied due to inappropriate diagnosis or procedure coding. Provides immediate telephone support to clinic staff who have coding questions. Is responsible for achieving accounts receivable performance standards as defined by organizational/clinic benchmarks/goals. Complies with all applicable regulations.

Essential functions:

• Review and evaluate patient medical records toaccurately assigndiagnoses,procedure codes,and modifiers.
• Acts as a resource to provider and back office staff as well as Corporate Business Services personnel to answer coding and/or compliance questions. Develops and performs new provider orientation on PMC's coding, audit process and documentation standards.
• Enterscoded charges for claim billing purposes.
• Monitorregulatory and payer changes as they apply todiagnostic and procedure coding.
• Researchand resolve coding related insurance denialsand pre-billing edits.
• Complete departmental continuing education and on-going independent study, education-related professional activities and professional affiliations to maintain and increase knowledge in relevant areas.
• Reviews reimbursement denials from third party carriers associated with inappropriate diagnosis or procedure coding. Provides feedback to clinic personnel to prevent future occurrences of inappropriate coding.
• Performs medical record audits to ensure compliance with all Federal and state guidelines regarding correct coding initiatives in cooperation with Supervisor and/or Coding Manager.
• Perform other duties or special projects as needed.

Additional responsibilities:

• Supports Clinic Supervisor and/or Manager in instruction of coding education classes provided to providers, and clinic support staff
• Assists Coding Supervisor and/or Manager with annual and ongoing updates to clinic encounter forms.

Required qualifications:

• Upon hire: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT)

Preferred qualifications:

• 5 years Health care experience in a physician group practice or other ambulatory care setting.
• 1 year Coding experience for a multi-specialty group.

Job specific knowledge, skills, and abilities:

• Demonstrated expertise in current multi-specialty CPT, ICD-10, and HCPC coding principals and practices.
• Proven ability to interact with physicians and support staff.
• Strong communication skills, both written and verbal.
• Strong presentation abilities.
• Thorough knowledge of Medicare/Medicaid and third party coding requirements.
• Flexible and willing to adapt to changing working conditions.

Why Join Providence?

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 to advocate, educate and provide extraordinary care.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

About Providence

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.

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.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence Physician Enterprise (PE) 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.

PE is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's 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 eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 261481

Company: Pacific Medical Jobs

Job Category: Coding

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Admin Support

Department: 3060 OTHER FISCAL SERVICES WA

Address: WA Seattle 1200 12th Ave S

Work Location: PACMED Admin Bh-Seattle

Pay Range: $31.22 - $46.83

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.

Check out our benefits page for more information about our Benefits and Rewards.