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Medical coder jobs in Washington - 79 jobs

  • Creative Audio - Creative Coder

    Meta 4.8company rating

    Medical coder job in Seattle, WA

    Creative Audio is a centralized team that touches every product Meta produces, making our team integral to the company. We collaborate with product and creative teams across Meta to design audio for video, post-production audio, final mixing and mastering, audio field recording, sound effects, and large scale content projects across a wide range of software and hardware, including but not limited to your phone, glasses, VR headsets a mix of Augmented Reality/Mixed Reality across these devices. We're a team of over 60 audio experts who design the experiences that connect people through the power of sound.The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio features. It involves developing advanced audio solutions, optimizing performance, refining tools, leveraging machine learning and generative AI, and solving complex technical challenges at the intersection of audio and artificial intelligence. As a key contributor to Meta's day-to-day sound design, the Creative Coder provides creative and technical insights to drive innovative, immersive audio experiences offering a long runway for creativity, innovation, and empowerment to push the boundaries of sound technology and make a meaningful impact. **Required Skills:** Creative Audio - Creative Coder Responsibilities: 1. Collaborate with design and engineering teams to deliver cutting-edge audio functionality, tooling, and pipeline solutions 2. Provide technical audio leadership, empowering sound designers, composers, and creators, while elevating audio quality across all Meta products and platforms 3. Apply creativity and product thinking to develop innovative, audio-focused prototypes and experiences that enhance user experience and drive team and company success 4. Build functional prototypes from early concepts at various levels of fidelity, utilizing a range of design tools and programming languages, and implement them across multiple platforms 5. Translate emerging technical domains and knowledge into actionable ideas and explorations 6. Clearly articulate prototype design decisions to internal stakeholders and offer constructive feedback to partners 7. Collaborate closely with a global team to create unique sonic experiences and drive projects to completion 8. Prepare and test for implementation accuracy, working with internal and external teams to resolve bugs and optimize audio within products 9. Leverage code as a design medium to bridge the gap between product goals and engineering implementation, as well as unlock features for external developers 10. Establish pipelines & best practices for leveraging ML / AI models in prototypes 11. Work closely with PMs, engineers, researchers, sound designers to lead the creation and execution of engaging audio-driven user experiences **Minimum Qualifications:** Minimum Qualifications: 12. 6+ years implementing and coding sonic experiences for products in mobile, hardware, and/or non-traditional immersive environments 13. 5+ years development experience with Python, C#, Kotlin, JavaScript, or C++ 14. Experience with object-oriented programming and design 15. Experience with game engine audio implementation and middleware (e.g., Wwise, FMOD Studio, Unreal MetaSounds) 16. Understanding of DSP and audio signal processing 17. Hands-on experience integrating machine learning models (TensorFlow, PyTorch, ONNX) into production pipelines for tasks such as inference, data processing, and generative workflows 18. Experience debugging code across various development environments 19. Experience managing collaboration tools and version control systems (e.g., GitHub, Perforce) 20. Experience prioritizing tasks and adapting quickly to changes in scope 21. Time-management and organizational skills to meet delivery specifications and deadlines 22. BA/BS in Audio or Music Technology, Computer Science, Transmedia, or equivalent work experience 23. Technical skills and a track record of leading cross-functional teams, bridging design and engineering to create impactful audio experiences **Preferred Qualifications:** Preferred Qualifications: 24. Audio Implementation experience and/or design for shipping AR and VR experiences using platforms such as Unity, Unreal Engine, Spark, React, Snap, and MARS 25. Experience with large language models (LLMs), prompt engineering, and retrieval-augmented generation (RAG) methodologies 26. Understanding of Spatial Audio, DSP, and experience implementing immersive sound experiences 27. Experience with generative sound or music creation, speech synthesis, and natural language processing (NLP) 28. Experience with WebAudio, Tone.js, and OpenAL for interactive audio applications 29. Knowledge of acoustics, equipment set ups and calibration experience with hardware and electronic prototypes and configuration **Public Compensation:** $154,000/year to $216,000/year + bonus + equity + benefits **Industry:** Internet **Equal Opportunity:** Meta is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Meta participates in the E-Verify program in certain locations, as required by law. Please note that Meta may leverage artificial intelligence and machine learning technologies in connection with applications for employment. Meta is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know at accommodations-ext@fb.com.
    $154k-216k yearly 60d+ ago
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  • Medical Coding Auditor - Risk Adjustment

    Premera Blue Cross

    Medical coder job in Washington

    Workforce Classification: Telecommuter Join Our Team: Do Meaningful Work and Improve People's Lives Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we're able to better serve our customers. It's this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: ********************************** The Medical Coding Auditor plays a crucial role in ensuring the accuracy and compliance of diagnostic coding within medical records. This position is essential for maintaining the integrity of Risk Adjustment and HCC coding. By leveraging a deep understanding of ICD-10 and other coding standards, the auditor reviews and researches provider diagnostic coding issues, performs detailed medical record reviews, and highlights documentation standards. This role also identifies opportunities for improving provider performance related to coding errors and documentation deficiencies. In addition to auditing, the Medical Coding Auditor conducts quality assurance (QA) reviews of peer and vendor coders to ensure coding accuracy, adherence to service level agreements, and performance guarantees. Feedback is provided where discrepancies are found, fostering a culture of continuous improvement. What you'll do: Analyze medical claims data and associated documentation to ensure accurate and complete diagnostic risk capture. Document findings, including diagnosis changes and opportunities for documentation improvement, and recognize trends. Evaluate coding and documentation behavior, providing recommendations for provider improvement. Interpret and apply policy and coding standards (e.g., Coding Clinic) that impact financial and operational aspects of risk adjustment coding. Collaborate and communicate effectively with internal and external sources (auditors, vendors, and peers) to deliver QA findings, clearly articulating rationale supported by industry-standard evidence. Maintain current knowledge of coding applications for ICD-10 and other applicable coding standards. Perform other duties as assigned. What you'll bring: Bachelor's degree or four (4) years of relevant work experience (Required) Three (3) years of experience as a RHIA, RHIT, or CPC certified coder within a healthcare provider organization or health insurance company (Required) Current certification as a professional coder (RHIA, RHIT, or CPC) (Required) CRC certification or willingness to obtain it within the first year of employment. Additional certifications such as CCSP, CCS-H, CPC-P, and CPH-H are desirable. Nursing or other clinical experience is a plus. Premera total rewards Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including: Medical, vision, and dental coverage with low employee premiums. Voluntary benefit offerings, including pet insurance for paw parents. Life and disability insurance. Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service. Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few. Generous paid time off to reenergize. Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees. Employee recognition program to celebrate anniversaries, team accomplishments, and more. For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement. Commuter perks make your trip to work less impactful on the environment and your wallet. Free convenient on-site parking. Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable. Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more. Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling. Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus. Equal employment opportunity/affirmative action: Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law. If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at ******************* or via phone at ************. Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin . The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience. The salary range for this role is posted below; we generally target up to and around the midpoint of the range. National Salary Range: $58,600.00 - $93,800.00 National Plus Salary Range: $66,800.00 - $106,900.00 *National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska . We're happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We're committed to creating an environment where all employees are celebrated for their unique skills and contributions.
    $66.8k-106.9k yearly Auto-Apply 39d ago
  • Coding Specialist II (Onsite)

    Incyte Pathology Ps 3.6company rating

    Medical coder job in Spokane Valley, WA

    Summary: Coding Specialist II , under the supervision of the Coding Supervisor, will perform coding and billing functions required to submit clean claims to third-party payers. This position is responsible for abstracting clinical information from a variety of medical records and assigning appropriate ICD, CPT, and HCPCS codes according to established coding guidelines. Schedule: Monday - Friday, 8;00 am - 4:30 pm & on-site You Will: Coordinates with clinical staff to ensure appropriate charge information for all patients. Applies CPT codes in accordance with the CPT Manual, NCCI Edits, and other Pathologist provided information. Applies diagnosis codes in accordance with CMS coding guidelines. Ability to interpret medical documentation and diagnostic descriptions to accurately assign the correct ICD 10 codes and sequencing. Ability to research and analyze data, draw conclusions, and resolve issues; read interpret, and apply policies and procedures, and regulations. Ability to utilize multiple websites to support code assignment. Ability to accurately and completely code under Compliance Guidelines. Performs other related duties as assigned. Reviews and verifies documentation supporting diagnoses and procedures. Ability to code complex case mix. Performs other related duties as assigned. Qualifications: Education/Certification High school diploma or equivalent. CPC certification required. Skills and Abilities 2+ years coding experience or equivalent education/experience. Experience with Meditech, EPIC, Groupcast (GPMS), Xifin, and PowerPath. Knowledge of 3M coding software. Knowledge of medical terminology and human anatomy. Basic office skills including proficiency in Microsoft Word, Excel and Outlook. Open to new learning experiences. Excellent written and verbal communication skills to maintain working relationships with physicians and other staff. Strong organizational skills and exceptional attention to detail Strong analytical and problem-solving skills. Ability to function well in a high-paced and at times stressful environment. Pay Range: $21.21 -29.70 USD Hourly (commensurate experience- the level hired depends on availability of level and proof of meeting certification/education requirements along with resume disclosing relevant experience.) 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. Generally, new hire offers will be between the minimum and midpoint of the salary range, depending on experience (DOE), with the ability to grow within the range over time . Full benefit details can be found here: ************************************************* (*The benefits package offered is dependent upon the FTE and employment status.)
    $21.2-29.7 hourly Auto-Apply 55d ago
  • Coding Specialist Lead

    University of Washington 4.4company rating

    Medical coder job in Seattle, WA

    Faculty Practice Plane Services (FPPS) has outstanding opportunities for a full-time (100% FTE, 40 hours/week), day shift, CODING SPECIALIST LEAD. WORK SCHEDULE * 40 hours per week * Day Shift is Remote The CODING SPECIALIST LEAD is responsible for assuming a leadership role with the Coding & Charge Capture Department, guiding daily production and workflow of coders when the supervisor is unavailable. S/he will possess a thorough knowledge of coding guidelines and will demonstrate effective problem-solving skills and work with more complex and/or specialized accounts/projects/assignments. The Lead will participate in on-the-job, desk level training thus s/he must possess superior coding knowledge and skills, support learning and development opportunities for staff, performing QA reviews on new coders, and effectively use one-on-one instructional techniques. ESSENTIAL DUTIES * Oversee the instruction, delegate tasks, and check accuracy of coding specialist's work. * 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. * Access and review all available electronic or other appropriate information to identify billable services requiring professional fee billing. * As necessary, request patient medical charts (for non-electronic providers). * Code all documented required professional services, ensuring all are coded using the appropriate CPT & ICD-10 codes. Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards. * Reviews and resolves coding denials and coding claim edits in Epic daily as part of routine operations. REQUIRED POSITION QUALIFICATIONS * High school diploma or equivalent * Three (3) years of coding experience * 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). ABOUT FACULTY PRACTICE PLAN SERVICES UW Medicine Faculty Practice Plan Services (FPPS) supports UW Physicians (UWP), a practice group for more than 1,800 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Neighborhood Clinics, UW Medical Center - Northwest, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children's Hospital. Teamwork. Community. Opportunity. Become part of our?team. Join our mission to make life healthier for everyone in our community.? ABOUT UW MEDICINE - WHERE YOUR IMPACT GOES FURTHER UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public?by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.?? All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Compensation, Benefits and Position Details Pay Range Minimum: $76,164.00 annual Pay Range Maximum: $109,032.00 annual Other Compensation: * Benefits: For information about benefits for this position, visit ****************************************************** Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
    $76.2k-109k yearly 1d ago
  • Inpatient Facility Medical Coder

    American It Staff

    Medical coder job in Seattle, WA

    To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All 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 Kaiser Permanente organization/institutional coding directives. Ability to communicate with physicians in order to obtain clarification for diagnoses/procedures. Ability to understand the clinical content of the health record and abstract the data in the patient health information record data as well as perform other duties assigned. The position requires the new coder to be on-site for one (1) week training or until they meet the departments expectations. Essential Responsibilities: Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures and other services rendered, while also validating any Computer Assisted Coded (CAC) assignments for dual coding. Utilizing the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services, analyzing and maintaining systems accuracy, validity and meaningfulness for both professional and facility services. Utilizes electronic patient data system and clinical information system (EpicCare) to access patient encounter information. Abstracts and enters clinical data elements as defined by the needs of the organization. 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. Demonstrates knowledge and understand of CMS HCC Risk Adjustment coding. Routinely performs chart analysis to identify areas of the medical record that contain incomplete, inaccurate or inconsistent documentation. Reviews and verifies chart information (i.e. POS, attending provider). Assesses and inputs data. Reviews and verifies component parts of medical records to ensure completeness and accuracy of diagnostic and therapeutic procedures that must conform to CMS coding rules and guidelines. Meets and maintains department standards 95% for productivity and quality. Coding Auditor Senior spends a minimum of 80% of work time assigning codes to Inpatient records. Fully utilizes resources available such as, Coding Clinic and CPT Assistant to research issues to apply coding guidelines. Identifies coding concerns and informs supervisors, managers as appropriate. Utilizes query process when appropriate. Assists in implementing solutions to reduce back-end coding errors. Stays current on coding and regulatory publications, attends workshops to stay abreast of current issues, trends, changes in the laws and regulations governing medical record coding and documentation to mitigate the risk of fraud and abuse and to optimize revenue recovery. May assist with special projects. Maintain confidentiality and effective working relationships with staff. Communicate in a clear and understandable manner, exercises independent judgment. Reviews annual ICD-10 Official Guidelines for Coding, along with review of quarterly Coding Clinic and monthly CPT Assistant. Performs as a team member of Facility Coding Services, and actively participates with peers coding in-services, staff meetings, reporting of performance measures, and quality outcome monitors. May participate in development of organizational procedures. Attends and participates in selected national and regional coding education sessions. Perform other duties as assigned. Qualifications Qualifications: Basic Qualifications: Experience Minimum five (5) years experience in coding with four (4) years inpatient facility coding or minimum four (4) years in the Kaiser Coding Auditor position with proficiency in inpatient coding. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration The candidate must have 1 from the following list: Registered Health Information Technician Certificate Coding Specialist Certificate Registered Health Information Administrator Certificate Additional Requirements: Previous experience with EMR patient documentation system with intermediate knowledge and skill in the use of a computer. Advance knowledge of disease processes, diagnostic and surgical procedures, Inpatient 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 medial coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT and coding. Fluent in English, demonstrating skill and proficiency in oral and written communication. Skills in time management, organization and analytical skills. Ability to manage a significant workload and to work efficiently under pressure meeting established deadlines with minimal supervision. Ability to use independent thought and judgement. Abides by the Standards of Ethical Coding as set for by the American Health Information Management Association (AHIMA). Meets and maintains department standard for performance, productivity and quality. Department will furnish final candidate a coding skill test. The candidate will be required to pass with a 75% or better on the test. Academic knowledge and working experience performing coding and abstracting responsibilities in health information/medical record services. Preferred Qualifications: Minimum five (5) years of experience in health information/Medical record environment, with facility coding experience that includes Medicare reimbursement guidelines. Degree in Health Information Management. Proficient knowledge and skill in the use of a computer and related system and software to include: EMR(s), Microsoft Office Suite and other software programs. Ability to evaluate, analyze, develop information regarding mathematical statistics and percentages that compare finding trends and outcomes related to productivity and /ore medical record audits. Extensive knowledge of ICD-10 coding guidelines; with knowledge and demonstrated understand of CMS HCC Risk Adjustment coding and data validation requirements. Additional Information Candidates must reside either in Washington or Oregon to be considered for this position
    $50k-70k yearly est. 1d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Olympia, WA

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 43d ago
  • Coding Specialist

    Healthpoint 4.5company rating

    Medical coder job in Renton, WA

    Would you like to have a career that makes a daily difference in people's lives? Do you want to be part of a caring, respectful, diverse community? If you answered yes to these questions, keep reading! HealthPoint is a community-based, community-supported and community-governed network of non-profit health centers dedicated to providing expert, high-quality care to all who need it, regardless of circumstances. Founded in 1971, we believe that the quality of your health care should not depend on how much money you make, what language you speak or what your health is, because everyone deserves great care. Position Summary: The Coding Specialist is responsible to review, analyze and correct coding of diagnostic and procedural information based on provider documentation to adhere to coding and compliance standards, in conjunction with FQHC Billing guides to create clean claims. Compensation is dependent on skills and experience. Your contribution to the team includes: * Perform comprehensive review of patient records to assure appropriate documentation that supports CPT and ICD10 coding of medical record. This includes charge review prior to submission and denials. * Maintain charges and denials for assigned clinics in a timely manner at a high level of accuracy. * Keep up to date with all coding and documentation guidelines and changes. * Provide feedback and communicate with provider and clinic staff to obtain incomplete or missing information needed to ensure accurate coding to the highest specificity. * Communicate with Coding Analyst(s) any insufficiencies of documentation or any coding error trends. * Maintain working relationships with clinical staff to support and assist in accuracy of patient records. * Maintain good attendance, is punctual and works full scheduled shift is a condition of employment. * Demonstrate respectful, professional, and appropriate behavior that supports a team-oriented work environment. * Demonstrate a commitment to the mission, core values and goals of HealthPoint and its healthcare delivery including the ability to integrate values of justice, respect, compassion, excellence and stewardship into appropriate programs and services. * Perform other duties as assigned by supervisor. * Attend staff meetings, in-service meetings and participate in agency committees and task force activities as required. * This position is considered hybrid. Though predominantly remote employees are required to come into the office when there is a business need with little notice given. Must have's you'll need to be successful: * Completion of coding program and certification CPC or equivalent. Six (6) months billing experience preferred or equivalent combination of education and experience. * Must possess an active coding certification (CPC-A or CPC). * Maintain current coding certification/licensure. * Ability to read and interpret technical and other complex documents. Ability to write routine correspondence such as letters and memos. Ability to present information in one-on-one and small group situations to internal and/or external clients. * Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of information and technical instruction. Constructive thinking and alternative short- to long- term solutions must be considered. * Possesses intermediate operating knowledge of computers. Intermediate level of Word, Excel and Outlook required. Proof of vaccination for COVID-19 is required, prior to start. HealthPoint does not accept the Johnson & Johnson COVID-19 vaccine as proof of vaccination. If you have received the Johnson & Johnson vaccine, we ask that you provide documentation demonstrating proof of an alternate COVID vaccine or vaccine series. All new employees are also required to show proof of immunizations and/or immunity to MMR (measles, mumps, rubella), Varicella, annual Influenza and TB QuantiFERON Gold Titer. Additionally, if you work in a HealthPoint clinic, Tdap (within last 10 years) is required. Hepatitis B. is required for clinical employees with potential exposure to blood/blood products. All immunizations are a condition of employment. Upon hire, employees must provide proof of their immunizations and/or immune titer results prior to starting or no later than their fifth (5) business day of employment. Where to gather your records: * If you are providing immunizations from an electronic health record, please ensure that you obtain a copy of your full records rather than a screenshot. Each page of your records should include your first and last name, date of birth, and the name of the health system from which the records are pulled. * If records do not show any data, please seek guidance from your provider for further assistance. * If you are unable to provide proof as noted above, you can choose to have a lab titer drawn to check immunity or to be re-vaccinated. If you receive vaccination(s) or lab titers, you may obtain them through HealthPoint at no cost to you. This is a great opportunity to get your immunization record up to date at no additional expense. HealthPoint is committed to offering all employees a competitive compensation package, including benefits and several other perks. * Medical, Dental, and Vision for employees and their families/dependents * HSA, FSA plans * Life Insurance, AD&D and Disability Coverage * Employee Assistance Program * Wellness Program * PTO Plan for full-time benefited and part-time benefited employees. 0-.99 years of service accrual of 5.23 hours per pay period. (pro-rated accruals for part-time benefited employees) * Extended Illness Time Away of 40 hours (pro-rated for part-time benefited employees) * 8 holidays and 3 floating holidays * Compassion Time Away up to 40 hours * Opportunity Time Off (extended time off for staff to invest in themselves) up to 8 weeks * Retirement Plan with Employer Match * Voluntary plans at a discount, such as life insurance, critical illness and accident insurance, identity theft insurance, and pet insurance. * Development and Growth Opportunities To learn more about HealthPoint, go to *********************** #practiceyourpassion It is the policy of HealthPoint to afford equal opportunity for employment to all individuals regardless of race, color, religion, sex (including pregnancy), age, national origin, marital status, military status, sexual orientation, because of sensory, physical, or mental disability, genetic information, gender identity or any other factor protected by local, state or federal law, and to prohibit harassment or retaliation based on any of these factors.
    $53k-63k yearly est. 5d ago
  • Certified Coder-ProFee II

    Evergreen Healthcare 4.1company rating

    Medical coder job in Kirkland, WA

    Wage Range: $28.26 - $45.23 per hour Kirkland, WA Campus Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity. Job Summary: Abstracts, analyzes, and assigns ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor and major procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves complex coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding and billing practices. Effectively communicates with physicians, clinic leadership and billing/coding teams regarding documentation improvement opportunities, code changes, and denial trends. Maintains department defined quality and productivity standards. Primary Job Duties: * Abstracts, analyzes, and assigns CPT, HCPCS and ICD-10-CM codes for professional services based on documentation in the medical record. Code assignment is primarily for E/M, major procedures and diagnostic tests and based on industry standards and EvergreenHealth policies. * Meets department productivity and accuracy standards. * Serves as a subject matter resource to physicians for complex surgical procedures. * Evaluates patient coding inquiries to determine coding accuracy based on documentation in the patient's medical record. * Promotes a positive working relationship by effectively communicating with clinic managers regarding changes in the provider's CPT code selection. * Evaluates and researches coding denials from payers to determine the appropriate action and drafts appeal letters regarding complex surgical procedures and bundling issues for Denial Management. * Identifies and reports trends of code changes, payer denials, missed revenue opportunities and/or compliance risks to clinic leadership. * Identifies and communicates documentation improvement opportunities to physicians and clinic leadership. * Provides coverage and backup for other coders as necessary to meet organizational goals. In addition, performs the following primary duties of Certified Coder-ProFee I: * Abstracts, analyzes, and assigns CPT, HCPCS and ICD-10-CM codes for professional services based on documentation in the medical record. Code assignment is primarily for E/M, minor procedures and diagnostic tests and based on industry standards and EvergreenHealth policies. * Promotes a positive working relationship by effectively communicating with clinicians and other support staff regarding changes in the provider's CPT code selection. * Evaluates and researches coding denials from payers to determine the appropriate action and drafts appeal letters for Denial Management. * Identifies and reports trends of code changes, payer denials, missed revenue opportunities and/or compliance risks to the Professional Coding Supervisor. * Identifies and communicates documentation improvement opportunities to Professional Coding Supervisor. * Performs other duties as assigned. License, Certification, Education or Experience: REQUIRED for the position: * High school diploma or G.E.D * Current professional coding credential: AAPC (Certified Professional Coder [CPC], Certified Outpatient Coder [COC]), PMI (Certified Medical Coder [CMC]), or AHIMA (Certified Coding Specialist-Physician [CCS-P], Certified Coding Specialist [CCS], Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT]), Certified Coding Associate CCA * Minimum three years of coding experience with one year of coding experience in a surgical practice, or one year of coding experience and current AAPC specialty surgical certification as outlined below. * Satisfactory completion of general and specialty specific coding skills assessment * Proficient knowledge of medical terminology, ICD-10-CM, CPT, and HCPCS coding conventions. * Comprehensive knowledge of anatomy, physiology, and disease processes. * Expanded understanding of payer billing requirements. * Excellent written and verbal communication skills. * Must possess or achieve one of the following AAPC specialty surgical certification(s) within one year from hire or transfer into the position: (Certified Cardiology Coder [CCC], Certified Coding Associate [CCA, Certified Cardiovascular and Thoracic Surgery Coder [CCVTC], Certified Gastroenterology Coder [CGIC], Certified General Surgery Coder [CGSC], Certified Interventional Radiology Cardiovascular Coder [CIRCC], Certified Obstetrics Gynecology Coder [COBGC], Certified Ophthalmology Coder [COPC], Certified Orthopedic Surgery Coder [COSC], Certified Urology Coder [CUC]). DESIRED for the position: * Five years coding experience in a surgical practice. Benefit Information: Choices that care for you and your family At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being. * Medical, vision and dental insurance * On-demand virtual health care * Health Savings Account * Flexible Spending Account * Life and disability insurance * Retirement plans 457(b) and 401(a) with employer contribution) * Tuition assistance for undergraduate and graduate degrees * Federal Public Service Loan Forgiveness program * Paid Time Off/Vacation * Extended Illness Bank/Sick Leave * Paid holidays * Voluntary hospital indemnity insurance * Voluntary identity theft protection * Voluntary legal insurance * Pay in lieu of benefits premium program * Free parking * Commuter benefits * Cafeteria & Gift Shop Discount View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below. EvergreenHealth Benefits Guide <
    $28.3-45.2 hourly Auto-Apply 1d ago
  • Certified Coder

    Columbia Valley Community Health Center 4.3company rating

    Medical coder job in Wenatchee, WA

    The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital services and ensures proper coding of diagnosis and procedural codes. a. Applies modifiers and CCI edits as required and supported by the documented medical record. Posts charges for final billing. b. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 3. Utilizing approved methods, communicates incorrect application of procedure or diagnosis codes or incomplete medical documentation to providers. a. Reports all unresolved non-compliant coding issues immediately upon discovery, as dictated by department or organizational policy. b. Works with providers and clinical support staff to resolve coding and documentation concerns. 4. Meets on a regular basis with providers and clinical staff (for their assigned specialties) for the purpose of educating them on coding rule changes and/or coding trends and to answer coding questions a. Participates with educational activities with clinical departments, corporate compliance, etc. to ensure lines of communication among departments remains open and positive. 5. Is responsible to remain current with general billing guidelines, reimbursement rules and regulations. a. Is responsible to remain current with their specific guidelines by reading payer publications and reviewing their websites. b. Understands FQHC billing nuances to ensure accurate coding and maximum reimbursement for related services. c. Attends conferences, seminars and webinars as requested to remain current on billing related policies. 6. Other responsibilities may include: a. Provides information as needed for production reporting and to ensure job standards are consistently met or exceeded. b. Assists with internal audits by providing requested information and participating in review finding discussions regarding insurance processing performance. Submits to remedial training if substandard performance is identified through such audits. c. Assists co-workers and management with special projects related to claims or A/R clean- up efforts. d. To ensure uninterrupted service, participates in cross-training efforts and provides coverage for insurance processing and follow-up needs with non-assigned payers. e. Actively participates in departmental and/or organizational process improvement (lean) initiatives. f. Notifies management of audit requests by insurance payers and complies with requests in a timely manner. General Duties and Responsibilities 1. Performs other duties and tasks as assigned by supervisor. 2. Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job. 3. Conforms to safety policies, general housekeeping practices. 4. Demonstrates sound work ethics, flexible, and shows dedication to the position and the community. 5. Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers. 6. Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others. 7. Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others. 8. Conforms to CVCH policies and Joint Commission and HIPAA regulations. Job Specifications 1. Education: High School Diploma or equivalent 2. Certification/Licensure: AAPC Certification (American Academy of Professional Coders). 3. Experience: One year of coding experience in a healthcare setting preferred. Strongly prefer knowledge of diagnosis and procedural coding, medical terminology and insurance billing guidelines, fluent with industry X12 and ANSI guidelines, proficient with claims adjustment reason and remark codes (CARC and RARC), FQHC certification or billing experience. 4. Language Skills: English required. 5. Essential Technical/Motor Skills: Knowledge of computer applications and equipment related to work. Must have basic computer and keyboarding skills and have the ability to enter data within company's computer system to include strong knowledge in MS Word/Excel; must demonstrate manual dexterity. Exhibit strong customer service skills, strong process improvement background. 6. Interpersonal Skills: Strong interpersonal and communication skills and the ability to work effectively with other staff and management. Demonstrated skill in developing and maintaining productive work teams. Ability to demonstrate personal integrity in all interactions. 7. Essential Physical Requirements: This job is performed mostly in a typical inside, office environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items up to 50 pounds, with assistance as needed; ability to read forms and computer screens and to read correspondence and other documents. 8. Essential Mental Abilities: Ability to make decisions in line with state and federal regulations; ability to read, comprehend, and analyze documents, regulations, and policies; ability to prepare and submit complete and succinct documents necessary to the job. Ability to assess and evaluate, have attention to detail. Knowledge of auditing and compliance procedures, quality assurance and improvement practices, understanding of the elements of sponsored clinical protocols including consent forms, and reporting requirements. Problem solving and analytical skills are required with a heavy emphasis on detailed analysis of information to support actions. 9. Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone. 10. Exposure to Hazards: Worker is subject to inside environmental conditions on a frequent basis with moderate noise. Typical working conditions found in most administrative work areas. Worker has contact with consumers and other staff and may be exposed to medical conditions presented by them. Blood/Fluid Exposure Risk Category III 1. Tasks involve no greater exposure to blood, body fluids, or tissues than would be encountered by a visitor. Category I tasks are not a condition of employment. Age Specific Competency Position does not involve patient care. Position will demonstrate general knowledge and skill to effectively communicate and provide safety measures to all life cycles. Telecommuting * Position eligible for Partial Telecommuting Benefits * Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays are prorated based on FTE Benefit: Coverage: Effective: Medical Premera (Self Insured) Preferred Provider Employee covered - $60.00 per month Dependents covered - please refer to the benefits Guide 2025 for rates First of the month following the first date of employment. Dental Washington Dental Employee covered - 100% Dependents covered - 50% First of the month following the first date of employment. Paid Leave 120 hours - Year 1 136 hours - Year 2 Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years. Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB. Extended Illness Bank (EIB) Allows for maximum accrual of 200 hours PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act. Holidays 88 hours related to: * New Year's Day * Memorial Day * 4th of July * Labor Day * Thanksgiving Day * Day after Thanksgiving * Christmas Eve * Christmas Day * 3 Diversity Days Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31). Holiday hours will be added to the employee's timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below: * Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE) * May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE) * Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE) Please refer to the Paid Leave policy for additional details. 403(b) Retirement Plan Lincoln Financial 150% CVCH match up to 3% of the employee's contribution Immediately. Vesting schedule: 20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years. Employee Assistance Program Mutual of Omaha Free short-term counseling for employee and family Immediately. Call ************ Long-term Disability Mutual of Omaha Employee Only (variable) First of the month following the first date of employment. Benefit: Coverage: Effective: Basic Term Life Mutual of Omaha Employee Only (1x annual salary, up to $200,000) First of the month following the first date of employment. Group Accidental Death and Dismemberment (AD&D) Mutual of Omaha Employee Only (1x annual salary, up to $200,000) First of the month following the first date of employment. Supplemental Term Life Mutual of Omaha Employee / Spouse / Dependent(s) First of the month following the first date of employment. Voluntary AD&D Mutual of Omaha Employee / Family First of the month following the first date of employment. Health Reimbursement Arrangement RedQuote Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year. First of the month following the first date of employment. Flex Plan: Medical RedQuote Flex Plan: Maximum $3,300 per year Direct Deposit available First of the month following the first date of employment. Flex Plan: Dependent Care RedQuote Flex Plan: Maximum $5,000 per year Direct Deposit available First of the month following the first date of employment. AFLAC Supplemental insurance - cafeteria plan First of the month following the first date of employment. Wellness Stipend CVCH will reimburse staff up to $30 per month for a local gym membership OR CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.) Immediately. Once employee has submitted invoice to HR/Payroll department. Cell Phone Discounts Discounted monthly access fees Discounted select accessories and special equipment Available for personal cell phones, currently in place with AT&T & Verizon Benefit: Coverage: Effective: Tuition Reimbursement For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of: * $4,000 for an Associate's degree, vocational, technical, or certification program * $6,000 for a Bachelor's degree * $8,000 for a Master's degree Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply. Employees must agree to work for a period of two (2) years from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams. Compensation: $23.58-35.70/hourly (based on experience)
    $23.6-35.7 hourly 60d+ ago
  • Certified Coder

    CVCH

    Medical coder job in Wenatchee, WA

    The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital services and ensures proper coding of diagnosis and procedural codes. a. Applies modifiers and CCI edits as required and supported by the documented medical record. Posts charges for final billing. b. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 3. Utilizing approved methods, communicates incorrect application of procedure or diagnosis codes or incomplete medical documentation to providers. a. Reports all unresolved non-compliant coding issues immediately upon discovery, as dictated by department or organizational policy. b. Works with providers and clinical support staff to resolve coding and documentation concerns. 4. Meets on a regular basis with providers and clinical staff (for their assigned specialties) for the purpose of educating them on coding rule changes and/or coding trends and to answer coding questions a. Participates with educational activities with clinical departments, corporate compliance, etc. to ensure lines of communication among departments remains open and positive. 5. Is responsible to remain current with general billing guidelines, reimbursement rules and regulations. a. Is responsible to remain current with their specific guidelines by reading payer publications and reviewing their websites. b. Understands FQHC billing nuances to ensure accurate coding and maximum reimbursement for related services. c. Attends conferences, seminars and webinars as requested to remain current on billing related policies. 6. Other responsibilities may include: a. Provides information as needed for production reporting and to ensure job standards are consistently met or exceeded. b. Assists with internal audits by providing requested information and participating in review finding discussions regarding insurance processing performance. Submits to remedial training if substandard performance is identified through such audits. c. Assists co-workers and management with special projects related to claims or A/R clean- up efforts. d. To ensure uninterrupted service, participates in cross-training efforts and provides coverage for insurance processing and follow-up needs with non-assigned payers. e. Actively participates in departmental and/or organizational process improvement (lean) initiatives. f. Notifies management of audit requests by insurance payers and complies with requests in a timely manner. General Duties and Responsibilities 1. Performs other duties and tasks as assigned by supervisor. 2. Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job. 3. Conforms to safety policies, general housekeeping practices. 4. Demonstrates sound work ethics, flexible, and shows dedication to the position and the community. 5. Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers. 6. Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others. 7. Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others. 8. Conforms to CVCH policies and Joint Commission and HIPAA regulations. Job Specifications 1. Education: High School Diploma or equivalent 2. Certification/Licensure: AAPC Certification (American Academy of Professional Coders). 3. Experience: One year of coding experience in a healthcare setting preferred. Strongly prefer knowledge of diagnosis and procedural coding, medical terminology and insurance billing guidelines, fluent with industry X12 and ANSI guidelines, proficient with claims adjustment reason and remark codes (CARC and RARC), FQHC certification or billing experience. 4. Language Skills: English required. 5. Essential Technical/Motor Skills: Knowledge of computer applications and equipment related to work. Must have basic computer and keyboarding skills and have the ability to enter data within company's computer system to include strong knowledge in MS Word/Excel; must demonstrate manual dexterity. Exhibit strong customer service skills, strong process improvement background. 6. Interpersonal Skills: Strong interpersonal and communication skills and the ability to work effectively with other staff and management. Demonstrated skill in developing and maintaining productive work teams. Ability to demonstrate personal integrity in all interactions. 7. Essential Physical Requirements: This job is performed mostly in a typical inside, office environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items up to 50 pounds, with assistance as needed; ability to read forms and computer screens and to read correspondence and other documents. 8. Essential Mental Abilities: Ability to make decisions in line with state and federal regulations; ability to read, comprehend, and analyze documents, regulations, and policies; ability to prepare and submit complete and succinct documents necessary to the job. Ability to assess and evaluate, have attention to detail. Knowledge of auditing and compliance procedures, quality assurance and improvement practices, understanding of the elements of sponsored clinical protocols including consent forms, and reporting requirements. Problem solving and analytical skills are required with a heavy emphasis on detailed analysis of information to support actions. 9. Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone. 10. Exposure to Hazards: Worker is subject to inside environmental conditions on a frequent basis with moderate noise. Typical working conditions found in most administrative work areas. Worker has contact with consumers and other staff and may be exposed to medical conditions presented by them. Blood/Fluid Exposure Risk Category III 1. Tasks involve no greater exposure to blood, body fluids, or tissues than would be encountered by a visitor. Category I tasks are not a condition of employment. Age Specific Competency Position does not involve patient care. Position will demonstrate general knowledge and skill to effectively communicate and provide safety measures to all life cycles. Telecommuting • Position eligible for Partial Telecommuting Benefits *Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays are prorated based on FTE Benefit: Coverage: Effective: Medical Premera (Self Insured) Preferred Provider Employee covered - $60.00 per month Dependents covered - please refer to the benefits Guide 2025 for rates First of the month following the first date of employment. Dental Washington Dental Employee covered - 100% Dependents covered - 50% First of the month following the first date of employment. Paid Leave 120 hours - Year 1 136 hours - Year 2 Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years. Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB. Extended Illness Bank (EIB) Allows for maximum accrual of 200 hours PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act. Holidays 88 hours related to: · New Year's Day · Memorial Day · 4 th of July · Labor Day · Thanksgiving Day · Day after Thanksgiving · Christmas Eve · Christmas Day · 3 Diversity Days Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31). Holiday hours will be added to the employee's timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below: · Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE) · May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE) · Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE) Please refer to the Paid Leave policy for additional details. 403(b) Retirement Plan Lincoln Financial 150% CVCH match up to 3% of the employee's contribution Immediately. Vesting schedule: 20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years. Employee Assistance Program Mutual of Omaha Free short-term counseling for employee and family Immediately. Call ************ Long-term Disability Mutual of Omaha Employee Only (variable) First of the month following the first date of employment. Benefit: Coverage: Effective: Basic Term Life Mutual of Omaha Employee Only (1x annual salary, up to $200,000) First of the month following the first date of employment. Group Accidental Death and Dismemberment (AD&D) Mutual of Omaha Employee Only (1x annual salary, up to $200,000) First of the month following the first date of employment. Supplemental Term Life Mutual of Omaha Employee / Spouse / Dependent(s) First of the month following the first date of employment. Voluntary AD&D Mutual of Omaha Employee / Family First of the month following the first date of employment. Health Reimbursement Arrangement RedQuote Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year. First of the month following the first date of employment. Flex Plan: Medical RedQuote Flex Plan: Maximum $3,300 per year Direct Deposit available First of the month following the first date of employment. Flex Plan: Dependent Care RedQuote Flex Plan: Maximum $5,000 per year Direct Deposit available First of the month following the first date of employment. AFLAC Supplemental insurance - cafeteria plan First of the month following the first date of employment. Wellness Stipend CVCH will reimburse staff up to $30 per month for a local gym membership OR CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.) Immediately. Once employee has submitted invoice to HR/Payroll department. Cell Phone Discounts Discounted monthly access fees Discounted select accessories and special equipment Available for personal cell phones, currently in place with AT&T & Verizon Benefit: Coverage: Effective: Tuition Reimbursement For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of: · $4,000 for an Associate's degree, vocational, technical, or certification program · $6,000 for a Bachelor's degree · $8,000 for a Master's degree Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply. Employees must agree to work for a period of two (2) years from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams. Compensation: $23.58-35.70/hourly (based on experience)
    $23.6-35.7 hourly 60d+ ago
  • Medical Records Clerk

    Easy Recruiter

    Medical coder job in Washington

    The Medical Records Clerk, under the supervision of the Manager or designee, is responsible for performing routine clerical functions in the Health Information Management (HIM) department and entering patient records in the Electronic Medical Record (EMR) according to standard procedures and specific direction in compliance with HIPAA regulations. This includes, but is not limited to sorting, scanning, indexing and managing release of information. $1,000 Hiring Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by us that begin on your first day of employment. Preferred qualification: One (1) year Medical office/record experience 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. About us 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, well 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. Job Category: Clinical Data/Analytics Job Function: Clinical Support Schedule: Full time Shift: Day Career Track: Clinical Support
    $32k-39k yearly est. 60d+ ago
  • Medical Records Specialist | Skilled Nursing

    Wesley Lea Hill

    Medical coder job in Auburn, WA

    As a service organization, Wesley selects employees who bring our mission to promise. When you become a member of the Wesley team, you contribute to the active lifestyle, high quality of care and other services we provide older adults at our award-winning communities or other residence. Our workforce is as diverse as our services, which include independent living, assisted living, Catered Living, memory care, skilled nursing, rehabilitation, hospice, home care and home health. Our Total Rewards philosophy is a balanced approach that meets the needs of employees on their career journey whether they are just joining the workforce or nearing retirement. We evaluate our Total Rewards offerings annually to provide benefits employees would find meaningful. In addition to competitive wages and a commitment to pay equity, we offer the following benefits and other compensation: Employees, and their families if elected, can participate in medical and vision insurance (full time and ACA eligible), dental (full time) and group life (employee only for full time, excludes part-time and on-call staff). We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. We also offer 6 Paid Holidays (8 hours for full time and 6 hours for part time per event, excludes on-call staff) and 1 Personal Holiday of Choice per year (excludes on-call staff). Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule on the company match, and minors are ineligible for the company match. A food and beverage discount of 50% is available to all employees at any Wesley bistro. Employees are also eligible for On-Demand Pay with Dayforce Wallet. Minors need parental consent to access this benefit. To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid. Additionally, Wesley Community Foundation provides grants to qualifying employees as detailed in the plan summary. Lastly, the efforts and contributions of our valued employees are celebrated in our best-in-class recognition and reward platform, Inspire. Points earned for various reasons may be redeemed for a variety of merchandise, gift cards, tickets, travel and other experiences selected by the employee. This summary is intended to reflect the most reasonable and genuinely expected offering of benefits and other compensation for the posted job. The official website for all Wesley job postings is ********************************** Wesley is not responsible for content on third-party job boards. Salary ranges, benefits and other compensation are subject to change. Be the reason. At Wesley, our employees are the reason residents feel at home, valued, supported, and respected. Every role - whether customer-facing or behind the scenes - plays a meaningful part in creating welcoming communities where people feel they belong. Enrich the lives of older adults through community, choice, and continuing care in the Medical Records Specialist role. The Medical Records Specialist is responsible for maintaining, organizing,and securing all resident health records in accordance with federal and Washington State regulations, facility policies, and professional standards. This position ensures that medical documentation is accurate, complete, and accessible to authorized personnel to support quality resident care, compliance, and survey readiness. Find your sense of belonging at Wesley! You will provide continuing care through these responsibilities Essential functions of this position include the following. Maintain and protect the confidentiality of all resident medical records (electronic and paper) in compliance with HIPAA and facility policies. Assemble, complete, review, and file resident health records, ensuring timely and accurate documentation of admissions, discharges, transfers, physician orders, and care plans. In support of timely and accurate admissions and admissions documentation, meet with residents and/or their family members. Audit charts regularly for completeness, accuracy, and compliance with federal (CMS),state (DOH), and facility requirements. Maintain up-to-date resident census lists, face sheets, and other required documentation. Reviews clinical documentation to verify accuracy of diagnostic and treatment codes; assist with ICD-10 coding and verification. Manage requests for release of information (ROI), ensuring proper authorization before disclosure. Support clinical and administrative staff in locating, retrieving, and filing medical record documentation. Prepare records for annual surveys, audits, and quality assurance reviews. Ensure accurate and timely record retention, archiving, and destruction in compliance with Washington State record retention laws and company policy. Coordinate with IT or EHR vendor (if applicable) to resolve documentation or access issues. Assist with staff education on documentation requirements, confidentiality practices, and use secure file transfer systems (in-house and third-party). Serve as a backup for admissions review process in absence of Sr. Admissions Director. Periodically, make planned visits to local discharge planners. Perform other duties and special projects as assigned. Our requirements and qualifications for success High school diploma or equivalent required. Minimum of one (1) year of experience in medical records or health information management, preferably in a skilled nursing or long-term care setting. Working knowledge of electronic health record (EHR) systems (e.g., PointClickCare, MatrixCare, or similar). Familiarity with CMS and Washington State Department of Health documentation and retention regulations preferred. Strong organizational skills and attention to detail. Ability to maintain confidentiality and handle sensitive information appropriately. Knowledge of medical terminology and charting requirements. Proficiency with Microsoft O365 and basic data entry. Effective communication and teamwork skills. Completion of HIPAA and facility-specific confidentiality training required. Physical, environmental, and mental requirements Bending, stooping, walking, sitting, and standing throughout the business day. Must be able to lift up to 25 pounds occasionally to handle record storage boxes. The ability to remain calm during an emergency or unforeseen event. Near and far vision. Subject to frequent interruptions. Giving full attention to what other people are saying, taking time to understand points being made, asking questions as appropriate. We care about your career We believe in supporting our people as much as they support our residents. At Wesley, you'll find opportunities to grow, be recognized, and build a career you can be proud of. We are: Encouraging professional and personal growth Advocates for training and development Appreciative of the work you do and the impact you make Supportive of work-life balance Salary Range: $26.04 to $37.53 per hour At Wesley, you're more than part of a team - you're part of the reason our residents feel at home.
    $26-37.5 hourly 11d ago
  • Medical Records Technician

    Department of Defense

    Medical coder job in Tacoma, WA

    Apply Medical Records Technician Department of Defense Military Treatment Facilities under DHA ARMY MED CNTR MADIGAN, DIR OF ADMIN, PATIENT ADMIN, PATIENT ADMIN RECORDS/OUTPATIENT MED Apply Print Share * * * * Save * This job is open to * Requirements * How you will be evaluated * Required documents * How to apply Summary About the Position: Located at Army Medical Center Madigan Hospital, Joint Base Lewis-McChord, Tacoma, WA.Tacoma is a diverse city nestled between Seattle and the state capital of Olympia. This is a Direct Hire Solicitation Recruitment Incentive maybe Authorized. Advance In Hire maybe authorized to those who are new to the federal employment. Summary About the Position: Located at Army Medical Center Madigan Hospital, Joint Base Lewis-McChord, Tacoma, WA.Tacoma is a diverse city nestled between Seattle and the state capital of Olympia. This is a Direct Hire Solicitation Recruitment Incentive maybe Authorized. Advance In Hire maybe authorized to those who are new to the federal employment. Overview Help Accepting applications Open & closing dates 01/05/2026 to 01/15/2026 Salary $40,922 to - $53,202 per year Pay scale & grade GS 4 Location 1 vacancy in the following location: Tacoma, WA Remote job No Telework eligible No Travel Required Not required Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time Service Competitive Promotion potential None Job family (Series) * 0675 Medical Records Technician Supervisory status No Security clearance Not Required Drug test No Position sensitivity and risk Non-sensitive (NS)/Low Risk Trust determination process * Suitability/Fitness Financial disclosure No Bargaining unit status Yes Announcement number HSJG-26-12856885-DHA Control number 853540200 This job is open to Help The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Duties Help * Perform miscellaneous clerical functions relating to patient file records. * Extract pertinent information from medical records in form of paper or electronics relating to injuries, diseases, operations, and complete medical histories. * Answer phone calls from staff, patients and/or public and greets visitors. * Review a patient documents for completeness and compliance in accordance with regulations and requirements. * Operate electronic typewriter, word processor, microcomputer, or computer terminal to produce work by coding information into an automated database. Requirements Help Conditions of employment * Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation. * Appointment to this position is subject to a one-year probationary period unless the appointee has previously met the requirements as described in 5 CFR Part 315. * This position has a mandatory seasonal influenza vaccination requirement and is subject to annual vaccination. * This position is subject to screening and update of required immunizations unless exempted for medical or administrative reasons. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and/or experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. General Experience: One year of general experience. General experience is progressively responsible clerical, office, or other work that indicates my ability to acquire the particular knowledge and skills needed to perform the duties of the position to be filled, such as, performing support work in connection with processing and maintaining medical records for compliance with regulatory requirements, utilizing an automated filing system. OR Education: Two years of education above the high school level obtained in an accredited business, secretarial or technical school, junior college, college or university. OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide your semester hours of by 60. Add the two percentages. Education FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: ********************************************************************************************* Additional information * Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration. * You will be required to provide proof of U.S. Citizenship. * One year trial/probationary period may be required. * Direct Deposit of Pay is required. * Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees. * Relocation incentive NOT authorized. * Multiple positions may be filled from this announcement. * Salary includes applicable locality pay or Local Market Supplement. * If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet. * Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest. Expand Hide additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How you will be evaluated You will be evaluated for this job based on how well you meet the qualifications above. Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility. If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Veterans and Military Spouses will be considered along with all other candidates. Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. Required documents Required Documents Help The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements. As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further. 1. Your resume: * Your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. * For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement. If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position. * Use plain language. Avoid using acronyms and terms that are not easily understood. The hiring agency will not make assumptions about what's in your resume. * If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy. * For additional information, to include formatting tips, see: What to include in your resume. 2. Other supporting documents: * Cover Letter, optional * Most recent Performance Appraisal, if applicable * Transcript: This position has an individual occupational requirement and/or allows for substitution of education for experience. If you meet this requirement based on education you MUST submit a copy of your transcript with your application package or you will be rated ineligible. See: Transcripts and Licenses. NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating. How to Apply Help To apply for this position, you must complete the online questionnaire and submit the documentation specified in the Required Documents section below. * The complete application package must be submitted by 11:59 PM (EST) on 01/15/2026to receive consideration. * To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application (********************************************************** * Follow the prompts to select your resume and/or other supporting documents to be included with your application package. As a reminder, your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. For additional information, refer to the 'Required Documents' section. * You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process. * After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process. * You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. Your resume selected in USAJOBS will be included, but you must re-select other documents from your USAJOBS account or your application may be incomplete. * It is your responsibility to verify that your application package (resume, supporting documents, and responses to the questionnaire) is complete, accurate, and submitted by the closing date. Uploaded documents may take up to one hour to clear the virus scan. * Additional information on how to complete the online application process and submit your online application may be found on the USA Staffing Applicant Resource Center. To verify the status of your application, log into your USAJOBS account (****************************************************** all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: *************************************************** Agency contact information Army Applicant Help Desk Website ************************************************* Address JT-DD83DE INDO PAC DHN - MADIGAN DO NOT MAIL Joint Base Lewis McChord, WA 98431 US Next steps If you provided an email address, you will receive an email message acknowledging receipt of your application. Your application package will be used to determine your eligibility, qualifications, and quality ranking for this position. If you are determined to be ineligible or not qualified, your application will receive no further consideration. Fair and transparent The Federal hiring process is set up to be fair and transparent. Please read the following guidance. Criminal history inquiries Equal Employment Opportunity (EEO) Policy Financial suitability New employee probationary period Privacy Act Reasonable accommodation policy Selective Service Signature and false statements Social security number request Required Documents Help The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements. As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further. 1. Your resume: * Your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. * For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement. If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position. * Use plain language. Avoid using acronyms and terms that are not easily understood. The hiring agency will not make assumptions about what's in your resume. * If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy. * For additional information, to include formatting tips, see: What to include in your resume. 2. Other supporting documents: * Cover Letter, optional * Most recent Performance Appraisal, if applicable * Transcript: This position has an individual occupational requirement and/or allows for substitution of education for experience. If you meet this requirement based on education you MUST submit a copy of your transcript with your application package or you will be rated ineligible. See: Transcripts and Licenses. NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
    $40.9k-53.2k yearly 13d ago
  • Medical Records Technician MRT - Mental Health 261 262

    Main Template

    Medical coder job in Tacoma, WA

    What You Will Do to Change Lives The Medical Records Technician is responsible for the maintenance, storage and processing of all medical records and EHR data. This involves performing a variety of clerical and technical duties associated with the management and oversight of a program's medical records including, but not limited to assembling, analysis, release of information, data processing, collection, reconciliation and preparation of reports in a manner consistent with medical, administrative, ethical, legal and regulatory requirements of a mental health care system. Must be able to work independently and have the ability to interact and communicate both verbally and in writing with clients, family members, the public and physicians and staff. Shifts Available: Full Time Hourly | Monday - Friday | 8:00am - 5:00pm Expected starting wage range is $18.69 - $22.52. The full wage range goes up to $26.36. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements. What You Bring to the Table (Must Have) • One (1) year of EHR or healthcare information system experience in a psychiatric inpatient or outpatient program or acute hospital setting AND Credentialed as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), through American Health Information Association (AHIMA) OR • Two (2) years of EHR or healthcare information system experience in a psychiatric inpatient or outpatient program or acute hospital setting AND Completion of an approved Health Information/Medical Record Certificate Program OR • Three (3) years of EHR or management of a paper medical record systems experience in a outpatients or community based healthcare program environment. • Working knowledge of managing a hybrid medical record system • EHR System experience, Caminar, Avatar, Anasazi (desired) • Knowledge of local, state and federal regulations, survey process, accreditation standards, and psychiatric requirements. • Knowledge and application of appropriate coding systems; ICD-10 CM, DSMV • Knowledge of documentation and legal issues pertaining to HIPAA, PHI and other health information. What's In It for You* Paid Time Off: For Full Time Employee it is 16.7 days in your first year Nine Paid Holidays & Shift differentials for hourly staff (6% for PM Shift, 8% for Overnight Shift) Free CEUs, coaching, and mentorship Online University Tuition Discount and Company Scholarships Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan For more information visit: ************************************* Join Our Compassionate Team Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems. Program Type: Community-Based, Case Management To Make Referrals: Transitional Support services can be accessed through a referral from Optum Behavioral Health. Crisis Support team services can be accessed through a referral from the county's Mobile Outreach Team. Who We Serve: Medicaid-eligible adults About the Program: Transition Support services provide highly individualized, behavioral health and intensive case management support for individuals discharging from higher levels of care. The transition support service is designed to minimize current inpatient stays and to increase post-discharge stability and recovery. To that end, T-CAT offers brief intervention, crisis management, crisis outreach, peer support, and psychiatric medication support. Crisis Support services provide an alternative to acute care hospitalization. Individuals experiencing a crisis event at a local emergency room may receive intensive short-term support when appropriate to divert from hospitalization. The crisis support service is designed to minimize emergency room stays and to reduce referrals to inpatient settings. EOE AA M/F/V/Disability *May vary by location and position type Full Job Description will be provided if selected for an interview. Data Specialist, Entry Level, Medical Records, MRT If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
    $18.7-22.5 hourly 4d ago
  • Medical Records Specialist

    Cardiac Study Center

    Medical coder job in Puyallup, WA

    Cardiac Study Center - Puyallup, WA (Hybrid) Who We Are At Cardiac Study Center, we are passionate about delivering exceptional cardiology care that improves lives. With deep roots in the Pacific Northwest, we proudly support our communities with compassionate, cutting-edge cardiovascular treatment and service. We are looking for dedicated professionals who share our mission and are ready to make a meaningful impact in the lives of our patients. Why Join Us? Be part of a patient-centered team focused on quality and care continuity Grow your skills and career in a specialized medical setting Collaborate with experienced providers and support staff Work in a supportive, mission-driven environment About the Role As a Medical Records Specialist, you will play a key role in managing patient health information across our clinics. You'll ensure that all requests for records, documentation, and data entry into the EMR system are processed efficiently and accurately-all while upholding the highest standards of patient confidentiality and care coordination. What You'll Do Distribute and manage incoming requests for Protected Health Information (PHI) via fax, phone, email, and in-person Scan, fax, mail, or copy patient records as requested Research and process missing charges, incoming mail, and chart reviews Handle incoming calls professionally and direct communications to the appropriate team Log and track requests for medical records using internal systems (including Excel spreadsheets) Collaborate with providers, community partners, and internal teams to ensure accurate and timely recordkeeping Support office operations by managing supplies and other administrative duties as needed Ensure compliance with HIPAA and internal privacy policies Qualifications Must-Haves: High School Diploma or GED 1-3 months of healthcare, clerical, or administrative experience Strong attention to detail and organizational skills Ability to work both independently and as part of a collaborative team Proficiency with computers, document handling, and basic office equipment Excellent communication and customer service skills Nice-to-Haves: Familiarity with EMR systems Understanding of medical terminology and document types Experience working in a healthcare or cardiology clinic setting Work Environment Location: 413 29 th St NE, Suite J, Puyallup, WA 98372 This is a full-time, hybrid position based at our Puyallup office Must be comfortable sitting for long periods, working at a computer, and occasionally lifting up to 20 lbs Weekend or evening work may occasionally be required to meet deadlines Compensation & Benefits Competitive hourly pay ($21.73 - $32.31 depending on education and experience). Full suite of health benefits (medical, dental, vision) Paid holidays, vacation, and sick leave Retirement plan with employer matching Professional development opportunities Supportive team culture and mission-driven work Apply Today! Help us deliver exceptional heart care to the communities of the Pacific Northwest. If you're passionate about healthcare and committed to excellence in service and accuracy, we want to hear from you! ID:00053
    $21.7-32.3 hourly Auto-Apply 44d ago
  • Medical Billing Reimbursement Specialist - Multi Specialty

    Bass Medical Group

    Medical coder job in Yelm, WA

    Job DescriptionDescription: Join our exciting Billing Team! If you are looking for some challenges, career growth, step up in your billing knowledge this is the right opportunity for you! We are looking for detailed, energetic, focused medical billers who are high achievers and take their career seriously. Job Opening Opportunities: Charge Entry/AR Follow up Specialists openings are available in the following specialties: Imaging, Thoracic, General Surgery, Colorectal, Podiatry, Pain Management, Orthopedics, Radiation Oncology and Call Center. Previous medical billing experience or experience with EPIC/ECW/Athena software is a plus About Us: BASS Medical Group is a large physician owned, physician directed, and patient centered organization. Our goals are to provide high quality, cost effective, integrated, healthcare and physician services. To preserve community based independent physician practice locations throughout California. At BASS Medical Group, our practices are closer and more connected to the people and neighborhoods we serve. With a more personal touch to healthcare and easier access to the care you need, we help guide patients to the best possible outcome. Requirements: Recommend knowledge and skills : Superior phone communication skills with providers, carriers, patients, and employees Exceptional written and verbal communication skills Strong attention to detail Ability to work in a fast-paced, high-volume work environment Positive attitude Great attendance and punctuality Knowledge of modifiers, insurance plans, and follow up techniques Job Duties but are not limited to: Perform the day-to-day billing and follow-up activities within the revenue operations Work all aging claims from Work Ques or Aging reports Present trends or issues to supervisor, and work together to make improvements Resolve denials or correspondences from patients and insurance carriers Assist in patient calls and questions Follow team and company policies Meet productivity standards Write clear and concise appeal letters Minimum qualifications: High School diploma or equivalent Medical Billing Certificate preferred or At least a year of Medical billing experience Proficiency with Microsoft office applications Basic typing skills Location: Walnut Creek, CA or Brentwood, CA (Depending on Experience) Salary: based on experience Pay Scale/Ranges: $21.00 - $32.00/hour *Employees actual pay rate will depend on a host of factors including, without limitation, job location, specialty, skillset, education, and experience. The pay scale/ranges shown are representative of the pay rates for the job title reflected above, but an employees actual pay rate will be determined on a case-by-case basis. Benefits: Medical, Dental, Vision, LTD, Life, AD&D, Aflac insurances, Nationwide Pet Insurance, FSA/HSA plans, Competitive 401K retirement plan. Vacation & Sick Leave, 13 Paid Holidays per year Job Type: Full-time
    $21-32 hourly 10d ago
  • Medical Records Coordinator - FT

    Wagi Washington Gastroenterology

    Medical coder job in Puyallup, WA

    Washington Gastroenterology believes that digestive health is the foundation for a healthy life. We are committed to improving the quality of life and longevity of our patients and our communities through the prevention, detection, and treatment of gastrointestinal diseases. We are WAGI Washington Gastroenterology is seeking full-time Medical Records Coordinator to join our Puyallup Clinic team. This team primarily works remotely from home supporting the maintenance of all medical records information (must be Washington based). Responsibilities: Accurately file private health information into patient medical records in accordance with regulatory guidelines. Examines and confirms the authenticity and completeness of all records Performs clerical functions including chart maintenance and processing incoming correspondence (i.e. faxes including outbound and failed) Retrieves archived records electronically from off-site storage as needed Responds to request for patient records from referring providers, billing, or outside agencies Confirm HIPAA authorization to disclose Request medical records from referring providers Retrieve records electronically from hospitals, diagnostic services, or clinics Track hospital procedure reports and charges Assist the clinical staff in all aspects of medical record recording and access Chart prep for upcoming visits as needed Responsible for incoming calls to department Track and close patient medical orders Other duties as assigned Qualifications Minimum of one (1) year experience in a customer-service environment required Medical office or administrative experience preferred Knowledge of medical terminology preferred Must be able to maintain confidentiality of personal information Ability to maintain focus on projects and attention to detail while working with frequent interruptions, conflicting demands, and deadlines Ability to work independently with minimal supervision as well as with other team members in a remote environment Maintains a positive attitude and treats others with courtesy and professionalism in speaking and writing Strong written and verbal communication skills Ability to learn and utilize health management information software Ability and efficiency in typing and utilizing various software programs including Microsoft Office Programs This team works primarily remote from home with training conducted onsite in Federal Way, WA. Candidates must reside and work in Washington State and due to unique city ordinances that impact employers, WAGI does not allow anyone to work remotely from Seattle, WA. The following conditions must be met for interested candidates in their remote location: Minimum internet connection requirements and surge protection in your home A home work environment that allows you to work free from distractions and sources of background noise and free of potential hazards including tripping hazards, electrical hazards, etc. Ability to secure and protect WAGI supplied computer, phone, and systems and ensure protection of Personal Health Information (PHI) Though this position provides the benefit of telework, it does follow a standard schedule based on the hours of operation Physical Activities and Requirements Prolonged periods of sitting and performing administrative duties including the use of computers Repetitive hand movements/typing Able to lift and carry supplies and equipment as needed (up to 25 pounds) Compensation and Benefits Employees (and their families) who work full time (defined as working 30 or more hours per week) will be eligible for medical, dental, vision, long-term disability, accidental death and dismemberment, and basic life insurance . In addition employees are able to enroll in our company's 401(k) plan which includes a company provided safe harbor contribution of 3% of annual earnings and the potential for a company discretionary profit sharing contribution. All employees will be eligible to accrue PTO at a rate of .04 hours per payroll hour (1.6 hours for a 40 hour week) which can be used for and exceeds the required mandatory WA State and other local ordinances. In addition, full time employees will be eligible for a Vacation accrual with a maximum annual accrual of 77 hours as a new hire. WAGI has 8 standard Holidays each year for which full time employees are eligible to receive paid holiday. In addition, full time employees will be given 1 Float Holiday each year that they can schedule. This is an Hourly position and the anticipated Compensation range is $ 17.00-$21.00 . The hired applicant is also eligible for annual discretionary bonuses.
    $17-21 hourly Auto-Apply 60d+ ago
  • Coding Specialist II (Onsite)

    Incyte Pathology Ps 3.6company rating

    Medical coder job in Spokane Valley, WA

    Summary: Coding Specialist II, under the supervision of the Coding Supervisor, will perform coding and billing functions required to submit clean claims to third-party payers. This position is responsible for abstracting clinical information from a variety of medical records and assigning appropriate ICD, CPT, and HCPCS codes according to established coding guidelines. Schedule: Monday - Friday, 8;00 am - 4:30 pm & on-site You Will: Coordinates with clinical staff to ensure appropriate charge information for all patients. Applies CPT codes in accordance with the CPT Manual, NCCI Edits, and other Pathologist provided information. Applies diagnosis codes in accordance with CMS coding guidelines. Ability to interpret medical documentation and diagnostic descriptions to accurately assign the correct ICD 10 codes and sequencing. Ability to research and analyze data, draw conclusions, and resolve issues; read interpret, and apply policies and procedures, and regulations. Ability to utilize multiple websites to support code assignment. Ability to accurately and completely code under Compliance Guidelines. Performs other related duties as assigned. Reviews and verifies documentation supporting diagnoses and procedures. Ability to code complex case mix. Performs other related duties as assigned. Qualifications: Education/Certification High school diploma or equivalent. CPC certification required. Skills and Abilities 2+ years coding experience or equivalent education/experience. Experience with Meditech, EPIC, Groupcast (GPMS), Xifin, and PowerPath. Knowledge of 3M coding software. Knowledge of medical terminology and human anatomy. Basic office skills including proficiency in Microsoft Word, Excel and Outlook. Open to new learning experiences. Excellent written and verbal communication skills to maintain working relationships with physicians and other staff. Strong organizational skills and exceptional attention to detail Strong analytical and problem-solving skills. Ability to function well in a high-paced and at times stressful environment. Pay Range: $21.21 -29.70 USD Hourly (commensurate experience- the level hired depends on availability of level and proof of meeting certification/education requirements along with resume disclosing relevant experience.) 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. Generally, new hire offers will be between the minimum and midpoint of the salary range, depending on experience (DOE), with the ability to grow within the range over time . Full benefit details can be found here: ************************************************* (*The benefits package offered is dependent upon the FTE and employment status.)
    $21.2-29.7 hourly Auto-Apply 54d ago
  • Inpatient Facility Medical Coder

    American It Staff

    Medical coder job in Seattle, WA

    To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All 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 Kaiser Permanente organization/institutional coding directives. Ability to communicate with physicians in order to obtain clarification for diagnoses/procedures. Ability to understand the clinical content of the health record and abstract the data in the patient health information record data as well as perform other duties assigned. The position requires the new coder to be on-site for one (1) week training or until they meet the departments expectations. Essential Responsibilities: Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures and other services rendered, while also validating any Computer Assisted Coded (CAC) assignments for dual coding. Utilizing the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services, analyzing and maintaining systems accuracy, validity and meaningfulness for both professional and facility services. Utilizes electronic patient data system and clinical information system (EpicCare) to access patient encounter information. Abstracts and enters clinical data elements as defined by the needs of the organization. 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. Demonstrates knowledge and understand of CMS HCC Risk Adjustment coding. Routinely performs chart analysis to identify areas of the medical record that contain incomplete, inaccurate or inconsistent documentation. Reviews and verifies chart information (i.e. POS, attending provider). Assesses and inputs data. Reviews and verifies component parts of medical records to ensure completeness and accuracy of diagnostic and therapeutic procedures that must conform to CMS coding rules and guidelines. Meets and maintains department standards 95% for productivity and quality. Coding Auditor Senior spends a minimum of 80% of work time assigning codes to Inpatient records. Fully utilizes resources available such as, Coding Clinic and CPT Assistant to research issues to apply coding guidelines. Identifies coding concerns and informs supervisors, managers as appropriate. Utilizes query process when appropriate. Assists in implementing solutions to reduce back-end coding errors. Stays current on coding and regulatory publications, attends workshops to stay abreast of current issues, trends, changes in the laws and regulations governing medical record coding and documentation to mitigate the risk of fraud and abuse and to optimize revenue recovery. May assist with special projects. Maintain confidentiality and effective working relationships with staff. Communicate in a clear and understandable manner, exercises independent judgment. Reviews annual ICD-10 Official Guidelines for Coding, along with review of quarterly Coding Clinic and monthly CPT Assistant. Performs as a team member of Facility Coding Services, and actively participates with peers coding in-services, staff meetings, reporting of performance measures, and quality outcome monitors. May participate in development of organizational procedures. Attends and participates in selected national and regional coding education sessions. Perform other duties as assigned. Qualifications Qualifications: Basic Qualifications: Experience Minimum five (5) years experience in coding with four (4) years inpatient facility coding or minimum four (4) years in the Kaiser Coding Auditor position with proficiency in inpatient coding. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration The candidate must have 1 from the following list: Registered Health Information Technician Certificate Coding Specialist Certificate Registered Health Information Administrator Certificate Additional Requirements: Previous experience with EMR patient documentation system with intermediate knowledge and skill in the use of a computer. Advance knowledge of disease processes, diagnostic and surgical procedures, Inpatient 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 medial coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT and coding. Fluent in English, demonstrating skill and proficiency in oral and written communication. Skills in time management, organization and analytical skills. Ability to manage a significant workload and to work efficiently under pressure meeting established deadlines with minimal supervision. Ability to use independent thought and judgement. Abides by the Standards of Ethical Coding as set for by the American Health Information Management Association (AHIMA). Meets and maintains department standard for performance, productivity and quality. Department will furnish final candidate a coding skill test. The candidate will be required to pass with a 75% or better on the test. Academic knowledge and working experience performing coding and abstracting responsibilities in health information/medical record services. Preferred Qualifications: Minimum five (5) years of experience in health information/Medical record environment, with facility coding experience that includes Medicare reimbursement guidelines. Degree in Health Information Management. Proficient knowledge and skill in the use of a computer and related system and software to include: EMR(s), Microsoft Office Suite and other software programs. Ability to evaluate, analyze, develop information regarding mathematical statistics and percentages that compare finding trends and outcomes related to productivity and /ore medical record audits. Extensive knowledge of ICD-10 coding guidelines; with knowledge and demonstrated understand of CMS HCC Risk Adjustment coding and data validation requirements. Additional Information Candidates must reside either in Washington or Oregon to be considered for this position
    $50k-70k yearly est. 60d+ ago
  • Medical Coding Auditor - Risk Adjustment

    Premera Blue Cross

    Medical coder job in Mountlake Terrace, WA

    **Workforce Classification:** Telecommuter **Join Our Team: Do Meaningful Work and Improve People's Lives** Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we're able to better serve our customers. It's this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. (*********************************************** Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: ********************************* . The **Medical Coding Auditor** plays a crucial role in ensuring the accuracy and compliance of diagnostic coding within medical records. This position is essential for maintaining the integrity of Risk Adjustment and HCC coding. By leveraging a deep understanding of ICD-10 and other coding standards, the auditor reviews and researches provider diagnostic coding issues, performs detailed medical record reviews, and highlights documentation standards. This role also identifies opportunities for improving provider performance related to coding errors and documentation deficiencies. In addition to auditing, the Medical Coding Auditor conducts quality assurance (QA) reviews of peer and vendor coders to ensure coding accuracy, adherence to service level agreements, and performance guarantees. Feedback is provided where discrepancies are found, fostering a culture of continuous improvement. **What you'll do:** + Analyze medical claims data and associated documentation to ensure accurate and complete diagnostic risk capture. Document findings, including diagnosis changes and opportunities for documentation improvement, and recognize trends. + Evaluate coding and documentation behavior, providing recommendations for provider improvement. + Interpret and apply policy and coding standards (e.g., Coding Clinic) that impact financial and operational aspects of risk adjustment coding. + Collaborate and communicate effectively with internal and external sources (auditors, vendors, and peers) to deliver QA findings, clearly articulating rationale supported by industry-standard evidence. + Maintain current knowledge of coding applications for ICD-10 and other applicable coding standards. + Perform other duties as assigned. **What you'll bring:** + Bachelor's degree or four (4) years of relevant work experience **(Required)** + Three (3) years of experience as a RHIA, RHIT, or CPC certified coder within a healthcare provider organization or health insurance company **(Required)** + Current certification as a professional coder (RHIA, RHIT, or CPC) **(Required)** + CRC certification or willingness to obtain it within the first year of employment. + Additional certifications such as CCSP, CCS-H, CPC-P, and CPH-H are desirable. + Nursing or other clinical experience is a plus. **Premera total rewards** Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including: + Medical, vision, and dental coverage with low employee premiums. + Voluntary benefit offerings, including pet insurance for paw parents. + Life and disability insurance. + Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service. + Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few. + Generous paid time off to reenergize. + Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees. + Employee recognition program to celebrate anniversaries, team accomplishments, and more. For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement. + Commuter perks make your trip to work less impactful on the environment and your wallet. + Free convenient on-site parking. + Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable. + Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more. + Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling. + Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus. **Equal employment** **opportunity/affirmative** **action:** Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law. If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at ******************* or via phone at ************. **Premera is hiring in the following states, with some limitations based on role or city:** Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin _._ The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience. The salary range for this role is posted below; we generally target up to and around the midpoint of the range. **National Salary Range:** $58,600.00 - $93,800.00 **National Plus Salary Range:** $66,800.00 - $106,900.00 _*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska_ _._ We're happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We're committed to creating an environment where all employees are celebrated for their unique skills and contributions. At Premera, we make healthcare work better. By focusing on improving our customers' experience purposefully and serving their needs passionately, we make the process easier, less costly, and more positive. Through empathy and advocacy, we change lives. As the leading health plan in the Pacific Northwest, we provide comprehensive health benefits and services to more than 2 million customers, from individuals to Fortune 100 companies. Our services include innovative programs focused on health management, wellness, prevention, and patient safety. We deliver these programs through health, life, vision, dental, disability, and other related products and services. Premera Blue Cross is headquartered in Mountlake Terrace, WA, with operations in Spokane and Anchorage. The company has operated in Washington since 1933 and in Alaska since 1952. With more than 80 years of experience in the region, we deliver innovation, choice, and expertise.
    $66.8k-106.9k yearly 40d ago

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