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Providence Health & Services Coding Specialist - Revenue Capture in Everett, Washington

Description:

Providence is calling a Coding Specialist (1.0 FTE, Day Shift) to work for Revenue Capture at Providence Medical Group Northwest Washington in Everett, Washington.

The coding specialist reviews complex medical records and accurately codes the primary and secondary diagnoses and procedures using ICD-10 CM/CPT coding conventions. The incumbent reviews and abstracts HCC codes to ensure they are coded accurately, to the highest specificity possible and making sure required MEAT is documented, resulting in the correct RVUs. The coding specialist coordinates with others to ensure that referral and billing information is accurate and timely to maximize reimbursements and minimize unrealized revenue. The incumbent supports the mission and core values of Providence Health & Services through responsible and effective work performance.

In this position you will:

  • Review/abstract HCC codes to ensure they are coded accurately, to the highest specificity possible and making sure required MEAT is documented, resulting in the correct RVUs

  • Utilizes established manual and automated systems and procedures to track coding discrepancies

  • Work all Medicare Annual Wellness Visits (100% review) to ensure the correct code is being billed, including adding appropriate codes for Chronic Condition Review, and or E&M/Procedure codes

  • Perform 100% chart review of assigned provider, including CPT/HCPS Codes (this also includes procedures, medications, vaccines etc.), Diagnosis, Place of Service, Providers (service and billing), Dates of Service, Provide feedback to providers when level of service is not supported, or documentation is unclear

  • Work/clear all coding edits in our assigned clinics to support a clean claim

  • Enter all missing charges into EPIC system, with careful attention to adding notes to clarify clinic charges

Qualifications:

Required qualifications for this position include:

  • High School Diploma, GED, or a combination of education and directly related work experience

  • Accredited program for medical coding

  • Incumbent must have a certificate in coding: CPC, CCS-P and/or CMC or obtain within one year of hire

  • Knowledge of office equipment operations such as facsimile, copier, multi-line phone system and/or ACD system.

Preferred qualifications for this position include:

  • Progressively responsible work experience in the healthcare industry

  • CRC

About the hospital you will serve.

Providence Medical Group is a group of primary care, specialty care and hospital-based medical providers who serve Snohomish County in more than 10 locations in scenic northwest Washington. Our providers and staff strive to create a distinctive health care experience for each patient – one focused on trust, respect, communication and teamwork.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Coding

Location: Washington-Everett

Req ID: 321150

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