Providence Health & Services Coding and Compliance Educator in Renton, Washington
Providence is calling a Coding and Compliance Educator – Physician Billing to Providence Health & Services in Renton, WA.
We are seeking a Coding and Compliance Educator – Physician Billing to perform highly complex and detailed coding education and auditing, serving as a valued resource to all regions’ leadership, physicians and non-physician providers. He or she will travel to assigned regions to meet with leadership and providers, assisting each region regarding coding, compliance, documentation quality and escalating sensitive issues and compliance concerns that may arise, while working closely with the regional leadership teams, the ORC Physician Billing departments, as well as all physicians, non-physician providers, compliance personnel and coding staff in all regions of Providence Health & Services.
In this position you will:
Independently perform highly complex and detailed coding review and audits to assess and mitigate risk based on payer rules and regulations; complete documentation and provide detailed and timely audit reports to providers and leaders.
Provide subject matter expertise, quality review and feedback to staff in ORC Physician Billing department, physicians, non-physician providers and clinic staff; perform routine performance and productivity audits of Production Coding and Charge Review staff
Develop educational programs for providers based on audit findings, as well as general education on coding, documentation guidelines, reimbursement rules and regulations.
Create and present customized coding training and initial audit/review for new physicians/providers and Production Coding Analysts; assist with annual and on-going fee schedule updates.
Periodically travel to provider locations to maintain relationships with providers and other clinic staff and provide coding education as needed. .
Advise the ORC Physician Billing office regarding coding denials and recommends appropriate billing corrections and/or insurance follow-up guidance.
Develop written coding tips, training documents and updates for providers, clinic staff and ORC PB department; suggest potential areas for improvement in meeting the Coding and Compliance operations.
Required qualifications for this position include:
High School diploma or GED equivalent.
Five (5) plus years’ experience or a combination of healthcare-related education and experience in coding and auditing.
CRT, ART, CPC, CCS, CCS-P and/or ACS-EM or equivalent.
Remaining current on coding certification and coding and compliance rules and regulations for Medicare, Medicaid and Commercial carriers.
Experience in statistical analysis and data audits for all necessary projects, to include analyzing data from report to summarize, draw conclusions and trending of data.
Strong computer skills.
Preferred qualifications for this position include:
College-level coursework, Associate’s or Bachelor’s degree.
Current Coding Auditor credentials or eligibility to obtain within one year of hire.
About the department you will serve.
Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 82,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 600 physician clinics, senior services, supportive housing and other health and educational services. 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.
Job Category: Coding
Req ID: 169077