Description

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

Providence is calling a Senior Coding Quality Educator who will:

• Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team
• Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable
• Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams
• Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters

We welcome 100% remote work for residents in the United States with the exception of the following States:

• Colorado
• Hawaii
• Massachusetts
• New York
• Ohio
• Pennsylvania

Essential Functions:

• Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams
• Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters
• Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise
• Serve as a resource and subject matter expert for all coding matters
• Provide coding support to regional coding teams as needed
• Maintain relevant documentation and data as required
• Review and update coding guidance annually or as necessary
• Maintain document control
• Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes
• Facilitates education to support Medicare Risk requirements & organization goals
• Review relevant patient details from the medical record based on coding and documentation guidelines
• Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details
• Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff
• Assists management in identifying and creating standardized workflows
• Reviews EMR templates and identifies areas of improvement for provider documentation
• Attends and presents at regional meetings as needed

Required qualifications for this position include:

• High School Diploma or GED Equivalency
• National Certification from American Academy of Professional Coders -OR- National Certification from American Health Information Management Association -OR- National Certification from American Health Information Management Association
• 6 years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work
• 5 years of experience conducting medical coding provider audits and quality performance measures
• 5 years of experience preparing audit reports with recommendations
• 5 years of experience providing provider education and feedback to facilitate improvement in documentation and coding
• Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment

Preferred qualifications for this position include:

• Associate Degree in Health Information Technology or another related field of study
• Bachelor's Degree in Health Information Technology or another related field of study
• 5 years of experience in coding for multispecialty practice
• 2 years of experience in professional fee billing methodologies
• Experience with IDX, Allscripts, Advanced Web, Meditech
• Experience with project management

Salary Range by Location:

AK: Anchorage

• Min: $39.32
• Max: $62.25

AK: Kodiak, Seward, Valdez

• Min: $40.98
• Max: $64.88

Washington: Western

• Min: $40.98
• Max: $64.88

Washington: Southwest - Olympia, Centralia & Below

• Min: $39.32
• Max: $62.25

Washington: Tukwila

• Min: $40.98
• Max: $64.88

Washington: Eastern

• Min: $34.99
• Max: $55.39

Washington: South Eastern

• Min: $36.65
• Max: $58.03

Idaho

• Min: $34.99
• Max: $55.39

Oregon: Portland Metro Region

• Min: $39.32
• Max: $62.25

Oregon: All cities outside of Portland

• Min: $36.65
• Max: $58.03

California: Northern California

• Min: $45.98
• Max: $72.80

California: Humboldt

• Min: $40.98
• Max: $64.88

California: Southern California

• Min: $40.98
• Max: $64.88

California: Bakersfield

• Min: $39.32
• Max: $62.25

Montana: All cities outside of Great Falls

• Min: $31.65
• Max: $50.11

Montana: Great Falls

• Min: $29.99
• Max: $47.48

Nevada:

• Min: $40.98
• Max: $64.88

New Mexico:

• Min: $31.65
• Max: $50.11

Lubbock, Levelland, Plainview TX:

• Min: $29.99
• Max: $47.48

TX: Austin, Dallas, Houston, San Antonio

• Min: $39.32
• Max: $62.25

Why Join Providence?

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

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

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

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

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

Requsition ID: 285781

Company: Providence Jobs

Job Category: Coding

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Business Professional

Department: 4010 SS PE OPTIM

Address: CA Burbank 191 S Buena Vista St

Work Location: Facey Burbank-Burbank

Pay Range: $40.98 - $64.88

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

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