Job Information
Providence St. Joseph Health Coding Analyst - PacMed Seattle in Seattle, Washington
Description Providence caregivers are not simply valued - they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. The Coding Analyst requires coding and auditing of E&M services, provider/physician and clinic staff coding and compliance education for specialty departments. Reviews payment denials, corrects errors, and educates clinic and business office staff on appropriate coding procedures when services are denied due to inappropriate diagnosis or procedure coding. Provides immediate telephone support to clinic staff who have coding questions. Is responsible for achieving accounts receivable performance standards as defined by organizational/clinic benchmarks/goals. Complies with all applicable regulations. Essential functions: Review and evaluate patient medical records toaccurately assigndiagnoses,procedure codes,and modifiers. Acts as a resource to provider and back office staff as well as Corporate Business Services personnel to answer coding and/or compliance questions. Develops and performs new provider orientation on PMC's coding, audit process and documentation standards. Enterscoded charges for claim billing purposes. Monitorregulatory and payer changes as they apply todiagnostic and procedure coding. Researchand resolve coding related insurance denialsand pre-billing edits. Complete departmental continuing education and on-going independent study, education-related professional activities and professional affiliations to maintain and increase knowledge in relevant areas. Reviews reimbursement denials from third party carriers associated with inappropriate diagnosis or procedure coding. Provides feedback to clinic personnel to prevent future occurrences of inappropriate coding. Performs medical record audits to ensure compliance with all Federal and state guidelines regarding correct coding initiatives in cooperation with Supervisor and/or Coding Manager. Perform other duties or special projects as needed. Additional responsibilities: Supports Clinic Supervisor and/or Manager in instruction of coding education classes provided to providers, and clinic support staff Assists Coding Supervisor and/or Manager with annual and ongoing updates to clinic encounter forms. Required qualifications: Upon hire: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) Preferred qualifications: 5 years Health care experience in a physician group practice or other ambulatory care setting. 1 year Coding experience for a multi-specialty group. Job specific knowledge, skills, and abilities: Demonstrated expertise in current multi-specialty CPT, ICD-10, and HCPC coding principals and practices. Proven ability to interact with physicians and support staff. Strong communication skills, both written and verbal. Strong presentation abilities. Thorough knowledge of Medicare/Medicaid and third party coding requirements. Flexible and willing to adapt to changing working conditions. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our mission to advocate, educate and provide extraordinary care. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employe