Job Description
Job Description Responsible for coding and compliance research, education, and auditing programs ensuring the quality assurance program for proper coding of medical charges billed by Providence Medical Group and Program providers. This includes responsibility for oversight of timely and accurate audits of providers utilizing current coding/compliance guidelines for CPT, ICD-10, HCPCS, HCC, CMS, third party payer requirements, and contract agreements. This position will work closely in partnership with the PMG Finance Leadership, clinic leadership, Executive PMG/Programs, and Physicians' Business Office obtaining, reporting essential data, assisting in problem solving coding issues and ongoing education of providers and staff.
Providence caregivers are not simply valued - they're invaluable. Join our team at Physician Management Group 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.
Required qualifications: - Bachelor's Degree Or 4 years or more experience working as a Manager or supervisor in a coding, clinical and/or business office setting.
- Coursework/Training and Medical Coding Certification
- Upon hire: National Certification from American Academy of Professional Coders Or
- Upon hire: National Certified Coding Associate - American Health Information Management Association Or
- Upon hire: National Certified Coding Specialist - American Health Information Management Association Or
- Upon hire: National Certified Coding Specialist - Physician - American Health Information Management Association Or
- Upon hire: National Certified Documentation Improvement Practitioner - American Health Information Management Association Or
- Upon hire: National Certified Health Data Analyst - American Health Information Management Association Or
- Upon hire: National Registered Health Information Administrator - American Health Information Management Association Or
- Upon hire: National Registered Health Information Technician - American Health Information Management Association
- 6 years of experience in medical coding and auditing with thorough knowledge of CPT,ICD-10, and HCC coding principles.
- 4 years of Supervisory/management experience
- 6 years of Coding/Compliance operation and/or financial, coding/compliance or clinical audit experience.
- 5 years of experience working with physicians and physician leaders.
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 Us 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.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
About the Team Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.
PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.
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.
Job Tags
Holiday work, Contract work, Local area, Shift work,