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Providence Health & Services Coding Compliance Audit/Educator PSJH - in California

Description:

Providence St. Joseph Health is calling a Coding Compliance Audit/Educator PSJH based out our location in Renton, WA. This role can be remote in the Providence footprint of AK, OR, WA, CA, or MT.

We are seeking a Coding Compliance Audit/Educator PSJH who will perform highly complex and detailed coding compliance education and auditing and will serve as a valued resource to all regions' leadership, physicians and advanced care providers. This position will occasionally travel to PSJH regions to meet with leadership and providers to assist each region regarding coding compliance documentation quality and to escalate sensitive issues and compliance concerns that may arise. This position will need to work closely with the regional leadership teams, the ORC Physician Billing department, as well as all physicians, advanced care providers, compliance personnel and coding staff in all regions of Providence St. Joseph Health.

In this position you will have the following responsibilities:

  • Independently performs highly complex and detailed coding review and audit to assess and mitigate risk.

  • Complete documentation audits and provide detailed and timely audit reports to providers and leaders.

  • Provides subject matter expertise, quality review and feedback to physicians, advanced care providers and staff in the physician billing office, clinic coding staff, clinic leaders, regional and department leadership teams.

  • Develop educational programs for providers based on documentation audit findings, as well as general compliance education on coding, documentation guidelines, reimbursement rules and regulations.

  • Creates and presents customized coding training and initial audit/review for new physicians/advanced care providers and production coding analysts.

  • Periodically travels to PSJH locations to maintain relationships with physicians and advanced care providers and other clinical staff as well as provide coding compliance and documentation education as needed.

  • Provides classroom and individual education to clinic managers, support staff, production coders, billing staff and others as requested.

  • Advises the ORC Physician Billing office regarding coding compliance issues and questions and recommends appropriate guidance.

  • Develop written coding tips, training documents, coding compliance memorandums and updates for physicians, advanced care providers, coding staff, clinic staff and the ORC PBO department.

  • Suggests potential areas for improvement in meeting the Coding Compliance operations and system policies and procedures

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree or equivalent education/experience.

  • 5 years experience or a combination of healthcare related education & experience in coding & auditing.

  • 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.

  • Certified Professional Coder (CPC), CCS, CCS-P and/or ACS-EM or equivalent.

Preferred qualifications for this position include:

  • Certified Professional Coder - Evaluation and Management Auditing.

  • Current Coding Auditor credentials (CPMA or CEMC) is preferred OR eligibility to obtain within one year of hire.

About the department you will serve.

Providence Shared Services provides a variety of functional and system support services for our Providence 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.

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-Renton

Other Location(s): Montana, California, Washington, Oregon, Alaska

Req ID: 308369

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