Coding Auditor

Virginia Mason Franciscan Health; Seattle (WA); On-site; USD 44,000 - 73,000; Full time

Job summary

Virginia Mason Franciscan Health in Seattle is seeking a Coding Auditor to ensure accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will research and review coding-related claim denials, providing expert guidance on corrections to prevent future issues and recover lost revenue.

You will combine a robust understanding of medical coding, analytics, and reimbursement methodologies with meticulous attention to detail, working under deadlines

Qualifications

• High school diploma or equivalent.
• Minimum one year of coding experience or two years in a health care environment.
• Must have one of CPC/CCA/CCS/CCS-P/RHIT/RHIA certifications.
• Knowledge of anatomy, physiology, disease processes and medical terminology.
• Critical thinking, analytical skills and ability to work with minimal supervision.
• Ability to work under pressure to meet deadlines.

Responsibilities

• Research and review coding-related claim denials and provide corrections guidance.
• Proactively resolve pre-billing coding defects to safeguard revenue.
• Identify and address issues to maximize financial accuracy and efficiency.

Skills

Analytical skills

Attention to detail

Problem solving

Decisive judgment

Work under pressure

Work with minimal supervision

Education

High school diploma or equivalent

Associate degree in related field (preferred)

AAPC/AHIMA coding certifications (CPC/CCA/CCS/CCS-P/RHIT/RHIA)

Job description

Job Summary and Responsibilities

As a Coding Auditor, you will be a central figure ensuring accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will play a vital role in optimizing our revenue cycle and maintaining financial integrity.

Every day, you will meticulously research and review coding-related claim denials, providing expert guidance on corrections to prevent future issues and recover lost revenue. You will also proactively address pre-billing resolution of coding defects, safeguarding against reimbursement impacts.

To be successful in this role, you will combine a robust understanding of medical coding and reimbursement methodologies, exceptional analytical skills, and meticulous attention to detail. You will demonstrate a proactive problem-solving approach, driven by a commitment to maximizing financial accuracy and efficiency.

Job Requirements

Required

• High school diploma or equivalent
• Minimum of one (1) year of coding experience or two (2) years experience in any capacity in a health care environment or medical office setting
• Requires one of the following coding certifications from either the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA): Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)
• Working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology
• Requires critical thinking and analytical skills, decisive judgment and the ability to work with minimal supervision
• Applicants must be able to work under pressure to meet imposed deadlines and take appropriate actions

Preferred

• Associate degree in related field
• Healthcare revenue cycle experience preferred

Where You'll Work

Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.

Pay Range

$32.32 - $53.32 /hour

We are an equal opportunity/affirmative action employer.