Coding Auditor

CommonSpirit Health; Seattle (WA); Presencial; USD 45.000 - 73.000; Jornada completa

Descripción de la vacante

CommonSpirit Health is seeking a Coding Auditor to ensure 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.

You will research and review coding-related claim denials, provide guidance on corrections, and address pre-billing resolution of coding defects to safeguard revenue.

Formación

• High school diploma or equivalent.
• Minimum of one year of coding experience or two years in a healthcare environment.
• Certification from AAPC or AHIMA: CPC, CCA, CCS, CCS-P, RHIT, RHIA.
• Working knowledge of anatomy, physiology, disease processes, and medical terminology.
• Ability to think critically, analyze data, and work with minimal supervision.
• Must handle deadlines and work under pressure.

Responsabilidades

• Review coding defects to ensure accurate reimbursements.
• Provide guidance on corrections to prevent future issues.
• Address pre-billing resolution of coding defects to safeguard revenue.

Conocimientos

Coding experience

Healthcare knowledge

Analytical skills

Under pressure

Coding certification

Educación

High school diploma

Associate degree (preferred)

Descripción del empleo

Coding AuditorInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

The posted compensation range of $32.32 - $53.32 / hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

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.

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

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.

Benefits

• medical
• prescription drug
• dental
• vision plans
• life insurance
• paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
• tuition reimbursement
• retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time

CommonSpirit Health is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF]. CommonSpirit Health will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c).

External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at [phone] and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health participates in E-Verify.