Coding Quality Educator - Physicians Billing

Providence Swedish Medical Center; Seattle, Northern (WA, KY); Hybrid; USD 77,000 - 120,000; Full time

Job summary

Providence Swedish Medical Center in Seattle, WA is seeking a Coding Quality Educator to assist with clinician and coder training and ongoing department education, and to identify and develop coding and clinical documentation improvement opportunities.

The role may conduct independent and collaborative reviews, provide documentation to support coding review work, and educate teams based on findings, contributing to Providence’s mission of patient-focused, whole-person care.

Qualifications

• National certifications in coding or documentation improvement as listed.
• Minimum 5 years in medical billing, coding review and RVU work.
• Experience reviewing patient accounts, insurance explanations of benefits and financial records.

Responsibilities

• Assist clinician and coder training and department education.
• Identify, develop and deliver clinician education on coding and CDI opportunities.
• Conduct independent and collaborative clinician/coder reviews/audits and educate from findings.

Education

National Certification (AAPC/ AHIMA)

NCC Certifications (AHIMA)

NCDI Practitioner

NHDAB/RHIA/RHIT

5+ years medical billing/ coding review RVU experience

5+ years reviewing patient accounts/ EOBs

Job description

Description

Coding Quality Educator will assist with clinician/coder training and ongoing department education as well as assist with the identification, development and delivery of new and ongoing clinician education and training related to coding and clinical documentation improvement opportunities. In addition, the role may conduct independent and collaborative clinician/coder reviews/audits and provide documentation to support the coding review work performed and educate based on findings.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Swedish Health Services DBA Swedish Medical 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:

• 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.
• 5 years' experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVU’s.
• 5 years' experienced in reviewing patient account information, insurance explanation of benefits, and financial records.

Preferred Qualifications:

• Associate's Degree

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 improving the health and wellbeing of each patient we serve.

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 Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

About Providence

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.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts 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.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Whether through physician clinics, education, research and innovation or other outreach, we’re dedicated to improving the wellbeing of rural and urban communities by expanding access to quality health care for all.

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.

For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), click here where you can access an email link to submit your concern.

Requisition ID: 459354

Company: Swedish Jobs

Job Category: Coding

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Business Professional

Department: 3908 PHYSICIANS BILLING WA

Address: WA Seattle 1730 Minor Ave

Work Location: Swedish Metropolitan Park East-Seattle

Workplace Type: Remote

Pay Range: $37.17 - $57.71

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.