Documentation & Coding Consultant

Commonspirit-Health; Seattle (WA); On-site; USD 80,000 - 110,000; Full time

Job summary

Virginia Mason Franciscan Health in Seattle seeks a Documentation & Coding Consultant to design, implement, and guide organizational monitoring activities and educational programs to ensure proper reimbursement and regulatory compliance.

You will verify charges, analyze practice patterns, interpret regulatory changes, and educate clinicians on coding guidelines, with a focus on accurate documentation and policy updates across departments.

Qualifications

• Bachelor's degree or equivalent plus credentialed as a CPC or CCS-P.
• One year of CPT and diagnosis coding experience in a healthcare setting.
• Demonstrated interpersonal, organizational, analytical, and problem-solving skills.
• Ability to interact tactfully yet assertively with physicians and other professional staff.
• Strong presentation skills and comfort presenting to groups.
• Good written and verbal communication skills.
• Five years CPT/diagnosis coding experience and three years as an instructor/trainer (preferred).
• Clinical knowledge and exposure to risk adjustment coding (preferred).

Responsibilities

• Design, implement, and manage ongoing organizational monitoring activities and educational programs.
• Identify compliance issues and analyze practice patterns.
• Verify charges and ensure optimal reimbursement for the organization.
• Interpret regulatory changes and translate them into actionable policy updates.
• Educate staff thoroughly on coding guidelines and compliance requirements.
• Modify VMMC's policies and convey changes to clinical departments.

Skills

Interpersonal skills

Organizational skills

Analytical skills

Problem-solving

Presentation skills

Written and verbal communication

Ability to interact with physicians

Education

Bachelor's degree + CPC or CCS-P

Job description

Job Summary and Responsibilities

As our Documentation & Coding Consultant, you will design, implement, and manage ongoing organizational monitoring activities and educational programs. This ensures proper reimbursement and compliance with all regulatory statutes.

Every day you will work in a consulting capacity, identifying compliance issues and analyzing practice patterns. You will verify charges, ensure optimal reimbursement for the organization, and interpret regulatory changes.

To be successful in this role, you will implement the necessary changes and modify VMMC's policies, conveying these changes to the clinical departments. You will possess a strong command of coding guidelines and educate staff thoroughly on compliance requirements.

Job Requirements

• Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P)
• One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer
• Demonstrated interpersonal, organizational, analytical, and problem-solving skills
• Ability to interact tactfully yet assertively with physicians and other professional staff
• Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups
• Good written and verbal communication skills

Preferred

• Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer
• Clinical knowledge and exposure to risk adjustment coding

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.