Documentation & Coding Consultant

Virginia Mason Franciscan Health; Seattle (WA); On-site; USD 46,838 - 77,145; Full time

Job summary

Virginia Mason Franciscan Health is seeking a Documentation & Coding Consultant to design, implement, and manage ongoing compliance monitoring and educational programs across clinical departments. You will identify coding and billing issues, verify charges, and promote optimal reimbursement while ensuring regulatory compliance.

Interpret changes in coding guidelines, modify policies, and educate staff on proper documentation and compliance requirements, working in a consulting capacity to

Qualifications

• Bachelor's degree or equivalent plus CPC or CCS-P credential.
• At least 1 year CPT and diagnosis coding experience in healthcare.
• Strong interpersonal, organizational, analytical, and problem-solving skills.
• Ability to interact tactfully with physicians and staff.
• Excellent written and verbal communication; strong presentation skills.
• Willingness to educate teams on compliance.

Responsibilities

• Design, implement, and manage ongoing compliance monitoring and training programs across clinical departments.
• Identify coding and billing issues, verify charges, and promote optimal reimbursement while ensuring regulatory compliance.
• Interpret regulatory changes and implement policy updates across clinical departments.
• Educate staff on coding guidelines and compliance requirements.

Skills

Interpersonal skills

Organizational skills

Analytical skills

Problem-solving

Verbal communication

Written communication

Presentation skills

Stakeholder management

Education

Bachelor's degree or equivalent

CPC or CCS-P certification

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.

Pay Range

$33.85 - $55.86 / hour