Providence Health & Services Coding Compliance Educator PSJH in Renton, Washington
Providence St. Joseph Health is calling a Coding Compliance Educator PSJH to Providence Integrity Compliance Audit Services, RIS Compliance in Renton, WA.
We are seeking a Coding Compliance Educator PSJH to work throughout the Providence St. Joseph Health System and support all regions within PSJH. The RIS-Coding Compliance Educator provides education, documentation auditing and develops educational updates, memorandums, educational programs and classes with coding compliance guidance for all PSJH physicians, advanced care providers, clinical ancillary staff, clinic coding and billing staff and physician business office staff. The RIS System Coding Compliance department focuses only on professional fee (profee) services for the physician billing (PB) side of Coding Compliance education and auditing.
This position performs highly complex and detailed coding compliance education and auditing and will serve as a valued resource to all regions' leadership, physicians and advanced care providers. This position will occasionally travel to PSJH regions to meet with leadership and providers to assist each region regarding coding compliance documentation quality and to escalate sensitive issues and compliance concerns that may arise. This position will need to work closely with the regional leadership teams, the ORC Physician Billing department, as well as all physicians, advanced care providers, compliance personnel and coding staff in all regions of Providence St. Joseph Health.
In this position you will have the following responsibilities:
Independently perform highly complex and detailed coding review and audit to assess and mitigate risk.
Complete documentation audits and provide detailed and timely audit reports to providers and leaders.
Provide subject matter expertise, quality review and feedback to physicians, advanced care providers and staff in the physician billing office, clinic coding staff, clinic leaders, regional and department leadership teams.
Develop educational programs for providers based on documentation audit findings, as well as general compliance education on coding, documentation guidelines, reimbursement rules and regulations.
Create and present customized coding training and initial audit/review for new physicians/advanced care providers and production coding analysts.
Periodically travel to PSJH locations to maintain relationships with physicians and advanced care providers and other clinical staff as well as provide coding compliance and documentation education as needed.
Provide classroom and individual education to clinic managers, support staff, production coders, billing staff and others as requested.
Advise the ORC Physician Billing office regarding coding compliance issues and questions and recommends appropriate guidance.
Develop written coding tips, training documents, coding compliance memorandums and updates for physicians, advanced care providers, coding staff, clinic staff and the ORC PBO department.
Suggest potential areas for improvement in meeting the Coding Compliance operations and system policies and procedures.
Required qualifications for this position include:
Bachelor's Degree OR equivalent education/experience.
Certified Professional Coder.
CPC, CCS, CCS-P and/or ACS-EM or equivalent.
Five (5) years of experience OR a combination of healthcare related education and experience in coding and auditing.
Experience in statistical analysis and data audits for all necessary projects, to include analyzing data from report to summarize, draw conclusions and trending of data.
Preferred qualifications for this position include:
Certified Professional Coder- Evaluation and Management Auditing.
Current Coding Auditor credentials (CPMA or CEMC) OR eligibility to obtain within one year of hire.
About the department you will serve.
Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence St. Joseph health from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.
Job Category: Compliance
Req ID: 241620