Coding Analyst

Job not on LinkedIn

🔥 4 minutes ago

☕ Washington – Remote

☕ Washington – Remote

💵 $31 - $49 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Providence

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1856

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Providence is a not-for-profit health system committed to providing a wide range of medical services, including primary care, urgent care, pediatrics, maternity care, cancer treatment, and specialized services like neurosurgery and orthopedics. They offer both in-person and virtual care through clinics and a mobile app, ensuring patients can access healthcare conveniently. With a mission rooted in compassion, dignity, and justice, Providence emphasizes serving those who are vulnerable and strives for excellence in healthcare delivery. They are involved in research and innovation, including genomic profiling and clinical trials to improve patient outcomes.

📋 Description

• Perform detailed diagnostic coding associated with Risk Adjustment and HCC coding • Coordinate technically detailed coding applications affecting revenue, CMS compliance, operations, programs, information systems, and contracted providers • Identify and research provider diagnostic coding issues • Review medical records and documentation standards • Identify provider coding errors and provide education • Advise on the development of Health Plan Payment Rules related to risk adjustment • Maintain credibility with providers regarding coding rules and applications • Integrate coding applications into changing Health Plan environments • Manage multiple priorities and varying deadlines • Communicate and coordinate effectively with Plan departments, personnel, providers, provider office staff, and hospital staff • Stay current with changing coding rules, regulations, and accrediting-body requirements

🎯 Requirements

• Coursework/training in an accredited medical coding program, or coding experience in a healthcare setting may be considered • 3 years of experience as a certified coder within a healthcare provider organization or health insurance company • Comprehensive understanding of ICD-9, ICD-10, and other coding types • Bachelor's degree or equivalent education/experience preferred • 1 year of HCC coding experience preferred • Knowledge of medical record review and documentation standards • Ability to research provider diagnostic coding issues • Ability to identify provider coding errors and offer related education

🏖️ Benefits

• Retirement 401(k) Savings Plan with employer matching • Medical, dental, and vision health care benefits • Life insurance • Disability insurance • Paid parental leave • Vacation time • Paid holidays • Paid time off for health issues • Voluntary benefits • Well-being resources • Inclusive workplace where diversity is valued • Additional compensation may be available for shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities