12 jobs found in Olympia

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

About the Position: The A Central Computerized Enforcement Service System (ACCESS) Section provides Federal Bureau of Investigation (FBI) required user, Originating Agency Identifier (ORI) and device management, training, and performance auditing for all terminal agencies and users (criminal justice agencies, non-criminal justice agencies, and users that use the ACCESS system) within Washington state. Staff members act as subject matter experts for the Section providing education, audits, guidance and interpretation based on the federal standards. They manage and validate certified users and agency ORI and devices ensuring appropriate usage and security for the terminal agencies and devices. This position supports the mission by managing the program standards of system security, personnel security, training certifications, performance auditing, and providing subject matter experts for our criminal justice and non-criminal justice users. It supports positive solutions for terminal...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Serco Inc. supports the DHA Medical Coding Program Branch to improve accuracy and quality of medical coding across 400 DHA sites, including CONUS and OCUNOS environments. The Medical Coding Auditing Specialist role involves routine audits, plan development, and targeted reviews to ensure compliance with coding policies and regulations. Applicants must have extensive coding/auditing experience and multiple professional certifications. Travel to DHA organizational elements may be required. #J-18808-Ljbffr

UW Medicine seeks an experienced Inpatient Coder for the Enterprise Records and Health Information division. You will analyze charts and assign ICD-CM/ICD-PCS codes using 3M CAC to determine DRG for inpatient reimbursement, ensuring compliance and accuracy. Required credentials include RHIT/RHIA/CCS/CPC/CIC or equivalent, plus a high school diploma and 3 years of coding experience. Remote, full-time, days, with SEIU 925 coverage. #J-18808-Ljbffr

A leading health insurance provider based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims for proper reimbursement and requires strong qualifications, including RHIA, RHIT, or CCS certification with MS-DRG experience. This remote position allows for flexible work hours and contributes significantly to cost reduction and accuracy in provider payments. Join a company committed to the well-being of its clients and team members. #J-18808-Ljbffr

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review hospital claims for accurate reimbursement and to resolve provider disputes. The role involves assigning ICD-10-CM, ICD-10-PCS, and DRG codes, with a focus on payment accuracy. This remote position requires 4+ years of inpatient coding auditing, RHIA/RHIT/CCS certification, and experience in health insurance or hospital settings. #J-18808-Ljbffr

A leading pharmaceutical company in Olympia, WA seeks an Associate Director, Scientific Communications to manage the scientific and medical communications strategy. This involves overseeing the creation of content assets and managing the global publications plan. The ideal candidate will have an advanced scientific degree, 7+ years in Medical Affairs, and strong leadership skills. This position plays a pivotal role in ensuring scientific accuracy and compliance across materials and will lead cross-functional collaborations. #J-18808-Ljbffr

Job Description Summary Applicants must currently reside in the Pacific Time Zone to be considered. Job Responsibilities Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided. Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the...