3 denials coder jobs found in Seattle, WA

Medical Hospital Coding Specialist Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and...

Please Note: Position is 100% Remote for Washington State Only. Under general supervision, the Inpatient Hospital Coder is responsible for the collection of relevant, pertinent, accurate and timely ICD-10 diagnosis and PCS procedural codes based on inpatient coding guidelines. Requires abstracting from inpatient hospital case types including low and moderate complexity cases (psychiatric care, general medicine, endocrine, chemotherapy, gastroenterology, surgical, cardiac, orthopedic, etc.). Requires basic understanding of DRG grouping and the uniform hospital discharge data set (UHDDS). Requires effective use of hospital encoding systems and resources as well as recognizing what data can be abstracted, presented, and interpreted for effective use throughout the hospital data cycle. Responsible for resolving coding validation and claim edits based on regulatory and compliant processes. Performs other duties as assigned. Required Education and Experience Associate...

* Conduct retrospective, concurrent, and prospective audits of medical records to validate the accuracy of ICD-10-CM codes and ensure documentation supports submitted diagnoses for Medicare Risk Adjustment (HCC coding).* Perform detailed internal and external coding audits on a regular basis as defined by compliance & department requirements, including for our nephrology partners.* Execute targeted audit plans, including performing targeted audits of identified HCC outliers.* Identify trends, patterns, and areas of opportunity for documentation and coding improvement through data analysis and audit findings.* Prepare and present formalized audit reports to leadership, summarizing findings, identifying risk areas, and recommending corrective action plans.* Assist in internal and external audits, including Risk Adjustment Data Validation (RADV) audits, by preparing documentation and responding to inquiries.* Perform necessary research to provide supportive regulatory and coding...