5 revenue integrity coder jobs found in Seattle

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

Responsible for the collection of relevant, pertinent, accurate and timely professional fee diagnosis and/or procedural codes abstracted from physician documentation per practice plan and CMS/HCFA guidelines. The Coder will work in close collaboration with compliance, clinical departments, physicians and SCH Revenue Cycle team members. Performs other duties as assigned and may be responsible for working account problems in EPIC Please note: 100% remote for WASHINGTON STATE ONLY Required Education and Experience Completion of credentialed Professional Fee Coding Course. Minimum of two years experience in medical coding or coding related experience. Required Credentials Certification as a CPC-A, CPC, specialty AAPC coding certification required, or CCS-P through AHIMA. Preferred AHIIMA: RHIT, RHIA, CCS, or CCS-P, or from AAPC - either CPC, COC, CIC, CRC, CPMA, or CPCO. Experience in a Pediatric setting. Compensation Range $29.16 - $43.73 per hour Salary...

Seattle Children's is seeking an Outpatient Hospital Coder to accurately abstract ICD-10, CPT and HCPCS codes from outpatient, ED, surgical, infusion and imaging encounters. This role supports revenue integrity by reviewing posted charges for accuracy and ensuring data is ready for billing and analysis. Remote work is available, but the candidate must be based in WA State. A HIM degree or equivalent experience is required, with AHIMA/AAPC credentials preferred to validate expertise. #J-18808-Ljbffr

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Under general supervision, the Outpatient Hospital Coder is responsible for the collection of relevant, pertinent, accurate and timely ICD-10 diagnosis, HCPCS codes, and CPT procedural codes abstracted from hospital case types that most commonly include but are not limited to: hospital outpatient clinics, emergency department, surgical cases, observation, infusion, imaging, and professional billing to the extent of the department's responsibility. Supports revenue integrity through review of posted charges for accuracy. 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. Responsible for reviewing coding edits and assigning modifiers based on billing regulations. Performs other duties as assigned. While this role is remote, the...