112 jobs found in Washington

Description The Supervisor Credentialing fills a key position in providing supervision of credentialing staff. Key to the position is accountability and responsibility for assuring that all medical staff practitioners are credentialed in accordance with professional staff bylaws, policies and procedures, state and federal rules. The position supervises all processes related to timely and appropriate verifications of all aspects of credentialing and privileging of the professional staff and serves as resource to credentialing staff. The demonstration of ability to use credentialing software, creating and analysis of reports is important to the role. The Supervisor monitors the productivity of the team and leads in managing quickly changing priorities for all assignments. In addition, the position provides training to staff on department credentialing processes and develops training guides for Credentialing Department tasks. Providence caregivers are not simply valued -...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose: The Coding Specialist III can maintain up to two concurrent client assignments that are short-term in nature. For each client, the Coding Specialist III reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations,...

Job Posting This is a remote position. Job Details: Assign diagnosis and procedure codes to reflect the condition(s) and treatment provided to the patient based on the documentation within the record for both inpatient and outpatient stays. The code assignment is utilized to determine reimbursement for the facility and physician, quality measures, hospital statistics, and medical research. Skills and Experience Required: Knowledge of the contents of the medical record Demonstrates working knowledge of ICD-10-CM, ICD-10 PCS and CPT 4. Passing Score of 80% or higher on the coding test to be considered. Working knowledge of Ambulatory Payment Classifications (APC) and Diagnostic Related Groups (DRG) Previous outpatient and/or inpatient coding experience 1 year minimum Must be a member of the AHIMA in good standing

Job Opportunity At Children's Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides accurate and timely assignment of appropriate ICD-10 diagnostic and PCS procedural codes on the medical records for the purpose of collecting and indexing quality health information for inpatient hospital encounters. Experience 3 years of experience in a hospital inpatient setting Preferred Qualifications No preferred qualifications Education High school diploma or equivalent Certification Summary Minimum of one of the following: Registered Health Information Technologist (RHIT) Registered Health...

Workforce Classification: Telecommuter Join Our Team: Do Meaningful Work and Improve People's Lives Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we're able to better serve our customers. It's this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/. The Medical Coding Auditor plays a crucial role in ensuring the accuracy and...

A leading pharmaceutical company based in Olympia, WA is seeking an Associate Director, Strategic Planning & Operations. This role is pivotal in driving operational excellence within Global Medical Affairs and involves strategic planning, cross-functional collaboration, and budget management. Candidates should have a strong background in Global Medical Affairs with 7+ years of experience, including 3+ years in operations. A Bachelor's degree is required, with advanced degrees preferred. Comprehensive company benefits are offered. #J-18808-Ljbffr

WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate...

Become a part of our caring community and help us put health first The 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Hcc Coder Position Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

A leading healthcare institution in Washington is looking for a Senior Outpatient Coder responsible for accurate assignment of diagnostic and procedural codes in a fast-paced environment. Candidates need an Associate's degree and three years of coding experience or a successful completion of the transition program. Required certifications include RHIT, RHIA, CCS, and CPC. The role demands effective communication skills and the ability to meet productivity standards. Join a reputable institution dedicated to compliance and quality healthcare services. #J-18808-Ljbffr

Join to apply for the Senior Outpatient Coder role at Houston Methodist . As a Senior Outpatient Coder, you will be responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA Status Non‑exempt Qualifications Education Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in lieu of degree). Experience Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program. Licenses and Certifications (Required) RHIT – Certified Health Information Technician (AHIMA) RHIA – Registered Health Information Administrator (AHIMA) CCS – Certified Coding Specialist (AHIMA) CCA –...

Software Application Programmer/Coder - II Engagement: Contract America Networks is a leading sensor and networking solutions partner for companies in any Industrial, Manufacturing, and Waste management space. We design and manufacture sensors for storage tanks, water metering, energy metering, gas monitoring, and asset management. Our founders are hardcore telecommunications engineers with combined 200 + years of experience in designing, optimizing and performance engineering; for several mid large wireless carriers internationally - that saw a need to provide low power, cost efficient sensors to collect data, create alerts, and predict needed actions. We have combined these sensors with low power, wide area (LPWA) networking technologies to provide clients various options to decrease re-occurring costs associated with operating an IoT network of sensors and connected devices. We specialize in design, deployment, optimization, and support of these Networks. Whether an...

Workforce Classification: Telecommuter Join Our Team: Do Meaningful Work and Improve People's Lives Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we're able to better serve our customers. It's this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. (https://www.premera.com/visitor/careers#awards) Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ . The Medical Coding Auditor plays...

Associate Director, Medical Science Liaison Respiratory US At VIATRIS, we see healthcare not as it is but as it should be. We act courageously and are uniquely positioned to be a source of stability in a world of evolving healthcare needs. Viatris empowers people worldwide to live healthier at every stage of life. We do so via: Access Providing high quality trusted medicines regardless of geography or circumstance; Leadership Advancing sustainable operations and innovative solutions to improve patient health; and Partnership Leveraging our collective expertise to connect people to products and services. Every day, we rise to the challenge to make a difference and here's how the Associate Director, Medical Science Liaison Respiratory US will make an impact: Medical Affairs Colleagues across Viatris are a source for credible, unbiased, and scientifically accurate clinical, Healthcare Economic Information (HCEI), and Medical Information about Viatris assets, medicines,...

Coding Specialist The Coding Specialist is a functional member of Central Business Services at SMG. The Specialist is an entry-level coding professional who is responsible for the timely, accurate, and comprehensive review of provider claims to optimize reimbursement and ensure compliance with all regulatory statutes. This position also works with the department to identify trends and educational opportunities for providers to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. Providence caregivers are not simply valued - they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: National Certified Inpatient Coder upon hire. Or National...

Coder - Hospital Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Medical Record Management Hours: Full-time Required: High School Diploma, CCA coding certification is preferred Pay: Based on experience, starting at $22.72 Responsibilities Assists physicians with record documentation needs by requesting clarification for additional information. Assists in educating physicians and ancillary staff members about documentation needed for coding process. Contacts physician offices and/or SBL departments as needed for diagnostic information to code the encounter. Assists with training new coding staff as requested. Codes all types of encounters as...

divh2Coding Auditor Provider Educator/h2pNAH reserves the right to make hiring decisions based on applicants state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states:/pulliAlabama/liliArizona/liliFlorida/liliGeorgia/liliIdaho/liliIndiana/liliKansas/liliMichigan/liliMissouri/liliNorth Carolina/liliOhio/liliOklahoma/liliPennsylvania/liliSouth Carolina/liliTennessee/liliTexas/liliVirginia/li/ulpThe Coding Auditor Provider Educator is a critical role responsible for ensuring the accuracy, completeness, and compliance of medical coding (CPT, HCPCS, ICD-10-CM) for professional services. This individual will conduct thorough coding audits, identify areas for improvement in documentation and coding practices, and develop and deliver targeted educational programs to physicians, advanced practice providers (APPs), and clinical staff. The primary goal is to optimize revenue integrity, mitigate compliance risks, and foster a culture...

Coding Specialist 1 - Edits Coder UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a Coding Specialist 1 - Edits Coder. The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information Management department. Under the general supervision of the Manager of Facility Coding, and the direct supervision of the Supervisor of Outpatient Coding, the Edits Coder is responsible for implementing the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. The Edits Coder is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment...

Job Description Job Description Thoughtful Counseling Group (TCG) is seeking a detail-oriented and highly organized Mental Health Medical Biller (Behavioral Health) to support insurance billing operations for outpatient psychotherapy services. This position is responsible for ensuring timely and accurate claim submission, resolving denials, working accounts receivable, verifying benefits when needed, and maintaining compliance with payer and documentation requirements. This role requires strong knowledge of behavioral health billing workflows , including common CPT codes (ex: 90791, 90832, 90834, 90837 ), prior authorizations, EAP structures, and payer-specific rules. Essential Duties and Responsibilities Claims & Billing Submit clean behavioral health claims through clearinghouse and/or payer portals. Ensure claims are billed accurately using correct: CPT / ICD-10 codes Modifiers (as applicable) Place of Service (POS) Rendering/provider information...

A reputable recruitment firm in Federal Way seeks a Senior Auditor of Compliance. The role involves developing and executing audit programs while effectively communicating with management and clients. Ideal candidates will possess a bachelor's degree in Accounting or Finance, have 4+ years of audit experience, and demonstrate excellent analytical and interpersonal skills. The position offers a hybrid schedule and comprehensive benefits including medical and professional development programs. #J-18808-Ljbffr