Coding Compliance Audit/Educator- PSJH
Company: Providence Health & Services
Location: Renton
Posted on: August 5, 2022
Job Description:
Description Providence St. Joseph Health is calling a Coding
Compliance Audit/Educator PSJH to our location in Renton, WA. We
are seeking a Coding Compliance Audit/Educator PSJH who will
perform highly complex and detailed coding compliance education and
auditing and will serve as a valued resource to all regions'
leadership, physicians and advanced care providers. This position
will occasionally travel to PSJH regions to meet with leadership
and providers to assist each region regarding coding compliance
documentation quality and to escalate sensitive issues and
compliance concerns that may arise. This position will need to work
closely with the regional leadership teams, the ORC Physician
Billing department, as well as all physicians, advanced care
providers, compliance personnel and coding staff in all regions of
Providence St. Joseph Health. In this position you will have the
following responsibilities:
- Independently performs highly complex and detailed coding
review and audit to assess and mitigate risk.
- Complete documentation audits and provide detailed and timely
audit reports to providers and leaders.
- Provides subject matter expertise, quality review and feedback
to physicians, advanced care providers and staff in the physician
billing office, clinic coding staff, clinic leaders, regional and
department leadership teams.
- Develop educational programs for providers based on
documentation audit findings, as well as general compliance
education on coding, documentation guidelines, reimbursement rules
and regulations.
- Creates and presents customized coding training and initial
audit/review for new physicians/advanced care providers and
production coding analysts.
- Periodically travels to PSJH locations to maintain
relationships with physicians and advanced care providers and other
clinical staff as well as provide coding compliance and
documentation education as needed.
- Provides classroom and individual education to clinic managers,
support staff, production coders, billing staff and others as
requested.
- Advises the ORC Physician Billing office regarding coding
compliance issues and questions and recommends appropriate
guidance.
- Develop written coding tips, training documents, coding
compliance memorandums and updates for physicians, advanced care
providers, coding staff, clinic staff and the ORC PBO
department.
- Suggests potential areas for improvement in meeting the Coding
Compliance operations and system policies and procedures Required
qualifications for this position include:
- Bachelor's Degree or equivalent education/experience.
- 5 years experience or a combination of healthcare related
education & experience in coding & auditing.
- Experience in statistical analysis and data audits for all
necessary projects, to include analyzing data from report to
summarize, draw conclusions and trending of data.
- Certified Professional Coder (CPC), CCS, CCS-P and/or ACS-EM or
equivalent. Preferred qualifications for this position include:
- Certified Professional Coder - Evaluation and Management
Auditing.
- Current Coding Auditor credentials (CPMA or CEMC) is preferred
OR eligibility to obtain within one year of hire. About the
department you will serve. Providence Strategic and Management
Services provides a variety of functional and system support
services for all eight regions of Providence Health & Services from
Alaska to California. We are focused on supporting our Mission by
delivering a robust foundation of services and sharing of
specialized expertise. We offer a full comprehensive range of
benefits - see our website for details
-http://www.providenceiscalling.jobs/rewards-benefits About
Providence At Providence, our strength lies in Our Promise of "Know
me, care for me, ease my way." Working at our family of
organizations means that regardless of your role, we'll walk
alongside you in your career, supporting you so you can support
others. We provide best-in-class benefits and we foster an
inclusive workplace where diversity is valued, and everyone is
essential, heard and respected. Together, our 120,000 caregivers
(all employees) serve in over 50 hospitals, over 1,000 clinics and
a full range of health and social services across Alaska,
California, Montana, New Mexico, Oregon, Texas and Washington. As a
comprehensive health care organization, we are serving more people,
advancing best practices and continuing our more than 100-year
tradition of serving the poor and vulnerable. Requsition ID:
P366178 Company: Providence Jobs Job Category: Coding Job Function:
Revenue Cycle Schedule: Full time Shift: Day Career Track: Business
Professional Department: 4008 SS RIS COMPLIANCE Address: WA Renton
2201 Lind Ave SW Providence is proud to be an Equal Opportunity
Employer. Providence does not discriminate on the basis of race,
color, gender, disability, veteran, military status, religion, age,
creed, national origin, sexual identity or expression, sexual
orientation, marital status, genetic information, or any other
basis prohibited by local, state, or federal law.
Keywords: Providence Health & Services, Renton , Coding Compliance Audit/Educator- PSJH, Accounting, Auditing , Renton, Washington
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