Providence Health & Services
Coding Policy Analyst *Remote*
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Job Description
- Req#: 403553
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $57.56 per hour, depending on location and experience
- Opportunity for career advancement and growth within the organization
- 100% remote work option for applicants residing in Washington, Oregon, or California
- Comprehensive benefits designed to support personal and professional well-being
- Engaging work culture focused on patient-centered care and mutual respect
What to Expect (Job Responsibilities):
- Update and create Coding Policies and associated edit configurations within the claims editing system
- Respond to provider and member appeals, providing appropriate coding rationale
- Monitor changes to coding guidelines and regulations from external agencies
- Serve as a coding subject matter expert for internal departments on coding queries
- Collaborate with the Benefits Management Team and Regulatory Department to ensure compliance with member benefits and regulations
What is Required (Qualifications):
- Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire
- Minimum of 5 years of experience directly related to CPT coding from chart extraction
- Minimum of 5 years of excellent writing and grammar skills
- Minimum of 5 years of experience in detailed coding applications and Microsoft Office
- Strong knowledge of AMA and CMS coding guidelines, policies, and regulations
How to Stand Out (Preferred Qualifications):
- Bachelor's Degree or experience in a Healthcare or Health Plan setting coding and auditing
- 2 years of experience with Facets Claims Adjudication system and/or Optum CES editing software
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We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Providence Health & Services is a not-for-profit, Catholic health care system operating multiple hospitals across seven states, with headquarters in Renton, Washington. The Providence affiliate family includes: Covenant Health, Facey Medical Group, Kadlec, Pacific Medical Centers and Swedish Health Services.
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