Documentation & Coding Consultant

Virginia Mason Medical Center • Seattle, WA

9d

About The Position

As our Documentation & Coding Consultant, you will design, implement, and manage ongoing organizational monitoring activities and educational programs. This ensures proper reimbursement and compliance with all regulatory statutes. Every day you will work in a consulting capacity, identifying compliance issues and analyzing practice patterns. You will verify charges, ensure optimal reimbursement for the organization, and interpret regulatory changes. To be successful in this role, you will implement the necessary changes and modify VMMC's policies, conveying these changes to the clinical departments. You will possess a strong command of coding guidelines and educate staff thoroughly on compliance requirements.

Requirements

• Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P)
• One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer
• Demonstrated interpersonal, organizational, analytical, and problem-solving skills
• Ability to interact tactfully yet assertively with physicians and other professional staff
• Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups
• Good written and verbal communication skills

Nice To Haves

• Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer
• Clinical knowledge and exposure to risk adjustment coding
• Experience with Radiation Oncology coding

Responsibilities

• Design, implement, and manage ongoing organizational monitoring activities and educational programs
• Work in a consulting capacity, identifying compliance issues and analyzing practice patterns
• Verify charges
• Ensure optimal reimbursement for the organization
• Interpret regulatory changes
• Implement the necessary changes and modify VMMC's policies
• Convey these changes to the clinical departments
• Educate staff thoroughly on compliance requirements

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees