Providence Health & Services-posted 9 days ago
$38 - $59/Yr
Full-time • Manager
Remote • Spokane, WA
5,001-10,000 employees
Hospitals

Under the direct supervision of Manager of Revenue Integrity, the Coding Supervisor position will be responsible for planning, organizing, implementing, staffing, and supervising all functions and workflow for HCC coding, coding WQ resolution for managed care line of business and MDX system implementation in the clinics. Prepares reports associated with RAF score, HCC Coding Accuracy, HCC Recapture rates. Performs medical record review for HCC Provider Coding Accuracy, CMS RADV and other HCC audits by various health plans. Provide HCC coding education to the providers, coders and other staff. Support staff to ensure quality and consistency of ICD-10, CPT and documentation guidelines according to CMS, AMA and PMI compliance work plan. Providence caregivers are not simply valued - they're invaluable. Join our team at Physician Management 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.

  • planning, organizing, implementing, staffing, and supervising all functions and workflow for HCC coding
  • coding WQ resolution for managed care line of business and MDX system implementation in the clinics
  • Prepares reports associated with RAF score, HCC Coding Accuracy, HCC Recapture rates
  • Performs medical record review for HCC Provider Coding Accuracy, CMS RADV and other HCC audits by various health plans
  • Provide HCC coding education to the providers, coders and other staff
  • Support staff to ensure quality and consistency of ICD-10, CPT and documentation guidelines according to CMS, AMA and PMI compliance work plan.
  • Bachelor's Degree or equivalent education/experience or Bachelors or substitute 2 years of experience for every year of education.
  • National Certification from American Academy of Professional Coders upon hire. OR
  • National Certified Coding Associate - American Health Information Management Association upon hire. OR
  • National Certified Coding Specialist - American Health Information Management Association upon hire. OR
  • National Certified Coding Specialist - Physician - American Health Information Management Association upon hire. OR
  • National Certified Documentation Improvement Practitioner - American Health Information Management Association upon hire. OR
  • National Certified Health Data Analyst - American Health Information Management Association upon hire. OR
  • National Registered Health Information Administrator - American Health Information Management Association upon hire. OR
  • National Registered Health Information Technician - American Health Information Management Association upon hire.
  • 5 years of Experience in medical insurance reimbursement, medical billing, or coding-related work.
  • 2 years of Leadership experience, which can be met with direct supervisory experience, lead experience or project management.
  • Demonstrated competency/knowledge in multiple specialties via additional certifications from AAPC and/or AHIMA.
  • Knowledge of revenue cycle KPIs and performance improvement strategies.
  • Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.
  • We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
  • Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more.
  • Learn more at providence.jobs/benefits.
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