Senior Coding Quality Educator - Onsite

Overview

Remote - Most states eligible.

Providence caregivers are valued and integral to a culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, and you will be empowered to inspire and retain the best people.

• Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team
• Assist with research and development of coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable
• Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams
• Collaborate with departments such as Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters

• Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team
• Assist with research and development of coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable
• Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams
• Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters

We welcome 100% remote work for residents in the United States with the exception of the following States:
Colorado, Hawaii, Massachusetts, New York, Ohio, Pennsylvania.

• Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams
• Collaborate with regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters
• Respond timely to coding inquiries from coders, educators, and other teams across Providence enterprise
• Serve as a resource and subject matter expert for all coding matters
• Provide coding support to regional coding teams as needed
• Maintain relevant documentation and data as required
• Review and update coding guidance annually or as necessary
• Maintain document control
• Develop action plans to resolve complex coding cases and address new service offerings or code changes
• Facilitate education to support Medicare Risk requirements and organization goals
• Review patient details from the medical record based on coding and documentation guidelines
• Participate in monthly progress meetings to discuss process improvements, technology updates, and job-related details
• Communicate coding updates from third-party payer newsletters, bulletins and provider manuals to coding and reimbursement staff
• Assist management in identifying and creating standardized workflows
• Review EMR templates and identify areas for provider documentation improvement
• Attend and present at regional meetings as needed

• High School Diploma or GED
• National Certification from AHIMA upon hire
• 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work
• 5+ years of experience providing provider education and feedback to improve documentation and coding
• Strong experience in Excel (pivot tables), databases, email and Internet applications on a Windows PC

• Associate Degree or Bachelor’s Degree in Health Information Technology or related field
• 5+ years of experience in coding for multispecialty practice
• 2+ years of experience in professional fee billing methodologies
• Experience with IDX, Allscripts, Advanced Web, Meditech
• Experience with project management

See posting for specific locations and pay ranges. Some locations have defined minimum and maximum ranges; base pay may vary by experience and other factors. Additional compensation may include shift differentials, on-call pay, overtime, premiums and bonuses.

Providence is an Equal Opportunity Employer. We value diversity and provide equal opportunities for advancement. Our team serves across multiple states with 120,000 caregivers.

Practical information regarding wage ranges and benefits is provided where applicable. Providence offers a comprehensive benefits package and supports professional growth. This posting is subject to changes and reflects current information at the time of posting.