Shire Jobs

Coding Auditor

Virginia Mason Medical CenterSeattle, Washington

The posted compensation range of $26.25 - $35.20/hr is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2023-303763 Employment Type Full Time Department HIM Coding Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00 AM - 5:00 PM) Remote Yes Category Accounting and Finance

Overview

Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more!

Responsibilities

This position is responsible for pre-billing resolution of medical coding related claim defects that may impact reimbursement. This position is also responsible for researching and reviewing coding related claim denials and providing guidance on appropriate claim corrections, when appropriate.

Principle Accountabilities:

75% - Reviews coding claim edits and medical documentation to ensures services are billed in alignment with coding

10% - Reviews coding related payer denials and submits corrected claims, as needed

compliance regulations and VMFH policies

10% - Responds to communication from revenue cycle partner teams to provide coding expertise to claim rejections, denials, and patient financial service concerns.

5% - Participates in continuous process improvement efforts

Qualifications

• High school diploma or equivalent, Associates degree in related field preferred.

• Minimum of two years of coding experience in a health care environment and or medical office setting required, or Virginia Mason internal candidate with a minimum of one year experience at VM, currently in good standing in current role with a CPC-A certification or one of the required certifications listed below.

• Requires a certification as either Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS-P), Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Associate (CCA) by American Health Information Management Certification (AHIMA).

• Previous training related to procedural coding and diagnostic coding through continuing education programs/seminars and/or community college.

• Working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology.

• Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision. Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions.

Just as Virginia Mason is dedicated to improving the lives of our patients and our community, we are equally dedicated to your professional and personal success. With a wide range of perks that includes a comprehensive compensation and benefits package, and the opportunity to live in one of the most livable cities in the nation, you will find that an opportunity with Team Medicine is one worth taking.

We are an equal opportunity/affirmative action employer.

Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to

a diverse and inclusive workforce. All qualified applicants will be considered for

employment without regard to race, color, religion, sex, sexual orientation, gender

identity, national origin, age, disability, marital status, parental status,

ancestry, veteran status, genetic information, or any other characteristic protected

by law. For more information about your EEO rights as an applicant,

pleaseclick here. (https://tbcdn.talentbrew.com/company/35300/img/v1_0/EEOC_KnowYourRightsEnglish.pdf)

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c).

External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

CommonSpirit Health™ participates in E-Verify.