Remote position for Oregon/Washington residents only, with occasional on-site work as needed.
This role supports coding and compliance efforts by developing, implementing, and monitoring systems that ensure adherence to Medicare and other payor documentation guidelines. The position also supports charge capture, reimbursement analysis, provider education, and coding audits to improve compliance and accurate payment.
Responsibilities include:
- Working with the Regulatory department to support adherence to professional coding compliance policies
- Providing new physician orientation on regulatory compliance, documentation, and coding guidelines
- Analyzing physician practices to identify charge opportunities and ensure all billable services are captured
- Setting up new CPT codes and reviewing fee tickets annually
- Participating in reimbursement analysis related to CPT and diagnostic coding denials
- Investigating payor responses to new CPT/HCPCS codes
- Providing CPT and ICD-9 training to providers and staff
- Performing regular audits and giving feedback on coding and documentation accuracy
Associate degree in business or healthcare, or equivalent experience
Required certifications: RHIT, RHIA, CCS, CCS-P, or CPC
Minimum of 2 years of healthcare experience
Preferred:
- CPT/ICD-9 experience in a multi-specialty setting
- Database experience
Additional qualifications:
- Strong verbal and written communication skills
- Ability to speak to large and small groups
- Experience developing training programs and overseeing work processes
- Strong organizational skills and ability to manage high volumes of work
- Understanding of insurance reimbursement and payment methodology
- Proficiency with Microsoft Excel and Word
Location
Portland, Oregon, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago