Job Information
Providence St. Joseph Health Senior Manager Revenue Integrity - Spokane, WA in Spokane, Washington
Description Responsible for coding and compliance research, education, and auditing programs ensuring the quality assurance program for proper coding of medical charges billed by Providence Medical Group and Program providers. This includes responsibility for oversight of timely and accurate audits of providers utilizing current coding/compliance guidelines for CPT, ICD-10, HCPCS, HCC, CMS, third party payer requirements, and contract agreements. This position will work closely in partnership with the PMG Finance Leadership, clinic leadership, Executive PMG/Programs, and Physicians' Business Office obtaining, reporting essential data, assisting in problem solving coding issues and ongoing education of providers and staff. 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. Required qualifications: Bachelor's Degree Or 4 years or more experience working as a Manager or supervisor in a coding, clinical and/or business office setting. Coursework/Training and Medical Coding Certification Upon hire: National Certification from American Academy of Professional Coders Or Upon hire: National Certified Coding Associate - American Health Information Management Association Or Upon hire: National Certified Coding Specialist - American Health Information Management Association Or Upon hire: National Certified Coding Specialist - Physician - American Health Information Management Association Or Upon hire: National Certified Documentation Improvement Practitioner - American Health Information Management Association Or Upon hire: National Certified Health Data Analyst - American Health Information Management Association Or Upon hire: National Registered Health Information Administrator - American Health Information Management Association Or Upon hire: National Registered Health Information Technician - American Health Information Management Association 6 years of experience in medical coding and auditing with thorough knowledge of CPT,ICD-10, and HCC coding principles. 4 years of Supervisory/management experience 6 years of Coding/Compliance operation and/or financial, coding/compliance or clinical audit experience. 5 years of experience working with physicians and physician leaders. Why Join Providence? 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. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Provide