Swedish Medical Center Coding Compliance Consultant in Seattle, Washington
Swedish Medical Group is looking for a Coding Compliance Consultant (1.0 FTE, Days) to work at the Bank of America Building in Seattle, WA.
The Coding Compliance Consultant works closely with the Coding Compliance Manager and/or Supervisor to ensure the coding compliance functions of SMG meet the goals and needs of the organization. The Consultant provides knowledge, experience and mentorship to the team as well as other staff in the organization. The consultant is seen as a senior level coding compliance professional and provides training and consulting to medical providers.
In this position you will:
Support and provide compliance and coding training to physicians, clinic staff and corporate auditing and billing staff
Perform medical records audits according to corporate compliance and coding plan, and provide immediate feedback and training to appropriate physician and support personnel
Prepare reports of audit results, including recommendations
Create educational materials for coding training and education
Participate in review of specialists’ claims
Act as a resource for Coding and Coding Compliance Specialists
Required qualifications for this position include:
High School Diploma
Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Associate (CCA)
Certified Compliance Professional (CCP) or other compliance certification
Experience in ICD-10-CM and CPT coding
Performing professional coding in a clinic and/or hospital setting
Fluency with documentation guidelines and auditing skills
Fluency in CPT-4, ICD-10 coding, and medical billing
Knowledge of multi-specialty coding guidelines
Knowledge of healthcare coding and reimbursement, including industry standard billing rules, Medicare, Medicaid, L&I, and commercial insurance
Preferred qualifications for this position include:
Certified Professional Medical Auditor (CPMA)
AAPC Specialty Certifications
About Swedish Medical Group
Swedish Medical Group (SMG) is a successful, performance-driven division of Swedish Health Services, the largest non-profit health provider in the Greater Seattle area. The SMG network includes more than 900 providers across 108 primary care and specialty care clinics.
We offer a full comprehensive range of benefits — see our website for details
Our Non-Profit Mission: Improve the health and well-being of each person we serve.
Swedish is the largest nonprofit health care provider in the Greater Seattle Area. It is comprised of five hospital campuses (First Hill, Cherry Hill, Ballard, Edmonds and Issaquah); ambulatory care centers in Redmond and Mill Creek; and Swedish Medical Group a network of more than 183 primary care and specialty locations throughout the Great Puget Sound area. Swedish employs more than 13,000 employees and 4,200 physicians. Whether through physician clinics, health education, research and innovation or other means of outreach, we’re committed to caring for the people in our region and beyond. Swedish is proud to be an Equal Opportunity Employer. Swedish does not discriminate on the basis of race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Billing / Insurance
Req ID: 174305