Swedish Medical Group is looking for a Coding Compliance Consultant \(1\.0 FTE, Day Shift\) to work in Coding And Abstracting at the Bank of America Buliding 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 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 \(CPMA\)
Certified Evaluation and Management Coder \(CEMC\)
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\.
Since 1910, Swedish has been a hallmark of excellence\. Swedish has grown to become the largest non\-profit health provider in the Greater Seattle area with 11,000 employees, more than 2,800 physicians and 1,700 volunteers\. Swedish is committed to being the best place to receive care, and also the best place to work\. We reward our employees with generous compensation and benefits, individualized orientation, education and a supportive work environment\. 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\.
Providence St. Joseph Health is a family of partner organizations including Providence Health & Services, St. Joseph Health, Facey Medical Foundation, Swedish, Pacific Medical Centers, Covenant Health and Kadlec. With 50 hospitals, more than 800 physician clinics, and a variety of health and educational services that include senior care and supportive housing, the health system and its partners em...ploy more than 100,000 caregivers (employees) serving communities across seven states: Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. PSJH’s family of organizations work together to meet the needs of its communities, especially the poor and vulnerable.