Virginia Mason Franciscan Health Coding Auditor in Seattle, Washington
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
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!
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.
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
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.
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,
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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.
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