Documentation & Coding Consultant
Boost your chances before you apply.
Virginia Mason Medical Center
Seattle, WA, US
Summary
The consultant will design and manage organizational monitoring and educational programs to ensure proper reimbursement and regulatory compliance. They will analyze practice patterns, verify charges, and modify policies to align with coding guidelines.
Job Description
Where You’ll Work
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.
Job Summary and Responsibilities
As our Documentation & Coding Consultant, you will design, implement, and manage ongoing organizational monitoring activities and educational programs. This ensures proper reimbursement and compliance with all regulatory statutes. Every day you will work in a consulting capacity, identifying compliance issues and analyzing practice patterns. You will verify charges, ensure optimal reimbursement for the organization, and interpret regulatory changes. To be successful in this role, you will implement the necessary changes and modify VMMC's policies, conveying these changes to the clinical departments. You will possess a strong command of coding guidelines and educate staff thoroughly on compliance requirements.
Job Requirements
Required
- Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P)
- One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer
- Demonstrated interpersonal, organizational, analytical, and problem-solving skills
- Ability to interact tactfully yet assertively with physicians and other professional staff
- Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups
- Good written and verbal communication skills
Preferred
- Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer
- Clinical knowledge and exposure to risk adjustment coding
Virginia Mason Franciscan Health (VMFH) is an integrated health system serving the Puget Sound region, including 10 hospitals and nearly 300 care sites. Founded in 1891, VMFH embraces its long history of caring for the most vulnerable, especially the poor and underserved, and meeting the evolving health care needs of the vibrant, diverse communities it serves. VMFH is a proud home to the Bailey-Boushay House, the first skilled nursing and outpatient chronic care management program in the United States designed specifically to meet the needs of people with HIV/AIDS, and the Benaroya Research Institute, an internationally recognized institution for autoimmune disease research. VMFH is part of CommonSpirit, one of the nation’s largest health systems, dedicated to advancing health for all people.
Company size
10,001+ employees
Industry
Hospitals and Health Care
Org type
Nonprofit
Headquarters
Tacoma, Washington
Virginia Mason Franciscan Health (VMFH) is an integrated health system serving the Puget Sound region, including 10 hospitals and nearly 300 care sites. Founded in 1891, VMFH embraces its long history of caring for the most vulnerable, especially the poor and underserved, and meeting the evolving health care needs of the vibrant, diverse communities it serves. VMFH is a proud home to the Bailey-Boushay House, the first skilled nursing and outpatient chronic care management program in the United States designed specifically to meet the needs of people with HIV/AIDS, and the Benaroya Research Institute, an internationally recognized institution for autoimmune disease research. VMFH is part of CommonSpirit, one of the nation’s largest health systems, dedicated to advancing health for all people.
Company size
10,001+ employees
Industry
Hospitals and Health Care
Org type
Nonprofit
Headquarters
Tacoma, Washington