Job Information

Providence Supervisor Risk Adjustment and Coding *Remote* in Beaverton, Oregon

Description

Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team 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.

Providence Health Plan is seeking a Supervisor Risk Adjustment and Coding to:

  • Directly supervise the coding staff who review, interpret, code, and abstract medical record information according to coding policies and practices

  • Serve as the first-level supervisory position

  • Be responsible for assigning, directing, monitoring, and evaluating the work of the staff on a regular basis, as well as performing coding and abstracting duties in the division

We welcome 100% remote work for residents who reside in one of the following States / Regions:

  • Washington, and Oregon

Essential Functions:

  • Supervises and performs a wide range of activities pertaining to the review and coding of inpatient and outpatient medical record information

  • Responsible to execute the business case model and subsequent annual work plans for the coding compliance and risk adjustment work

  • Direct internal and external certified coders in the work of medical chart review and coding applications, including managing work distribution and flows

  • Manage team workloads and coding capacity including project timelines and ensure productivity standards are met and upheld

  • Initiate reviews and performance management for direct reports

  • Develop and update policies and procedures for coding compliance risk adjustment related work

  • Identify areas of non-compliance for diagnosis coding and establish appropriate education and interventions with coding team

  • Participate in prospective and retrospective coding reviews

  • Oversee and participate in RADV and other regulatory audits

  • Adhere to and manage strict project timelines for retrospective reviews and RADV audits

  • Create professional development opportunities within the team to support Caregiver growth and professional growth goals and aspirations

Required qualifications for this position include:

  • Bachelor's Degree -OR- a combination of equivalent education and 4+ years of related work experience

  • Experience as CPC, CCS, RHIT, or RHIA with a health care provider or health insurance company

  • Demonstrated supervisory experience in Coding and Risk Adjustment (I.E. Lead, Supervisor)

  • Experience in risk adjustment coding

Preferred qualifications for this position include:

  • 4+ years' experience working in coding

  • 4+ years' experience working in risk adjustment

  • 2+ years' experience working in a leadership support role in coding and risk adjustment (experience includes coaching and training staff)

  • Certified in one of the following areas: CPC, CCS, RHIT, or RHIA

  • Work experience in a health care provider or health insurance environment

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.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 253706
Company: Providence Jobs
Job Category: Risk
Job Function: Legal/Compliance/Risk
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 5018 HCS CODING COMPLIANCE OR REGION
Address: OR Beaverton 3601 SW Murray Blvd
Work Location: Murray Business Ctr Beaverton-Beaverton
Pay Range: $44.24 - $70.03
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.
Check out our benefits page for more information about our Benefits and Rewards.