Providence Health & Services Coder Specialty Physician Billing in Portland, Oregon
Providence St. Joseph Health is calling a Coder Specialty PB to our location in Portland, OR.
One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is enhanced along with the overall patient care experience (know me, care for me, ease my way) by delivering a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant and highly specialized revenue cycle expertise.
In this position you will have the following responsibilities:
Validate appropriate coding for physician services. This includes analyzing and correcting billing errors due to incorrect use of codes or charges through CPT/HCPC, ICD-9 and/or ICD-10 additions/deletions/revisions
Provide support for the physician business office on billing problems that delay payment due to coding or incorrect use of charges
Identify areas of improvement for providers to educate and revise billing practices with Primary and specialty care; complex specialty care; major surgical procedures; and/or hospital professional charges in order to achieve maximum reimbursement
Research denial of payment due to incorrect use of codes, the lack of codes or inappropriate charges to assure supporting documentation is present for resubmission of the corrected claim
Work closely with supervisors and trainers to identify and escalate trends to Physician Business Office leadership
Perform other work-related duties and special projects as assigned
Required qualifications for this position include:
High School Diploma or GED equivalent
Certification required in one of the following: CRT, ART, CPC, CPC-A, CCS, CCS-P and/or ACS-EM or other qualifying certification
Two (2) years coding experience or one (1) year plus six months specialty coding experience
Requires ongoing education of state, federal and contractual regulations regarding billing and coding
Preferred qualifications for this position include:
- Three (3) years coding experience
About the department you will serve:
One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.
Job Category: Coding
Req ID: 248286