Providence
Providence
Providence is a not-for-profit health system providing a broad range of healthcare services, from primary and urgent care to pediatrics, maternity care, cancer treatment, neurosurgery, and orthopedics. Its care network combines in-person services with virtual appointments and mobile-app access, helping patients connect with providers in ways that fit their needs. Guided by a focus on compassion, dignity, justice, and service to vulnerable communities, Providence also supports healthcare research and innovation through initiatives such as genomic profiling and clinical trials. The organization brings together clinical, operational, technology, and research teams working to improve patient outcomes and expand access to care.

Medical Coder – Insurance Billing and Chart Review

Hybrid medical coding role focused on auditing Providence Medical Foundation billing documentation. Reviews CPT, ICD, and payer-policy compliance across healthcare services.

Description

  • Audit patient-care billing documentation for coding accuracy
  • Apply CPT and ICD coding standards to reviewed records
  • Verify compliance with federal, state, and commercial payer billing and payment policies
  • Review services delivered by Providence Medical Foundation
  • Report to the Director of Provider Network Performance

Requirements

  • Associate degree-level coding education from a college or an AHIMA- or AAPC-recognized distance-learning program, or professional experience in medical-office insurance, coding, billing, or registration work
  • Obtain national certification after hire through the American Academy of Professional Coders or an eligible AHIMA credential, including CCA, CCS, CCS-P, CDIP, CHDA, RHIA, or RHIT
  • Three years of Professional (POS 11) coding experience in HCC coding or one or more of the following specialties: primary care, oncology, infusion, neurology, OB/GYN, cardiology, endocrinology, rheumatology, or general surgery
  • Three years of physician or clinic billing experience
  • Experience using Microsoft Word, Excel, and Outlook
  • Additional specialty coding certifications are preferred
  • A medical billing and coding certificate is preferred

Benefits

  • 401(k) retirement savings plan with employer matching
  • Medical, dental, and vision coverage
  • Life insurance
  • Disability insurance
  • Paid parental leave
  • Vacation time
  • Paid holidays
  • Health-related time off
  • Voluntary benefits
  • Well-being resources
  • Inclusive workplace with equal advancement opportunities

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