Swedish Medical Center is looking for a Coding Specialist \(1\.0, Days\) to work in Central Business Services in Seattle, WA\.
The Coding Specialist is a functional member of Central Business Services at SMG\. The Specialist is an entry\-level coding professional who is responsible for the timely, accurate, and comprehensive review of provider claimsto optimize reimbursement and ensure compliance with all regulatory statutes\. This position also works with the department to identify trends and educational opportunities for providers to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty\.
In this position you will:
Ensures coding compliance by applying all coding principles and guidelines as defined in the CPT\-4, ICD\-9\-CM, Coding Clinic, CPT Assistant, AHIMA Standards of Ethical Coding, American Academy of Professional Coders, Swedish Medical Group, and other governing agencies
Reviews insurance carrier payment denials, recommends appropriate billing corrections, and provide training to clinic and corporate business personnel\.
Participate in review of Senior Billing Specialists' claims; assist in developing procedures for claims review\.
Act as a resource to the Senior Billing Specialists and other CBS and clinical staff members\.
Conducts coding training sessions when necessary\.
Triage difficult reimbursement issues to the consultants or manager for review and follow\-up\.
Updates coding tools such as fee tickets annually to ensure the most current codes are utilized\.
Works closely with the department to assist in developing policies, procedures, process improvements and workflows\.
Some presentation/speaking/teaching skills\.
Keeps coding knowledge and skills current through attending continuing education activities and reviewing pertinent literature, and attending other educational forums\.
Daily interaction with team members is required\.
Completion of Special Projects as needed\.
Required qualifications for this position include:
Prefer an Associate's Degree or equivalent technical school completion of a certified coding program and 2 to 3 years related coding experience\.Will consider applicants with relevant education and/or experience\.
Certified Coding Specialist \- AHIMA \(CCS\) or Certified Professional Coder \- AAPC \(CPC\) preferred\. RHIA or RHIT credentials will also be considered\. If applicant has no coding certification, CPC certification must be obtained within 12 months of hire\.
2 to 3 years ICD\-9\-CM and CPT coding experience performing clinic and hospital based inpatient and outpatient coding for professional billing\.
Demonstrated ability to code accurately and apply coding guidelines and conventions on all cases\.
Knowledge of healthcare billing and reimbursement including industry standard billing rules, Medicare, Medicaid, L&I, and commercial insurance\.
Performs well on coding assessment and is able to explain rationale for assignment of codes\.
Knowledge of coding principles\. Ability to identify and solicit documentation to code the complete clinical picture based on knowledge of disease processes, clinical judgment, and interaction with medical staff\.
Knowledge of anatomy and physiology, medical science, and medical terminology\.
Ability to develop and maintain good working relationships with peers, physicians, and other staff members\.
Ability to share coding knowledge with peers and other disciplines throughout the organization\.
Strong analytical, problem solving and communication skills required\.
Ability to work in a high volume environment while maintaining high quality standards\.
Demonstrated literacy in the use of personal computers and Windows applications required\. Excellent written/oral communication, ability to manage, set priorities, and operate with minimal direct supervision\.
Some presentation/speaking skills are preferred\.
About Swedish Medical Group:
Swedish Medical Group \(SMG\) is a successful, performance\-driven division of Swedish Health Services, the largest non\-profit health provider in the Greater Seattle area\. The SMG network includes more than 900 providers across more than 130 primary care and specialty care clinics\.
We offer a full comprehensive range of benefits — see our website for details
Our Non\-Profit Mission: Improve the health and well\-being of each person we serve\.
Since 1910, Swedish has been a hallmark of excellence\. Swedish has grown to become the largest non\-profit health provider in the Greater Seattle area with 11,000 employees, more than 2,800 physicians and 1,700 volunteers\. Swedish is committed to being the best place to receive care, and also the best place to work\. We reward our employees with generous compensation and benefits, individualized orientation, education and a supportive work environment\. Swedish is proud to be an Equal Opportunity Employer\. Swedish does not discriminate on the basis of race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law\.