Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA!
Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.
Explore our short clips, "WE are Yakima - WE are Family" and "YVFWC - And then we grew," for a glimpse into our dedication to our communities, health, and families.
Visit our website at www.yvfwc.com to learn more about our organization.
Position Highlights:
$26.22-$32.12 DOE with the ability to go higher for highly experienced candidates
100% Employer Paid Health insurance including medical, dental, vision, Rx, and 24/7 telemedicine
Profit sharing & 403(b) retirement plan available
Generous PTO, 8 paid holidays, and much more!
What You’ll Do:
- Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR).
- Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS.
- Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant.
- Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS’s coding and documentation guidelines.
- Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments.
- Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors.
- Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures.
- Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices.
- Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores.
- Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies.
- Identifies and advocates for best practices and process improvement opportunities.
- Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams.
- Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding.
- Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings.
- Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards.
- Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion.
Qualifications:
- High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required.
- Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC.
- Preferred Experince: Total of five years’ experience in healthcare coding is preferred. Three years’ experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred.
- One of the following certifications is required at time of hire:
- CPC- Certified Professional Coder.
- CCS-P - Certified Coding Specialist-Physician.
- CDEO -Certified Documentation Expert Outpatient.
- CRC - Certified Risk Adj. Coder, or.
- CPMA - Certified Professional Medical Auditor.
- Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic.
Our Mission Statement
“Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.”
Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Contact us at jobs@yvfwc.org to learn more about this opportunity!
Equal employment opportunity, including veterans and individuals with disabilities.
