Wage Range: $28.83 - $46.14 per hour
Remote in state of Washington only - Kirkland, WA Campus

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary:
Abstracts, analyzes, and assigns ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor and major procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves complex coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding and billing practices. Effectively communicates with physicians, clinic leadership and billing/coding teams regarding documentation improvement opportunities, code changes, and denial trends. Maintains department defined quality and productivity standards.

Primary Job Duties:

• Abstracts, analyzes, and assigns CPT, HCPCS and ICD-10-CM codes for professional services based on documentation in the medical record. Code assignment is primarily for E/M, major procedures and diagnostic tests and based on industry standards and EvergreenHealth policies.
• Meets department productivity and accuracy standards.
• Serves as a subject matter resource to physicians for complex surgical procedures.
• Evaluates patient coding inquiries to determine coding accuracy based on documentation in the patient’s medical record.
• Promotes a positive working relationship by effectively communicating with clinic managers regarding changes in the provider’s CPT code selection.
• Evaluates and researches coding denials from payers to determine the appropriate action and drafts appeal letters regarding complex surgical procedures and bundling issues for Denial Management.
• Identifies and reports trends of code changes, payer denials, missed revenue opportunities and/or compliance risks to clinic leadership.
• Identifies and communicates documentation improvement opportunities to physicians and clinic leadership.
• Provides coverage and backup for other coders as necessary to meet organizational goals.

In addition, performs the following primary duties of Certified Coder-ProFee I:

• Abstracts, analyzes, and assigns CPT, HCPCS and ICD-10-CM codes for professional services based on documentation in the medical record. Code assignment is primarily for E/M, minor procedures and diagnostic tests and based on industry standards and EvergreenHealth policies.
• Promotes a positive working relationship by effectively communicating with clinicians and other support staff regarding changes in the provider’s CPT code selection.
• Evaluates and researches coding denials from payers to determine the appropriate action and drafts appeal letters for Denial Management.
• Identifies and reports trends of code changes, payer denials, missed revenue opportunities and/or compliance risks to the Professional Coding Supervisor.
• Identifies and communicates documentation improvement opportunities to Professional Coding Supervisor.
• Performs other duties as assigned.

License, Certification, Education or Experience:

Benefit Information:
Choices that care for you and your family

At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

• Medical, vision and dental insurance
• On-demand virtual health care
• Health Savings Account
• Flexible Spending Account
• Life and disability insurance
• Retirement plans 457(b) and 401(a) with employer contribution)
• Tuition assistance for undergraduate and graduate degrees
• Federal Public Service Loan Forgiveness program
• Paid Time Off/Vacation
• Extended Illness Bank/Sick Leave
• Paid holidays
• Voluntary hospital indemnity insurance
• Voluntary identity theft protection
• Voluntary legal insurance
• Pay in lieu of benefits premium program
• Free parking
• Commuter benefits
• Cafeteria & Gift Shop Discount

View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.

Kirkland Employee Benefits | Kirkland, WA | EvergreenHealth