Patient Financial Services is seeking a detail-oriented coding specialist to support accurate billing and minimize coding-related denials as an Appeals Analyst.
Hiring Range is generally between $24.02-$28.05 and placement in the range depends on an evaluation of experience.
Location: The VIC (18110 SE 34th Street – Vancouver, WA 98683)
Full-Time Schedule: Monday - Friday 8am to 5pm
Key Responsibilities
Analyze and appeal coding and medical necessity denials
Identify denial trends and recommend process improvements
Educate clinicians and staff on coding accuracy and payor guidelines
Ensure timely and accurate claim submissions and follow-up
Review underpaid claims and appeal based on payor contracts
Requirements:
High school diploma or equivalent required.
AHIMA (CCA, CCS, CCS-, or RHIT); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the relevant AAPC specialty-specific coding credentials preferred.
Minimum of one year of experience in medical billing and collections or coding.
Working knowledge of ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI) required.
Knowledge of government, commercial, and third-party insurance contract practices and claims processing procedures preferred.
Experience working in a medical office setting required, with demonstrated understanding of standard insurance reimbursement methodologies.
Knowledge of medical terminology and anatomy required.
Excellent organizational skills and attention to detail required.
Must have demonstrated competence with computer systems including electronic health records, and Microsoft Office Suite required.
This role has the potential for off-site work after successful completion of full-time, on-site training at The VIC and meeting the requirements for working off-site (approx. 3 months). This requires an employee to meet metrics, live in the local Vancouver, WA or Portland, OR area and have a secure home network with minimum upload (5 mbps) and download speeds (25 mbps).
Additional Information: Vancouver Clinic provides care across a wide range of medical decisions. This includes care and opinions on vaccinations, reproductive health, end-of-life decision-making, and gender affirming treatment. The ability to work, with or without reasonable accommodation, with a diverse population of patients and colleagues seeking or considering care in all areas, is an essential function of all positions at the Clinic. This position may require that employees have and maintain an activated smartphone that receives text messaging and/or ability to have a required app such as authenticator apps as some job functions require use of multi-factor authentication (MFA).
Pay Range:
$23.55 - $32.97The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.
We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, along with an employer matching contribution up to 4%. Compensation packages and time off programs vary and are dependent on factors such as department, position type, primary work state and FTE. Contact your Recruiter for full information.
Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.
Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.
Skills Required
- High school diploma or equivalent
- AHIMA (CCA, CCS, CCS-, RHIT) or AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or relevant specialty) coding credential
- Minimum of one year of experience in medical billing and collections or coding
- Working knowledge of ICD-10, CPT, HCPCS, and Correct Coding Initiatives (CCI)
- Knowledge of government, commercial, and third-party insurance contract practices and claims processing procedures
- Experience working in a medical office setting with understanding of insurance reimbursement methodologies
- Knowledge of medical terminology and anatomy
- Excellent organizational skills and attention to detail
- Demonstrated competence with computer systems including electronic health records and Microsoft Office Suite
- Ability to maintain an activated smartphone and use authenticator apps/multi-factor authentication (MFA) as required
- Authorization to work for any employer in the U.S. (no visa sponsorship available)
What We Do
Vancouver Clinic is a healthcare provider offering primary and specialty care services in the Vancouver, Washington area.
