Coding Quality Educator - Physicians Billing

Posted One Month Ago
Be an Early Applicant
6 Locations
In-Office or Remote
Senior level
Healthtech
The Role
Educates clinicians and coders on coding, clinical documentation improvement, and related billing opportunities. Develops and delivers training, conducts independent or collaborative reviews and audits, documents findings, and provides education based on identified issues. The role also reviews medical insurance reimbursement, charge data, work RVUs, patient accounts, explanations of benefits, and financial records.
Summary Generated by Built In

Coding Quality Educator will assist with clinician/coder training and ongoing department education as well as assist with the identification, development and delivery of new and ongoing clinician education and training related to coding and clinical documentation improvement opportunities. In addition, the role may conduct independent and collaborative clinician/coder reviews/audits and provide documentation to support the coding review work performed and educate based on findings.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

  • Upon hire: National Certification from American Academy of Professional Coders or
    • Upon hire: National Certified Coding Associate - American Health Information Management Association or
    • Upon hire: National Certified Coding Specialist - American Health Information Management Association or
    • Upon hire: National Certified Coding Specialist - Physician - American Health Information Management Association or
    • Upon hire: National Certified Documentation Improvement Practitioner - American Health Information Management Association or
    • Upon hire: National Certified Health Data Analyst - American Health Information Management Association or
    • Upon hire: National Registered Health Information Administrator - American Health Information Management Association or
    • Upon hire: National Registered Health Information Technician - American Health Information Management Association.
  • 5 years' experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVU’s.
  • 5 years' experienced in reviewing patient account information, insurance explanation of benefits, and financial records.

Preferred Qualifications:

  • Associate's Degree

Why Join Providence? 

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.  We take care of you, so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.  

About Us
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position.  The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the TeamProvidence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Whether through physician clinics, education, research and innovation or other outreach, we’re dedicated to improving the wellbeing of rural and urban communities by expanding access to quality health care for all.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.

Skills Required

  • National certification from the American Academy of Professional Coders upon hire
  • National Certified Coding Associate certification from the American Health Information Management Association upon hire
  • National Certified Coding Specialist certification from the American Health Information Management Association upon hire
  • National Certified Coding Specialist Physician certification from the American Health Information Management Association upon hire
  • National Certified Documentation Improvement Practitioner certification from the American Health Information Management Association upon hire
  • National Certified Health Data Analyst certification from the American Health Information Management Association upon hire
  • National Registered Health Information Administrator certification from the American Health Information Management Association upon hire
  • National Registered Health Information Technician certification from the American Health Information Management Association upon hire
  • Five years of experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVUs
  • Five years of experience reviewing patient account information, insurance explanations of benefits, and financial records
  • Associate's degree

Providence Health & Services Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Providence Health & Services and has not been reviewed or approved by Providence Health & Services.

  • Healthcare Strength — Coverage spans medical, dental, and vision, with robust mental health support including up to 25 free therapy sessions and a well‑being platform. Additional resources like caregiver assistance and plan assistance can bolster access and overall health support depending on location and eligibility.
  • Retirement Support — A 401(k) with employer match and an additional discretionary contribution, plus a student‑debt retirement savings match, provide meaningful long‑term savings support. Planning tools and Public Service Loan Forgiveness eligibility further strengthen the financial security package.
  • Parental & Family Support — Back‑up child and elder care through Bright Horizons and paid parental leave offer practical support for caregiving needs. Relocation assistance and other family‑oriented resources complement the core benefits where available.

Providence Health & Services Insights

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The Company
HQ: Portland, OR
20,990 Employees

What We Do

At Providence, our strength begins with understanding. We take time to see, hear and value everyone who walks through our doors—patient or caregiver, family support person or volunteer. Working with us means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others.

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