St. Luke's Health System is seeking a Coding Qualiting Specialist to join our team.
Under limited supervision, the Coding Qualiting Specialist is responsible for reviewing applicable documentation and assigning appropriate procedure and diagnosis codes.
Must be located in Idaho or Oregon.
Do you enjoy complex coding cases?
Exciting highlights of this role!
Be our team expert for coding questions, complex cases, and coding denials
Advise on coding guidelines and documentation requirements
Create and deliver coding education to team, and support new specialist onboarding
Auditing skill development
Support a skilled and compassionate team!
Network with healthcare professionals!
Begin your career for a growing organization that values its employees
Remote work and flexible schedule opportunities!
We are looking for people who are flexible with any scenario and who see change as an opportunity!
This is a FULL TIME position that is eligible for our full benefits package:
Health, dental, and vision benefits
Retirement plans with employer match
Paid time off, Sick leave
And so much more!
Demonstrates advanced competency with coding and review of medical record documentation to accurately assign codes based on state and federal regulations and company policies.
Reviews reimbursement denials from third party carriers associated with inappropriate diagnosis or procedure coding.
Responds promptly to questions from coders and utilizes various reports for the analysis and identification of patterns or trends when investigating issues.
Analyzes and reviews documentation for appropriateness and completeness to ensure documentation supports the level or type of services billed and documentation is in compliance with all guidelines and regulations.
Apply advanced coding knowledge to problem solve unique or new cases resulting in the assignment and sequencing of diagnosis and procedure codes.
Communicates with department management regarding complex coding issues, auditing issues, and current coding regulations.
Collaborates with department leadership to continually improve and maintain the efficiency and accuracy of the overall coding process.
Interprets federal and state regulations related to coding and integrates applicable regulations into current processes.
Performs other duties and responsibilities as assigned.
Education: Associates degree in Health Information Management, 2 years in lieu of degree.
Experience: 5 years relevant experience.
Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder), CAISS (Certified Abbreviated Injury Scale Specialist), CSTR (Certified Specialist in Trauma Registries).
Why St. Luke's
A strong, talented staff is at the heart of St. Luke's Health System. We are the state's largest employer with more than 15,000 employees and a medical staff of more than 1,800 physicians and advanced practice providers. We're proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue this same tradition of excellence.
*St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
As the only Idaho-based, not-for-profit health system, St. Luke’s Health System is part of the communities we serve, with local physicians and boards who further our organization’s mission “To improve the health of people in our region.” Working together, we share resources, skills, and knowledge to provide the best possible care, no matter which of our hospitals you choose.