Documentation & Coding Consultant

Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.

Virginia Mason Medical Center, was recognized among the Best Hospitals in Washington state by U.S. News & World Report. Located in Seattle, WA, Virginia Mason is an internationally recognized leader in the continuous improvement of health care. With an extensive list of awards and distinctions that includes our recognition as Top Hospital of the Decade by The Leapfrog Group, Virginia Mason offers you the opportunity to partner with exceptionally talented peers at every level. You will contribute to the strength of our Team Medicine approach to collaborative medicine and benefit from the changes enacted through our Virginia Mason Production System, a model that has transformed health care by providing patients with easier access to care, reducing errors, and continuously innovating patient safety and quality that has been adopted by other organizations here and abroad. Join us, and find out how many ways Virginia Mason offers you the chance to focus on what really matters - our patients. This position is responsible for designing, implementing, and managing ongoing organizational monitoring activities and educational programs to ensure proper reimbursement and compliance with all regulatory statutes. This position works in a consulting capacity and is responsible for identifying compliance issues, analyzing practice patterns, verifying charges, ensuring optimal reimbursement for the organization and interpreting regulatory changes. In addition, this position implements the necessary changes and modifies VMMC's policies, conveys these changes to the clinical departments and educates staff.

As a part of our organization, we currently offer the following additional benefits:

• Education Loan Forgiveness for qualifying loans
• Competitive starting wages (DOE) and training to grow within the company
• Paid Time Off (PTO) - Health/Dental/Vision Insurance
• Flexible health spending accounts (FSA)
• Matching 401(k) and 457(b) Retirement Programs
• Tuition Assistance for career growth and development
• Care@Work premium account for additional support with children, pets, dependent adults, and household needs
• Employee Assistance Program (EAP) for you and your family
• Voluntary Protection: Group Accident, Critical Illness, and Identify Theft
• Adoption Assistance
• Wellness Program

• Develops and maintains effective relationship with assigned clinical sections; including but not limited to the section’s providers, support staff and leadership
• Works in a consultative capacity in performing audits and providing feedback and education, in accordance with the protocol set by the department and Corporate Integrity.
• Performs annual professional services review for each provider in assigned clinical section, including creating and delivering education/feedback based on the review results.
• Plans, writes, develops and conducts on-going training regarding professional services and risk adjustment revenue and reimbursement.
• Interprets changes in the external regulatory environment and modifies Virginia Mason policies accordingly. Keeps current on regulatory and coding issues.
• Leads or assists in developing educational programs for physicians. Acts as a liaison between physicians, administrative staff, patient financial services, other coding staff, and ancillary staff to resolve issues involving coding, billing, and documentation requirements and procedures.
• Responds to inquiries relating to CPT and diagnosis coding. Develops and keeps current all coding tools.
• Oversees medical record documentation to ensure that services provided are accurate; monitors electronic record regulations assuring compliance and record integrity providing support as necessary.
• Involvement, as an advisor/consultant, in organization-wide initiatives helping to interpret documentation and coding guidelines while providing feedback on how to maintain compliance while enacting the initiative.

We require:

• Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist
• Physician based (CCS-P).
• One year of CPT and diagnosis coding experience in a healthcare provider or a third party payer is required.
• Also required are: demonstrated interpersonal, organizational, analytical, and problem-solving skills; ability to interact tactfully yet assertively with physicians and other professional staff; strong presentation skills and comfort in settings ranging from one-on-one communications to large groups; and good written and verbal communication skills.
• Five years of CPT and diagnosis coding experience in a healthcare provider or a third party payer and 3 year of experience as an instructor/trainer preferred.
• Clinical knowledge and exposure to risk adjustment coding preferred.
• Experience with Radiation Oncology coding, preferred.

We deliver inspired people to do meaningful work.

We are an equal opportunity/affirmative action employer. #missioncritical