Please note: Remote for Washington State only.
Research and analyze coding-related denials and revenue flow interruptions to identify patterns of payer behavior, coder trends, or system issues. Maintain denial work queues and perform hands-on remediation, escalation tracking, and communication with Payer Relations and Hospital Billing teams. Partner with assigned service lines by providing revenue-related reporting and supporting operational owners with charge reconciliation. Serve as a subject matter expert on facility payment models and technical charge flow through Epic for inpatient and outpatient services. Identify opportunities for automation and AI implementation to improve compliant revenue capture. Collaborate with coding educators and service line leaders to bridge gaps between clinical and revenue cycle processes.
Education and Experience
- Associate degree in Health Information Management or a related field, or equivalent relevant work experience
- Minimum 5 years of experience in coding and abstracting clinical information in an acute care hospital setting, including direct experience with both facility and professional coding practices and standards
- Minimum 1 year of experience in a revenue integrity-related role, such as denial management, charge capture analysis, or revenue cycle auditing
Credentials
- Certified Coding Specialist (CCS) certification by AHIMA, or Certified Professional Coder (CPC), or Certified Outpatient Coder (COC) by AAPC
- RHIT or RHIA, with willingness to obtain one of the listed coding credentials within 6 months of hire
Preferred Qualifications
- Bachelor's degree
- Experience in an academic acute care setting
- Experience in a pediatric acute care setting
- Experience with Epic
- Experience with SharePoint and instructional design
- Experience in coding denial management and appeals processes
- Experience researching payer policy and coding guidelines
- Experience with decision support systems
- Experience with encoders (3M)
- Strong proficiency with Excel, Word, and PowerPoint
Benefits
- Medical, dental, and vision plans
- 403(b)
- Life insurance
- Paid time off
- Tuition reimbursement
- Additional benefits available through Seattle Children's
Location
Seattle, Washington, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$91,010 - $136,514
Remote work allowed
Yes
Posted
1 month ago