Providence Health & Services Telehealth Billing and Coding Analyst in Burbank, California
Providence is calling a Telehealth Billing and Coding Analyst to Providence Health & Services in Seattle, WA.
The Telehealth Billing and Coding subject matter expert (SME) will have overall responsibility for positioning Providence Health & Services (PHS) to implement best practices for Telehealth programs on a multi-state scale, while leveraging the dynamic financial ecosystem to our advantage. Act as PHS SME for telehealth coding and billing guidelines, legal and regulatory issues, and payor policies. Be responsible for directing research and discovery process, educate stakeholders, and advocate change in policies and processes, and monitor progress. Be responsible for collaborating with PHS parallel SMEs and stakeholders to design and implement PHS future strategy and approach for telehealth reimbursement and coding/billing practices.
Remote options available
In this position you will:
Research telehealth billing codes, billing practices, payment policies, and limitations to include Medicare, Medicaid, regional payment policies, as well as PHS policies and practices.
Document research findings, analyze data, and make recommendations for required change(s) in support of PHS telehealth business objectives.
Act as the change agent, driving for policy and process changes where necessary, internally and externally, while monitoring and documenting progress, and escalating issues where indicated.
Provide subject matter expertise, quality review and feedback to regional billing teams.
Be the primary resource to PHS stakeholders for telehealth coding and billing guidelines, legal/regulatory issues, and payor policies. Ensure customer satisfaction through follow-up, client responsiveness, and thorough communication; manage partners’ expectations.
Based on current coding/billing practices, design and implement a future approach and strategy for collaborating with partners. Responsible for current and future coding and billing practices, and set policies based on the current environment and collaborate with stakeholders to drive that future state.
Required qualifications for this position include:
Certified Professional Coder (CPC credential) -or-
Registered Health Information Technician (RHIT) -or-
At least one of the following coding credentials from the American Academy of Professional Coders (AAPC) and/or American Health and Information Management Association (AHIMA):
Registered Health Information Management Administrator (RHIA)
Registered Health Information Management Technician (RHIT)
Certified Coding Specialist (CCS)
Certified Coding Associate (CCA)
Certified Coding Specialist – Physician Based (CCS-P)
Certified Professional Coder (CPC)
Certified Professional Coder – Outpatient Hospital (CPC-H)
Certified Professional Coder – Payer (CPC-P)
7 years of experience in billing, coding experience and/or a combination of both, or equivalent experience in a similar healthcare domain.
Knowledge of Epic systems.
Knowledge of Telehealth.
Preferred qualifications for this position include:
- Experience in both inpatient and outpatient settings.
About the department you will serve.
Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 82,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 600 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.
Job Category: Administrative Support (Clinical)
Other Location(s): Montana-Missoula, Alaska-Anchorage, Oregon-Portland, California-Burbank
Req ID: 179605