Documentation & Coding Consultant

Job Summary and Responsibilities

As our Documentation & Coding Consultant, you will design, implement, and manage ongoing organizational monitoring activities and educational programs. This ensures proper reimbursement and compliance with all regulatory statutes. Every day you will work in a consulting capacity, identifying compliance issues and analyzing practice patterns. You will verify charges, ensure optimal reimbursement for the organization, and interpret regulatory changes. To be successful in this role, you will implement the necessary changes and modify VMMC's policies, conveying these changes to the clinical departments. You will possess a strong command of coding guidelines and educate staff thoroughly on compliance requirements.

Job Requirements

Required

• Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P)
• One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer
• 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 (1:1) communications to large groups
• Good written and verbal communication skills

Preferred

• Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer
• Clinical knowledge and exposure to risk adjustment coding

Where You’ll Work

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.