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Provider Appeals Coordinator/CPC/CCS- Remote in Virginia or Florida!
Sentara Health Norfolk, Virginia
City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring an Appeal Coordinator- Remote in Virginia and Florida! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: Remote in Virginia or Florida. Job responsibilities: Responsible for the investigation and documentation of member appeals and grievances in compliance with State law, applicable rules and regulations and provider and group agreements. Works closely with the Plan's Medical Directors who are responsible for all decision regarding clinical appeals/ grievances and the Appeals Manager who is responsible for non-clinical appeals and grievances. Education: HS - High School Grad or Equivalent REQUIRED Certification/Licensure: Must have Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA) Experience: Managed Care- 3 yearsREQUIRED Previous provider appeals experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to and use the following as your Keyword Search: JR-87716 Talroo - Health Plan Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
12/11/2025
Full time
City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring an Appeal Coordinator- Remote in Virginia and Florida! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: Remote in Virginia or Florida. Job responsibilities: Responsible for the investigation and documentation of member appeals and grievances in compliance with State law, applicable rules and regulations and provider and group agreements. Works closely with the Plan's Medical Directors who are responsible for all decision regarding clinical appeals/ grievances and the Appeals Manager who is responsible for non-clinical appeals and grievances. Education: HS - High School Grad or Equivalent REQUIRED Certification/Licensure: Must have Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA) Experience: Managed Care- 3 yearsREQUIRED Previous provider appeals experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to and use the following as your Keyword Search: JR-87716 Talroo - Health Plan Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Senior Coding Quality Auditor (Remote, must live in IL, IN or WI)
Endeavor Health Warrenville, Illinois
Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Po sit i on H i gh li ghts: Position: Senior Coding Quality Auditor -Remote Location: Warrenville, IL Full Time/Part Time: Full-time Hours: Monday-Friday 8:00am-5:00pm What you will do : Conducts Retrospective Audits to ensure compliance with internal policies and procedures and existing CMS regulations; identifies and recommends opportunities for process improvements so that productivity and quality goals can be met or exceeded and operational efficiency and financial accuracy is achieved. Effectively communicates the audit process and results to the appropriate departments and management. Educates leaders and staff when deficiencies in documentation and code selected are identified Develops timelines for auditing and manages auditing according to schedule. Reviews charge information, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation. For all assigned records assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards. Remains current on ICD-10 codes, CMS documentation requirements, and State and Federal regulations. Coordinates with Manager and Corporate Compliance Department on any compliance investigations that involve physician groups. Participates in compliance investigations, as needed Attends Internal and External education programs/conferences in order to support continuous improvement, career growth and development. Encourages professional membership in the American Academy of Professional Coders (AAPC) or American Health Information Management (AHIMA). What you will need : Education: High School Diploma Skills: Strong analytical, problem solving, interpersonal, verbal/written communication, organizational and team development skills are necessary. Knowledge of Microsoft Office Suite - Proficient in PC skills including Microsoft Excel, Power Point and Word. Ability to interact with all levels of health care team professionally Ability to write correspondence proficiently and to communicate in a professional manner and effectively handles difficult situations and/or individuals objectively. Experience: 3 years coding and auditing experience. 5 years experience working in a hospital or clinical setting Certification: CPC or CCS-P required Benefits: Career Pathways to Promote Professional Growth and Development Various Medical, Dental, Pet and Vision options Tuition Reimbursement Free Parking Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit . When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
12/11/2025
Full time
Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Po sit i on H i gh li ghts: Position: Senior Coding Quality Auditor -Remote Location: Warrenville, IL Full Time/Part Time: Full-time Hours: Monday-Friday 8:00am-5:00pm What you will do : Conducts Retrospective Audits to ensure compliance with internal policies and procedures and existing CMS regulations; identifies and recommends opportunities for process improvements so that productivity and quality goals can be met or exceeded and operational efficiency and financial accuracy is achieved. Effectively communicates the audit process and results to the appropriate departments and management. Educates leaders and staff when deficiencies in documentation and code selected are identified Develops timelines for auditing and manages auditing according to schedule. Reviews charge information, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation. For all assigned records assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards. Remains current on ICD-10 codes, CMS documentation requirements, and State and Federal regulations. Coordinates with Manager and Corporate Compliance Department on any compliance investigations that involve physician groups. Participates in compliance investigations, as needed Attends Internal and External education programs/conferences in order to support continuous improvement, career growth and development. Encourages professional membership in the American Academy of Professional Coders (AAPC) or American Health Information Management (AHIMA). What you will need : Education: High School Diploma Skills: Strong analytical, problem solving, interpersonal, verbal/written communication, organizational and team development skills are necessary. Knowledge of Microsoft Office Suite - Proficient in PC skills including Microsoft Excel, Power Point and Word. Ability to interact with all levels of health care team professionally Ability to write correspondence proficiently and to communicate in a professional manner and effectively handles difficult situations and/or individuals objectively. Experience: 3 years coding and auditing experience. 5 years experience working in a hospital or clinical setting Certification: CPC or CCS-P required Benefits: Career Pathways to Promote Professional Growth and Development Various Medical, Dental, Pet and Vision options Tuition Reimbursement Free Parking Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit . When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
Bath & Body Works
Control Technician - 2nd Shift - Lockbourne, OH
Bath & Body Works Commercial Point, Ohio
Description Paid Time Off • Health Benefits Day One • 401K Match • No Travel At Bath & Body Works, everyone belongs. We are committed to creating a culture of belonging focused on delivering exceptional fragrances and experiences to our customers. We focus on recruiting, retaining, and advancing top talent. In addition, we work to improve our communities and our planet to help the world live more fully. Summary The Control Technician performs a variety of maintenance, modification, and repair activities in controls of all building equipment and material handling systems in the distribution centers. This includes troubleshooting and repairing AC & DC circuits, photo eye sensors, encoders, programmable logic controllers, and bar code readers. Responsibilities Duties are illustrative and not inclusive and may vary with individual assignments Follow lockout-tag out procedures, confined space procedures, and other safety and environmental procedures and policies as required Perform program changes, monitoring of PLC (Programmable Logic Controllers) and PMS (Process Management Systems) Troubleshoot issues of all Controls, Process Controllers, Control Cabinets, Power Supplies and all other field devices Performs skilled and semi-skilled maintenance activities including performing material handling equipment troubleshooting and repair; office furniture moves and setups Completes work orders for work performed and includes parts and inventory used Document all work order activities to follow MP2 requirements, providing detailed records of the activities performed Ability to solve and repair low and high voltage controls including fuses, relays, wiring, contactors and power supplies from the source to the field device Ability to read and comprehend technical manuals and schematics, to include blueprints Experience using electrical diagnostic equipment (to include digital and analog meters, and amp meters for AC/DC testing) Qualifications Minimum of 2 year(s) industrial maintenance experience with PLC's, conveyors, controls, and Operating Systems Electrical experience with high and low voltage, AC and DC Demonstrable record of strong mechanical and electrical troubleshooting Knowledge of Automatic Identification systems (Laser and Camera Scanning Devices) Strong systems or technical capability including PC software and hardware proficiency Experience in programming and supervising Programmable Logic Controllers such as (Allen/Bradley, Siemens etc.) Ability to read and comprehend technical manuals and schematics Ability to read blueprints Support overtime work as required Ability to lift 70lbs Possession of a valid driver's license and a satisfactory driving record Education Posession of a high school diploma or equivalent experience Core Competencies Lead with Curiosity & Humility Build High Performing Teams for Today & Tomorrow Influence & Inspire with Vision & Purpose Observe, Engage & Connect Strive to Achieve Operational Excellence Deliver Business Results Benefits Bath & Body Works associates are the heart of our business. That's why we're proud to offer benefits that empower you to Dream Bigger & Live Brighter. Benefits for eligible associates include: Robust medical, pharmacy, dental and vision coverage. Plus, access to our onsite wellness center and pharmacy located at the Columbus, OH home office. 401k with company match and Associate Stock Purchase program with discount No-cost mental health and wellbeing support through our Employee Assistance Program (EAP) Opportunity for paid time off and paid parental leave. Plus, access to family and lifestyle programs including a family building benefit, childcare discounts, and home, auto and pet insurance. Tuition reimbursement and scholarship opportunities for post-secondary education programs 40% merchandise discount and gratis that encourages you to come back to your senses! The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. We will consider for employment all qualified applicants, including those with arrest records, conviction records, or other criminal histories, in a manner consistent with the requirements of any applicable state and local laws. Please see links: Los Angeles Fair Chance In Hiring Ordinance , Philadelphia Fair Chance Law , San Francisco Fair Chance Ordinance . We are an equal opportunity employer. We do not make employment decisions based on an individual's race, color, religion, gender, gender identity, national origin, citizenship, age, disability, sexual orientation, marital status, pregnancy, genetic information, protected veteran status or any other legally protected status, and we comply with all laws concerning nondiscriminatory employment practices. We are committed to providing reasonable accommodations for associates and job applicants with disabilities. Our management team is dedicated to ensuring fulfillment of this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, associate activities and general treatment during employment. We only hire individuals authorized for employment in the United States. Application window will close when all role(s) are filled.
12/10/2025
Full time
Description Paid Time Off • Health Benefits Day One • 401K Match • No Travel At Bath & Body Works, everyone belongs. We are committed to creating a culture of belonging focused on delivering exceptional fragrances and experiences to our customers. We focus on recruiting, retaining, and advancing top talent. In addition, we work to improve our communities and our planet to help the world live more fully. Summary The Control Technician performs a variety of maintenance, modification, and repair activities in controls of all building equipment and material handling systems in the distribution centers. This includes troubleshooting and repairing AC & DC circuits, photo eye sensors, encoders, programmable logic controllers, and bar code readers. Responsibilities Duties are illustrative and not inclusive and may vary with individual assignments Follow lockout-tag out procedures, confined space procedures, and other safety and environmental procedures and policies as required Perform program changes, monitoring of PLC (Programmable Logic Controllers) and PMS (Process Management Systems) Troubleshoot issues of all Controls, Process Controllers, Control Cabinets, Power Supplies and all other field devices Performs skilled and semi-skilled maintenance activities including performing material handling equipment troubleshooting and repair; office furniture moves and setups Completes work orders for work performed and includes parts and inventory used Document all work order activities to follow MP2 requirements, providing detailed records of the activities performed Ability to solve and repair low and high voltage controls including fuses, relays, wiring, contactors and power supplies from the source to the field device Ability to read and comprehend technical manuals and schematics, to include blueprints Experience using electrical diagnostic equipment (to include digital and analog meters, and amp meters for AC/DC testing) Qualifications Minimum of 2 year(s) industrial maintenance experience with PLC's, conveyors, controls, and Operating Systems Electrical experience with high and low voltage, AC and DC Demonstrable record of strong mechanical and electrical troubleshooting Knowledge of Automatic Identification systems (Laser and Camera Scanning Devices) Strong systems or technical capability including PC software and hardware proficiency Experience in programming and supervising Programmable Logic Controllers such as (Allen/Bradley, Siemens etc.) Ability to read and comprehend technical manuals and schematics Ability to read blueprints Support overtime work as required Ability to lift 70lbs Possession of a valid driver's license and a satisfactory driving record Education Posession of a high school diploma or equivalent experience Core Competencies Lead with Curiosity & Humility Build High Performing Teams for Today & Tomorrow Influence & Inspire with Vision & Purpose Observe, Engage & Connect Strive to Achieve Operational Excellence Deliver Business Results Benefits Bath & Body Works associates are the heart of our business. That's why we're proud to offer benefits that empower you to Dream Bigger & Live Brighter. Benefits for eligible associates include: Robust medical, pharmacy, dental and vision coverage. Plus, access to our onsite wellness center and pharmacy located at the Columbus, OH home office. 401k with company match and Associate Stock Purchase program with discount No-cost mental health and wellbeing support through our Employee Assistance Program (EAP) Opportunity for paid time off and paid parental leave. Plus, access to family and lifestyle programs including a family building benefit, childcare discounts, and home, auto and pet insurance. Tuition reimbursement and scholarship opportunities for post-secondary education programs 40% merchandise discount and gratis that encourages you to come back to your senses! The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. We will consider for employment all qualified applicants, including those with arrest records, conviction records, or other criminal histories, in a manner consistent with the requirements of any applicable state and local laws. Please see links: Los Angeles Fair Chance In Hiring Ordinance , Philadelphia Fair Chance Law , San Francisco Fair Chance Ordinance . We are an equal opportunity employer. We do not make employment decisions based on an individual's race, color, religion, gender, gender identity, national origin, citizenship, age, disability, sexual orientation, marital status, pregnancy, genetic information, protected veteran status or any other legally protected status, and we comply with all laws concerning nondiscriminatory employment practices. We are committed to providing reasonable accommodations for associates and job applicants with disabilities. Our management team is dedicated to ensuring fulfillment of this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, associate activities and general treatment during employment. We only hire individuals authorized for employment in the United States. Application window will close when all role(s) are filled.
Emergency Medicine Physician
Delphi Healthcare Rutland, Vermont
Emergency Medicine Physician Vermont 0.8 FTE Competitive Compensation Nocturnist Differential Delphi Healthcare is seeking an ABEM Board-Certified (or Board-Eligible) Emergency Medicine Physician to join our team in the stunning mountains of Vermont . This is a 0.8 FTE employed position , with a 20% salary differential for nocturnists . We are looking for an energetic and engaged provider to join our supportive and collaborative group. Position Highlights: Schedule: 9-hour shifts, with full-time physicians covering 14 shifts per month Coverage: 45 hours of MD coverage + 20 hours of APP coverage per day Annual Volume: 32,000 patient visits Facility: 26-bed, state-of-the-art Emergency Department Technology: Robust ultrasound program (Zonaire), Cerner EMR Trauma Level: Level III-equivalent Trauma Center with tertiary care support from Dartmouth-Hitchcock, University of Vermont Medical Center, or Albany Medical Center via ground or helicopter transport Support Services: 24-hour radiology and lab services, dedicated ED coders for chart reviews
12/08/2025
Full time
Emergency Medicine Physician Vermont 0.8 FTE Competitive Compensation Nocturnist Differential Delphi Healthcare is seeking an ABEM Board-Certified (or Board-Eligible) Emergency Medicine Physician to join our team in the stunning mountains of Vermont . This is a 0.8 FTE employed position , with a 20% salary differential for nocturnists . We are looking for an energetic and engaged provider to join our supportive and collaborative group. Position Highlights: Schedule: 9-hour shifts, with full-time physicians covering 14 shifts per month Coverage: 45 hours of MD coverage + 20 hours of APP coverage per day Annual Volume: 32,000 patient visits Facility: 26-bed, state-of-the-art Emergency Department Technology: Robust ultrasound program (Zonaire), Cerner EMR Trauma Level: Level III-equivalent Trauma Center with tertiary care support from Dartmouth-Hitchcock, University of Vermont Medical Center, or Albany Medical Center via ground or helicopter transport Support Services: 24-hour radiology and lab services, dedicated ED coders for chart reviews
Coding Educator/Auditor
University Health San Antonio, Texas
POSITION SUMMARY/RESPONSIBILITIES Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems and ensures proper assignment and completion of Diagnosis and Procedure Coding in all cases. Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System's guest relations policy. Complies with all Federal, State, local and accrediting bodies' regulations and protocols. Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC). EDUCATION AND EXPERIENCE An Associate's Degree is required; an Associate's degree in Health Information Management and/or Bachelor's degree is preferred. Completion of a coding program is required. Note: Completion of a coding program from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPCS) will be accepted. Completion of a coding program from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding. At least five (5) years of coding experience in professional services, hospital services, or a combination of both is required for external applicants. At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software is required. Preference will be given to applicants with experience and knowledge of regulatory requirements, Microsoft Office products, and Epic EMR. LICENSURE/CERTIFICATION The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies mentioned above (AHIMA and AAPC). Note: Valid credential(s) from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) will be accepted. Credential(s) from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding . Licensure as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and/or Registered Nurse(s) (RN) are highly preferred.
12/08/2025
Full time
POSITION SUMMARY/RESPONSIBILITIES Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems and ensures proper assignment and completion of Diagnosis and Procedure Coding in all cases. Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System's guest relations policy. Complies with all Federal, State, local and accrediting bodies' regulations and protocols. Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC). EDUCATION AND EXPERIENCE An Associate's Degree is required; an Associate's degree in Health Information Management and/or Bachelor's degree is preferred. Completion of a coding program is required. Note: Completion of a coding program from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPCS) will be accepted. Completion of a coding program from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding. At least five (5) years of coding experience in professional services, hospital services, or a combination of both is required for external applicants. At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software is required. Preference will be given to applicants with experience and knowledge of regulatory requirements, Microsoft Office products, and Epic EMR. LICENSURE/CERTIFICATION The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies mentioned above (AHIMA and AAPC). Note: Valid credential(s) from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) will be accepted. Credential(s) from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding . Licensure as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and/or Registered Nurse(s) (RN) are highly preferred.
Coding Educator
Endeavor Health Skokie, Illinois
Hourly Pay Range: $24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position: Coding Educator Location: Skokie, IL Full Time Hours: Monday-Friday, hybrid What you will do: Ongoing growth and development from participation in events such as workshops, in-service programs and departmental meetings. Provides care based on physical, psychological, educational and related criteria appropriate to the age and type of the patients/customers served in their area. Acts as a coding resource for physicians, charge entry staff, other coders, and clinical staff. Participates in continuing education and in-service programs to maintain coding and billing skills. Communicates coding changes and updates physicians based on department standards. Queries physician and/or staff regarding incomplete or missing documentation. Works resolute charge review work queues with the purpose of correcting coding errors, reviewing documentation and applying coding guidelines to ensure the accurate and timely filing of charges. Ensure service, procedure and diagnoses codes are accurately reported and linked. Assigns CPT, ICD-10 and HCPCS codes based on coding guidelines. Queries Physician/Provider when applicable Maintains productivity and aging levels based on department standards. Identifies trends in coding issues and works with manager to educate and implement solutions. Work follow-up work queues with the purpose of reviewing denial codes and remarks and apply coding and billing guidelines for resubmission to obtain final adjudication of claim. Use coding resources (NCCI manual, LCD's payor bulletins) to assist with correct resubmission. Maintains productivity based on department standards. Work account work queues with the purpose of resolving patient disputes by applying coding and billing guidelines. Communicates with practice managers and/or physicians if applicable. Maintains productivity based on department standards. Consistently utilizes coding and billing resources and reference tools. Reports identified or potential coding compliance issues to manager and/or Coding Compliance Department in accordance with established policy and procedures. Implements findings to improve processes and workflows. What you will need: Education: High School Diploma Required Certifications: CCS or CCS-P or CPC or RHIT required Experience: 3 years of outpatient coding experience Benefits: Career Pathways to Promote Professional Growth and Development Various Medical, Dental, and Vision options Coverage Tuition Reimbursement Free Parking at designated locations Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents. For more information, visit When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website () to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
12/03/2025
Full time
Hourly Pay Range: $24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position: Coding Educator Location: Skokie, IL Full Time Hours: Monday-Friday, hybrid What you will do: Ongoing growth and development from participation in events such as workshops, in-service programs and departmental meetings. Provides care based on physical, psychological, educational and related criteria appropriate to the age and type of the patients/customers served in their area. Acts as a coding resource for physicians, charge entry staff, other coders, and clinical staff. Participates in continuing education and in-service programs to maintain coding and billing skills. Communicates coding changes and updates physicians based on department standards. Queries physician and/or staff regarding incomplete or missing documentation. Works resolute charge review work queues with the purpose of correcting coding errors, reviewing documentation and applying coding guidelines to ensure the accurate and timely filing of charges. Ensure service, procedure and diagnoses codes are accurately reported and linked. Assigns CPT, ICD-10 and HCPCS codes based on coding guidelines. Queries Physician/Provider when applicable Maintains productivity and aging levels based on department standards. Identifies trends in coding issues and works with manager to educate and implement solutions. Work follow-up work queues with the purpose of reviewing denial codes and remarks and apply coding and billing guidelines for resubmission to obtain final adjudication of claim. Use coding resources (NCCI manual, LCD's payor bulletins) to assist with correct resubmission. Maintains productivity based on department standards. Work account work queues with the purpose of resolving patient disputes by applying coding and billing guidelines. Communicates with practice managers and/or physicians if applicable. Maintains productivity based on department standards. Consistently utilizes coding and billing resources and reference tools. Reports identified or potential coding compliance issues to manager and/or Coding Compliance Department in accordance with established policy and procedures. Implements findings to improve processes and workflows. What you will need: Education: High School Diploma Required Certifications: CCS or CCS-P or CPC or RHIT required Experience: 3 years of outpatient coding experience Benefits: Career Pathways to Promote Professional Growth and Development Various Medical, Dental, and Vision options Coverage Tuition Reimbursement Free Parking at designated locations Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents. For more information, visit When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website () to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
Senior Coding Quality Auditor (Remote, must live in IL, IN or WI)
Endeavor Health Warrenville, Illinois
Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Po sit i on H i gh li ghts: Position: Senior Coding Quality Auditor -Remote Location: Warrenville, IL Full Time/Part Time: Full-time Hours: Monday-Friday 8:00am-5:00pm What you will do : Conducts Retrospective Audits to ensure compliance with internal policies and procedures and existing CMS regulations; identifies and recommends opportunities for process improvements so that productivity and quality goals can be met or exceeded and operational efficiency and financial accuracy is achieved. Effectively communicates the audit process and results to the appropriate departments and management. Educates leaders and staff when deficiencies in documentation and code selected are identified Develops timelines for auditing and manages auditing according to schedule. Reviews charge information, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation. For all assigned records assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards. Remains current on ICD-10 codes, CMS documentation requirements, and State and Federal regulations. Coordinates with Manager and Corporate Compliance Department on any compliance investigations that involve physician groups. Participates in compliance investigations, as needed Attends Internal and External education programs/conferences in order to support continuous improvement, career growth and development. Encourages professional membership in the American Academy of Professional Coders (AAPC) or American Health Information Management (AHIMA). What you will need : Education: High School Diploma Skills: Strong analytical, problem solving, interpersonal, verbal/written communication, organizational and team development skills are necessary. Knowledge of Microsoft Office Suite - Proficient in PC skills including Microsoft Excel, Power Point and Word. Ability to interact with all levels of health care team professionally Ability to write correspondence proficiently and to communicate in a professional manner and effectively handles difficult situations and/or individuals objectively. Experience: 3 years coding and auditing experience. 5 years experience working in a hospital or clinical setting Certification: CPC or CCS-P required Benefits: Career Pathways to Promote Professional Growth and Development Various Medical, Dental, Pet and Vision options Tuition Reimbursement Free Parking Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit . When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
12/01/2025
Full time
Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Po sit i on H i gh li ghts: Position: Senior Coding Quality Auditor -Remote Location: Warrenville, IL Full Time/Part Time: Full-time Hours: Monday-Friday 8:00am-5:00pm What you will do : Conducts Retrospective Audits to ensure compliance with internal policies and procedures and existing CMS regulations; identifies and recommends opportunities for process improvements so that productivity and quality goals can be met or exceeded and operational efficiency and financial accuracy is achieved. Effectively communicates the audit process and results to the appropriate departments and management. Educates leaders and staff when deficiencies in documentation and code selected are identified Develops timelines for auditing and manages auditing according to schedule. Reviews charge information, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation. For all assigned records assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards. Remains current on ICD-10 codes, CMS documentation requirements, and State and Federal regulations. Coordinates with Manager and Corporate Compliance Department on any compliance investigations that involve physician groups. Participates in compliance investigations, as needed Attends Internal and External education programs/conferences in order to support continuous improvement, career growth and development. Encourages professional membership in the American Academy of Professional Coders (AAPC) or American Health Information Management (AHIMA). What you will need : Education: High School Diploma Skills: Strong analytical, problem solving, interpersonal, verbal/written communication, organizational and team development skills are necessary. Knowledge of Microsoft Office Suite - Proficient in PC skills including Microsoft Excel, Power Point and Word. Ability to interact with all levels of health care team professionally Ability to write correspondence proficiently and to communicate in a professional manner and effectively handles difficult situations and/or individuals objectively. Experience: 3 years coding and auditing experience. 5 years experience working in a hospital or clinical setting Certification: CPC or CCS-P required Benefits: Career Pathways to Promote Professional Growth and Development Various Medical, Dental, Pet and Vision options Tuition Reimbursement Free Parking Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit . When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
Emergency Medicine Physician
Delphi Healthcare Rutland, Vermont
Emergency Medicine Physician Vermont 0.8 FTE Competitive Compensation Nocturnist Differential Delphi Healthcare is seeking an ABEM Board-Certified (or Board-Eligible) Emergency Medicine Physician to join our team in the stunning mountains of Vermont . This is a 0.8 FTE employed position , with a 20% salary differential for nocturnists . We are looking for an energetic and engaged provider to join our supportive and collaborative group. Position Highlights: Schedule: 9-hour shifts, with full-time physicians covering 14 shifts per month Coverage: 45 hours of MD coverage + 20 hours of APP coverage per day Annual Volume: 32,000 patient visits Facility: 26-bed, state-of-the-art Emergency Department Technology: Robust ultrasound program (Zonaire), Cerner EMR Trauma Level: Level III-equivalent Trauma Center with tertiary care support from Dartmouth-Hitchcock, University of Vermont Medical Center, or Albany Medical Center via ground or helicopter transport Support Services: 24-hour radiology and lab services, dedicated ED coders for chart reviews
12/01/2025
Full time
Emergency Medicine Physician Vermont 0.8 FTE Competitive Compensation Nocturnist Differential Delphi Healthcare is seeking an ABEM Board-Certified (or Board-Eligible) Emergency Medicine Physician to join our team in the stunning mountains of Vermont . This is a 0.8 FTE employed position , with a 20% salary differential for nocturnists . We are looking for an energetic and engaged provider to join our supportive and collaborative group. Position Highlights: Schedule: 9-hour shifts, with full-time physicians covering 14 shifts per month Coverage: 45 hours of MD coverage + 20 hours of APP coverage per day Annual Volume: 32,000 patient visits Facility: 26-bed, state-of-the-art Emergency Department Technology: Robust ultrasound program (Zonaire), Cerner EMR Trauma Level: Level III-equivalent Trauma Center with tertiary care support from Dartmouth-Hitchcock, University of Vermont Medical Center, or Albany Medical Center via ground or helicopter transport Support Services: 24-hour radiology and lab services, dedicated ED coders for chart reviews
Yakima Valley Farm Workers Clinic
Coding Integrity Analyst - $26.75 - 32.76/hr
Yakima Valley Farm Workers Clinic Toppenish, Washington
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
11/26/2025
Full time
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Yakima Valley Farm Workers Clinic
Coding Integrity Analyst - Full Time
Yakima Valley Farm Workers Clinic Buena, Washington
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
11/26/2025
Full time
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Yakima Valley Farm Workers Clinic
Coding Integrity Analyst - $26.75 - 32.76/hr
Yakima Valley Farm Workers Clinic Buena, Washington
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
11/26/2025
Full time
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Yakima Valley Farm Workers Clinic
Coding Integrity Analyst - $26.75 - 32.76/hr
Yakima Valley Farm Workers Clinic Wapato, Washington
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
11/26/2025
Full time
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Yakima Valley Farm Workers Clinic
Coding Integrity Analyst - Full Time
Yakima Valley Farm Workers Clinic Granger, Washington
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
11/26/2025
Full time
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Yakima Valley Farm Workers Clinic
Coding Integrity Analyst - Full Time
Yakima Valley Farm Workers Clinic Toppenish, Washington
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
11/26/2025
Full time
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Yakima Valley Farm Workers Clinic
Coding Integrity Analyst - Full Time
Yakima Valley Farm Workers Clinic Zillah, Washington
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
11/26/2025
Full time
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Yakima Valley Farm Workers Clinic
Coding Integrity Analyst - $26.75 - 32.76/hr
Yakima Valley Farm Workers Clinic Zillah, Washington
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
11/26/2025
Full time
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Yakima Valley Farm Workers Clinic
Coding Integrity Analyst - $26.75 - 32.76/hr
Yakima Valley Farm Workers Clinic Granger, Washington
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
11/26/2025
Full time
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Yakima Valley Farm Workers Clinic
Coding Integrity Analyst - Full Time
Yakima Valley Farm Workers Clinic Wapato, Washington
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
11/26/2025
Full time
Join our team as a Coding Integrity Analyst at our Toppenish Central Administration in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at to learn more about our organization. Position Highlights: $26.75-$32.76 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Uses a thorough understanding of coding guidelines and standards of documentation compliance to improve overall quality and completeness of clinical documentation within the patient electronic health record (EHR). Supports updating YVFWC coding policies and procedures to reflect changes of the ICD-10-CM official guidelines, new AHA Coding Clinic advice, CPT guidelines, CPT Assistant advice, and new guidance from CMS. Keeps current on regulatory and coding issues/best practices, including ICD-10-CM guidelines, AHA Coding Clinic, CPT guidelines, and the CPT Assistant. Performs ongoing clinical documentation improvement (CDI) audits of medical records to verify compliance with CMS's coding and documentation guidelines. Interprets changes in the external regulatory environment and supports modifying YVFWC policies and procedures accordingly in coordination with the Population Health and Revenue Cycle departments. Identifies errors and issues related to coding and medical record documentation, identification of the error point, and coordination of any required education to minimize future errors. Develops coding and documentation tip sheets and educational materials for YVFWC clinicians and other organizational partners that meet all coding regulatory guidelines while also fulfilling quality measures. Develops coding and documentation training curriculum for both newly hired and tenured YVFWC clinicians that ensures comprehensive guidelines of appropriate coding practices. Provides consultation and consistent, ongoing education and training to clinicians and other clinical staff to guide accurate documentation of patient acuity and achievement of accurate risk adjustment scores. Performs root cause analysis to identify issues that may contribute to coding and documentation deficiencies. Identifies and advocates for best practices and process improvement opportunities. Presents findings via verbal and written updates to internal and external audiences, including peer-to-peer, department leadership, Business Informatics (BI), provider and clinical teams, and vendor support teams. Serves as a coding operational SME for ICD-10-CM, CPT, HCPCS, and Risk Adjustment coding. Independently manages outlook calendar, including local and out-of-area travel, and coordination with appropriate clinic staff for all provider trainings. Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards. Performs other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer at its sole discretion. Qualifications: High School diploma or General Education Development diploma (GED). Experience or coursework in medical terminology, health records, Health Insurance Portability and Accountability Act (HIPAA) and compliance required. Minimum 2 years medical professional coding experience. Applied understanding of principles of reimbursement based on risk adjustment model(s) including CMS Hierarchical Condition Categories (HCCs) and HHS-HCC. Total of five years' experience in healthcare coding is preferred. Three years' experience as a healthcare coding auditor preferred. FQHC Billing Experience preferred. One year experience working in a healthcare setting with Epic software preferred. Hosting Zoom and Teams meetings preferred. One of the following certifications is required at time of hire: CPC- Certified Professional Coder. CCS-P - Certified Coding Specialist-Physician. CDEO -Certified Documentation Expert Outpatient. CRC - Certified Risk Adj. Coder, or. CPMA - Certified Professional Medical Auditor. Knowledge of medical terminology, medical records, investigations, and auditing. Knowledge of healthcare coding, HIPAA, and State applicable privacy laws. Good analytical, decision-making, and problem-solving skills. Skillfully exercises independent judgment and decision making. Handles sensitive situations and confidential information with discretion. Effectively prioritizes work and handles a variety of tasks simultaneously environment. Work in a collaborative team environment, be well organized and have a strong attention to detail and accuracy. Ability to effectively present educational material to individuals, small and potentially large audiences. Strong interpersonal communication (verbal, non-verbal and listening) skills, including handling stressful situations. Develops effective working relationships to gain trust and establish credibility. Basic proficiency with a variety of computer programs including Microsoft Outlook, Word, Excel and Electronic Medical Record (EMR), preferably Epic. Our Mission Statement "Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being." Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Physician / Family Practice / Texas / Permanent / Primary Care Physician needed in N. Buckner-Dallas, TX Job
CenterWell Senior Primary Care Dallas, Texas
CenterWell a subsidiary of Humana Inc., has a great opportunity for a Primary Care Physician for our North Buckner, Dallas, TX medical center.Humanas Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patients physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do. Responsibilities:Evaluates and treats center patients in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data and chart reviews. Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. Acts as an active participant and key source of medical expertise with the care team through daily huddles. Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor. Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. Participates in potential growth opportunities for new or existing services within the Center. Participates in the local primary care on-call program of CenterWell as needed. Assures personal compliance with licensing, certification, and accrediting bodies. Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care. Required Qualifications: Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required ? Graduate of accredited MD or DO program of accredited university Excellent verbal and written communication skills Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients Fully engaged in the concept of Integrated team based care model Willingness and ability to learn/adapt to practice in a value based care setting Superior patient/customer service Basic computer skills, including email and EMR This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Preferred Qualifications: Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferredActive and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Minimum of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment Knowledge of Medicare guidelines and coverageBilingual is a plusKnowledge of HEDIS quality indicators. Additional Information:Guaranteed base salary + quarterly bonusExcellent benefit package health insurance effective on your first day of employmentCME Allowance/TimeOccurrence Based Malpractice Insurance Relocation and sign-on bonus options.401(k) with Employer MatchLife Insurance/DisabilityPaid Time Off/HolidaysMinimal Call
11/25/2025
Full time
CenterWell a subsidiary of Humana Inc., has a great opportunity for a Primary Care Physician for our North Buckner, Dallas, TX medical center.Humanas Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patients physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do. Responsibilities:Evaluates and treats center patients in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data and chart reviews. Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. Acts as an active participant and key source of medical expertise with the care team through daily huddles. Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor. Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. Participates in potential growth opportunities for new or existing services within the Center. Participates in the local primary care on-call program of CenterWell as needed. Assures personal compliance with licensing, certification, and accrediting bodies. Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care. Required Qualifications: Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required ? Graduate of accredited MD or DO program of accredited university Excellent verbal and written communication skills Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients Fully engaged in the concept of Integrated team based care model Willingness and ability to learn/adapt to practice in a value based care setting Superior patient/customer service Basic computer skills, including email and EMR This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Preferred Qualifications: Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferredActive and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Minimum of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment Knowledge of Medicare guidelines and coverageBilingual is a plusKnowledge of HEDIS quality indicators. Additional Information:Guaranteed base salary + quarterly bonusExcellent benefit package health insurance effective on your first day of employmentCME Allowance/TimeOccurrence Based Malpractice Insurance Relocation and sign-on bonus options.401(k) with Employer MatchLife Insurance/DisabilityPaid Time Off/HolidaysMinimal Call
Physician / Family Practice / Texas / Permanent / Primary Care Physician needed in Grand Prairie, TX Job
CenterWell Senior Primary Care Grand Prairie, Texas
CenterWell a subsidiary of Humana Inc., has a great opportunity for a Primary Care Physician for our Grand Prairie, TX medical center.Humanas Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patients physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do. Responsibilities:Evaluates and treats center patients in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data and chart reviews. Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. Acts as an active participant and key source of medical expertise with the care team through daily huddles. Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor. Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. Participates in potential growth opportunities for new or existing services within the Center. Participates in the local primary care on-call program of CenterWell as needed. Assures personal compliance with licensing, certification, and accrediting bodies. Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care. Required Qualifications: Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required ? Graduate of accredited MD or DO program of accredited university Excellent verbal and written communication skills Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients Fully engaged in the concept of Integrated team based care model Willingness and ability to learn/adapt to practice in a value based care setting Superior patient/customer service Basic computer skills, including email and EMR This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Preferred Qualifications: Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferredActive and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Minimum of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment Knowledge of Medicare guidelines and coverageBilingual is a plusKnowledge of HEDIS quality indicators. Additional Information:Guaranteed base salary + quarterly bonusExcellent benefit package health insurance effective on your first day of employmentCME Allowance/TimeOccurrence Based Malpractice Insurance Relocation and sign-on bonus options.401(k) with Employer MatchLife Insurance/DisabilityPaid Time Off/HolidaysMinimal Call
11/25/2025
Full time
CenterWell a subsidiary of Humana Inc., has a great opportunity for a Primary Care Physician for our Grand Prairie, TX medical center.Humanas Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patients physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do. Responsibilities:Evaluates and treats center patients in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data and chart reviews. Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. Acts as an active participant and key source of medical expertise with the care team through daily huddles. Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor. Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. Participates in potential growth opportunities for new or existing services within the Center. Participates in the local primary care on-call program of CenterWell as needed. Assures personal compliance with licensing, certification, and accrediting bodies. Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care. Required Qualifications: Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required ? Graduate of accredited MD or DO program of accredited university Excellent verbal and written communication skills Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients Fully engaged in the concept of Integrated team based care model Willingness and ability to learn/adapt to practice in a value based care setting Superior patient/customer service Basic computer skills, including email and EMR This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Preferred Qualifications: Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferredActive and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Minimum of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment Knowledge of Medicare guidelines and coverageBilingual is a plusKnowledge of HEDIS quality indicators. Additional Information:Guaranteed base salary + quarterly bonusExcellent benefit package health insurance effective on your first day of employmentCME Allowance/TimeOccurrence Based Malpractice Insurance Relocation and sign-on bonus options.401(k) with Employer MatchLife Insurance/DisabilityPaid Time Off/HolidaysMinimal Call

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