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Position Summary: The Clinical Documentation Specialist for Professional Billing (PB) conducts billing integrity reviews/audits, including reviewing billing submitted with all supporting clinical documentation to assess the extent to which applicable documentation and coding criteria have been met and to identify clinical documentation improvement opportunities. The incumbent assists in the production/delivery of education/training to providers and staff related to clinical documentation improvement, coding, billing regulations and standards; assists with quality assurance audits; produces reports on findings; researches billing compliance related questions and prepares complete and accurate responses and keeps current on all related regulatory matters. This is a virtual position with onsite meetings as needed.
Minimum Requirements: Two (2) years of ICD-10 CPT coding experience in an outpatient and/or inpatient setting required Experience in Microsoft Excel and Word Experience in payor denial management and appeals process preferred
Education/Licenses/Certifications: Post secondary coursework in medical science and coding preferred Certification as a Certified Coding Specialist (CCS) or CCS-P or CPC or RHIT required Certified Clinical Documentation Specialist (CCDI) preferred
MultiCare is a not-for-profit health care organization with more than 20,000 team members, including employees, providers and volunteers. MultiCare has been caring for our community for well over a century, since the founding of Tacoma’s first hospital and today is the largest community-based, locally governed system of health in the state of Washington, serving communities across Washington and Northern Idaho.
MultiCare’s comprehensive system of health includes numerous primary care, urgent care and specialty services — including Mary Bridge Children’s Hospital & Health Network; MultiCare Indigo Urgent Care; Pulse Heart Institute; MultiCare Medical Associates, affiliated physicians; MultiCare Rockwood Clinic, the largest multispecialty clinic in the Inland Northwest region; and MultiCare Connected Care, our Accountable Care Organization.
Eleven hospitals complete the organization: Allenmore Hospital, Auburn Medical Center, Capital Medical Center, Covington Medical Center, Deaconess Hospital, Good Samaritan Hospital, Mary Bridge Children’s Hospital — the Puget Sound region’s only children’s hospital and state-designated Level II Pediatric Trauma Center for Western Washingt...on — Navos Behavioral Health Hospital, Valley Hospital, Tacoma General Hospital — which is home to the South Puget Sound region’s only Level IV Neonatal Intensive Care Unit — and Wellfound Behavioral Health Hospital.
Our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness, serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.
MultiCare is also proud of our commitment to workforce diversity and culturally competent care. This commitment is led by our CEO and supported through employee education and community outreach.