Providence - Everett, WA
posted 2 months ago
The Coding Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and Hierarchical Condition Category (HCC) coding. This role is crucial as it directly impacts revenue and compliance with the Centers for Medicare & Medicaid Services (CMS). The Coding Analyst will coordinate technically detailed coding applications that affect operations, programmatic and information systems, as well as contracted providers. A comprehensive understanding of ICD-9, ICD-10, and other coding systems is essential for this position, as it involves working with Health Plans, contracted facilities, and providers. In this role, the Coding Analyst will identify and research provider diagnostic coding issues, conduct medical record reviews, and ensure adherence to documentation standards. They will also identify coding errors and provide education to providers to rectify these issues. Additionally, the Coding Analyst will serve in an advisory capacity in the development of Health Plan Payment Rules related to risk adjustment, ensuring that all coding practices align with regulatory requirements and best practices. At Providence, caregivers are not just valued; they are invaluable. The organization fosters a culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. The Coding Analyst will be part of a team that emphasizes the importance of each caregiver's voice, empowering them to thrive in their roles and contribute to the mission of caring for everyone, especially the most vulnerable in the community.