Claims Quality Auditor jobs in Oregon

Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Coding Quality Auditor *Remote
  • Providence Health
  • Oregon, OR FULL_TIME
  • Description

    Coding Quality Auditor - 100% Remote, Most States Eligible.

    The Coding QI Compliance Auditor and Trainer II is critical to the coding compliance program. By performing audits of hospital coding, training new coding staff, preparing and presenting educational sessions for the coders and staying current with official coding guidelines and regulations, the incumbent ensures the proper coding of PH&S hospital medical records. This position includes obtaining, recording and reporting essential data, assisting in problem solving of coding issues and acting as a subject matter expert for coding staff.

    Providence caregivers are not simply valued – they’re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

    Required Qualifications:

    • Associate's Degree In a healthcare related program with a minimum of one of he following credentials required; Any AHIMA or AAPC coding Credential Or equivalent combination of education and experience can be considered in lieu of degree
    • Upon hire: Certification from American Academy of Professional Coders Or
    • Upon hire: Certification from American Health Information Management Association
    • 2 years Recent acute care coding auditing and training.
    • 4 years Recent acute care coding experience in one of the following areas: Hospital inpatient, day surgery or emergency department
    • A track record in troubleshooting coding quality problems
    • A track record in reading and interpreting medical records
    • A track record in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast paced environment

    Preferred Qualifications:

    • Bachelor's Degree In a healthcare related program with a minimum of one of he following credentials required; Any AHIMA or AAPC coding Credential Or equivalent educ/experience

    Salary Range by location:

    NorCal (Napa, Sonoma)

    Min: $40.89, Max: $64.72

    Southern California, NorCal (Humboldt), Alaska (Kodiak, Seward, Valdez)

    Min: $36.44, Max: $57.69

    WA Puget Sound. Oregon (Portland), Alaska (Anchorage)

    Min: $34.98, Max: $55.34

    Oregon (Hood River, Medford, Seaside)

    Min: $32.59, Max: $51.59

    Eastern Washington (Richland, Spokane, Walla Walla)

    Min: $31.11, Max: $49.25

    Montana

    Min: $28.15, Max: $44.56

    Texas

    Min: $26.67, Max: $42.21

    Why Join Providence?

    Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

    Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

    About Providence

    At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

    About the Team

    Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

    Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

    Requsition ID: 273874

    Company: Providence Jobs

    Job Category: Coding

    Job Function: Revenue Cycle

    Job Schedule: Full time

    Job Shift: Day

    Career Track: Business Professional

    Department: 4001 SS RC CODING NWR

    Address: WA Renton 1801 Lind Ave SW

    Work Location: Providence Valley Office Park-Renton

    Pay Range: $See posting - $See posting

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

  • 5 Days Ago

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Coding Quality Auditor - CODING
  • Providence
  • UNKNOWN, OR FULL_TIME
  • Description Coding Quality Auditor - 100% Remote, Most States Eligible. One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services...
  • 1 Month Ago

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Associate Coding Quality Auditor
  • Providence
  • Portland, OR OTHER
  • Description Associate Coding Quality Auditor \Remote - Most States Eligible The QI Coding Compliance Auditor and Trainer I is critical to the coding compliance program. Providence caregivers are not s...
  • 2 Months Ago

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Associate Coding Quality Auditor *Remote
  • Providence Health
  • Oregon, OR FULL_TIME
  • Description Associate Coding Quality Auditor - 100% Remote. Revenue Cycle is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cyc...
  • 16 Days Ago

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PFS Coding Quality Auditor Educator
  • Women's Healthcare Associates, LLC
  • Portland, OR FULL_TIME
  • At WHA, we're a team, passionate about humanizing healthcare. We're inspired by the diverse stories, strength and resilience of our patients and the unique choices they make in pursuing health for the...
  • 2 Months Ago

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Coding Quality Auditor - CODING *Remote, Most States Eligible
  • Providence Health
  • Oregon, OR FULL_TIME
  • Description Coding Quality Auditor - 100% Remote, Most States Eligible. One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services...
  • 1 Month Ago

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Quality Auditor
  • LHH
  • LHH Recruitment Solutions is seeking a Quality Auditor in Birmingham, Alabama. The ideal candidate will conduct audits, ...
  • 4/24/2024 12:00:00 AM

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Quality Auditor
  • Transform Automotive
  • Utica, MI
  • Job Description Job Description ABOUT THE ROLEMeans TransForm Products is now the newest business unit of the Amsted Aut...
  • 4/24/2024 12:00:00 AM

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Quality Auditor
  • ResourceMFG
  • Columbus, GA
  • summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 1st Shift: 4am-12:30pm-$20/hr 2nd Shift:...
  • 4/23/2024 12:00:00 AM

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Quality Auditor
  • THE CARLSTAR GROUP LLC
  • Slinger, WI
  • Job Details Job Location Slinger WI - Slinger, WI Position Type Full Time Education Level High School Diploma or Equival...
  • 4/23/2024 12:00:00 AM

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Quality Auditor
  • Systems Inc.
  • Malvern, AR
  • We are System s, LLCa lead ing manufacturer and design er of loading dock equipment . We continue to GROW and are seekin...
  • 4/23/2024 12:00:00 AM

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Quality Auditor
  • H&H
  • Annapolis, MD
  • Description We are offering an exciting opportunity for a Quality Auditor in our Annapolis, MD office. The Quality Audit...
  • 4/21/2024 12:00:00 AM

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Quality Auditor
  • Plastipak Holdings
  • Jackson Center, OH
  • As a Plastipak Quality Auditor, you audit systems and processes as they relate to our Quality program. You play a key ro...
  • 4/20/2024 12:00:00 AM

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Quality Auditors
  • ResourceMFG
  • Columbus, GA
  • summary Looking for 1st shifters. Starting pay at $18 could change with more experience. Weekly pay/health benefits. CNC...
  • 4/20/2024 12:00:00 AM

Oregon (/ˈɒrɪɡən/ (listen) ORR-ih-gən) is a state in the Pacific Northwest region on the West Coast of the United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idaho. The parallel 42° north delineates the southern boundary with California and Nevada. Oregon is one of only four states of the continental United States to have a coastline on the Pacific Ocean. Oregon was inhabited by many indigenous tribes before Western traders, explorers, and settlers arrived. An autonomous government ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$46,715 to $57,257

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019