Coding Consultant I, II, or III DOE

Coding Consultant I II or III DOE

Hybrid within Oregon Washington Idaho or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day Cambias dedicated team of Coding Consultants are living our mission to make health care easier and lives better. As a member of the Payment Integrity team our Coding Consultant coordinates monitors and audits documentation and coding of inpatient and/or outpatient services in all applicable health care settings. Analyze audit results identify patterns trends or variations in coding and documentation practices and make recommendations for improvement. Initiate and/or recommend corrective action plan to ensure resolution of problem areas identified during auditing and monitoring activity. Support internal/external departments with coding research and insight all in service of creating a person-focused health care experience.

What if your coding expertise didnt just process claims it actually shaped the future of person-focused health care What if your coding knowledge was the bridge between clinical teams internal departments and the health care experience members deserve Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• Bachelors degree in business administration or related health care field

• 3 years coding experience

• 2 years of experience participating in coding audits and quality performance measures preparing audit reports with recommendations and providing education and feedback to facilitate improvement in documentation and coding or equivalent combination of education and experience.

• Coding Review Consultant: Certification in at least 1 of the following is required at the time of hire and throughout tenure in job: Certified Coding Specialist (CCS) Certified Coding Specialist-Physician (CCS-P) Certified Professional Coder (CPC) RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator)

Skills and Attributes:

• Understanding of medical terminology pharmacology body systems/anatomy physiology and concepts of disease processes.

• Basic knowledge of CDT and revenue codes.

• Knowledge of ICD-10 CPT HCPCS.

• Demonstrated ability to provide effective statistical analysis and analytical problem solving.

• Strong working knowledge of the critical elements of the coding process.

• Demonstrated ability to communicate verbally and in writing clearly and effectively with a wide variety of individuals at all levels of the organization.

• Knowledge of adult learning principles.

• Basic computer experience and ability to learn new computer applications quickly and independently including: Microsoft Office Suite and other software products.

• Ability to manage significant work load and to work efficiently under pressure meeting established deadlines with minimal supervision.

• Understanding of government rules and regulations and areas of scrutiny for potential areas of risk for fraud and abuse regarding coding and documentation.

• Basic knowledge of insurance reimbursement methodology

• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

What You Will Do at Cambia:

• Identify trends and patterns; collate audit results and analyze findings; identify root cause analysis; and identify system issues that may contribute to claims coding provider contracting and revenue cycle deficiencies. Prepare written audit report for noted deficiencies and make recommendations to internal/external departments and others as appropriate/requested (i.e. training oversight monitoring process flows etc).

• Assist in the development implementation and completion of corrective action plans for noted deficiencies.

• Contribute to the development and maintenance of procedural documentation for internal controls to assist with coding training education policy development and compliance materials.

• Uses knowledge of CPT HCPCS and ICD-10 coding to perform assigned research.

• Supports other areas within the department by serving as a resource for coding questions.

#LI-Hybrid

The expected hiring range for a Coding Consultant is $69700 - $94300 depending on skills experience education and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $65000 - $107000.

The expected hiring range for a Coding Consultant II is $76500 - $103500 depending on skills experience education and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $72000 - $117000.

The expected hiring range for a Coding Consultant III is $84200 - $113900 depending on skills experience education and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $79000 - $129000.

About Cambia

Working at Cambia means being part of a purpose-driven award-winning culture built on trust and innovation anchored in our 100 year history. Our caring and supportive colleagues are some of the best and brightest in the industry innovating together toward sustainable person-focused health care. Whether were helping members lending a hand to a colleague or volunteering in our communities our compassion empathy and team spirit always shine through.

Why Join the Cambia Team

At Cambia you can:

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match bonus opportunities and more.

In exchange for helping members live healthy lives we offer benefits that empower you to do the same. Just a few highlights include:

• Medical dental and vision coverage for employees and their eligible family members including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

Learn more about our benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.