Yakima Valley Farm Workers Clinic · 1 day ago
Coding Integrity Analyst
Toppenish, WA
Full-time
Onsite
Entry, Mid Level
$26.75/hr - $32.76/hr
2+ years expYakima Valley Farm Workers Clinic is a leading community health center in the Pacific Northwest with a commitment to making a difference beyond medical care. The Coding Integrity Analyst will improve the quality and completeness of clinical documentation, support coding policy updates, and provide ongoing education and training to clinical staff.
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Responsibilities
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
Qualification
Required
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
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
Preferred
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
Benefits
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!
Company
Yakima Valley Farm Workers Clinic
Yakima Valley Farm Workers Clinic is one of the largest community health centers in the Pacific Northwest.
1001-5000 employees
H1B Sponsorship
Yakima Valley Farm Workers Clinic has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (9)
2023 (6)
2022 (4)
2021 (6)
2020 (8)
Funding
Current Stage
Late StageLeadership Team
Andrea Cogburn
Senior Human Resources Business Partner
Jose Macias, MBA, SHRM-SCP
Senior Human Resources Business Partner
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