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Seattle Children's · 21 hours ago

Compliance Analyst

Seattle, WA

Full-time

Hybrid

Entry, Mid Level

$98K/yr - $146K/yr

2+ years exp

Seattle Children's is a leading pediatric hospital dedicated to providing exceptional care and advancing research. The Compliance Analyst will support the professional billing compliance program, ensuring adherence to policies and regulations while collaborating with various departments to maintain compliance and safeguard revenue capture.

BiotechnologyHealth CareHospitalHospitality

Responsibilities

Work as part of a team to shape and support the professional billing compliance program

Ensure that providers adhere to all relevant policies and regulations

Focus on safeguarding appropriate revenue capture

Work closely with revenue integrity, professional coding, and other key departments on processes

Support providers in maintaining compliance

Collaborate with other areas of the health system as it applies to professional billing and compliance

Qualification

CPT codingHCPCS codingICD-10-CM codingProfessional fee coding certificationHealth Science degreeHealth Information ManagementCompassionExcellenceEquityInnovationCollaborationIntegrity

Required

BA or BS degree in a Health Science, Business, Nursing, Health Information Management, or related field, or equivalent combination of education and experience that demonstrates competency

Equivalent experience of five (5) years or more in health care management, coding, billing, and relevant nursing experience may be substituted for educational requirements

Experience working with current CPT and HCPCS coding nomenclature and rules, ICD-10-CM coding conventions, and clinical documentation standards

Minimum two (2) years of experience working directly with physicians on professional fee billing compliance

Professional fee coding certification required: CPC, CHC, or CSS-P