The Medical Coding Specialist is responsible for conducting audits and internal reviews of all medical coding and charge entries contained within patient Electronic Health Records. They verify all documentation for accuracy in preparation of submission for billing. The Medical Coding Specialist also works closely with Contract Health provided by Indian Health Services, referrals, and other departments to sign Quinault Wellness Center patients onto the Washington Health Benefit Exchanges for healthcare coverage.

Required:

• Associates degree, preferably in a healthcare-related field or an equivalent combination of education and experience may substitute for the required degree.
• Medical Coding Certification
• Three (3) years of experience working in a medical setting
• Knowledge and understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare, and strong knowledge of Washington and Federal payer regulations.
• Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, transcription, designing forms, and other office procedures and terminology.
• Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
• Knowledge and adherence to state (RCW, WAC) and federal confidentiality regulations (42 CFR part 2). Applicants must always conduct self ethically and professionally.
• Knowledge of HIPAA and PHI requirements.
• Knowledge of common office and administrative procedures.
• Skills in the operation of a personal computer and standard office programs and equipment.
• Ability to work in a cross-culture environment and understands the social and cultural context of the patients at the Quinault Wellness Center, understanding the role of trauma, historical, community, family, and personal experience in wellness and recovery.
• Must pass criminal background investigation, reference inquiry, and vaccine mandate attestation requirements of either having been vaccinated or present documentation needed for a medical or religious exemption
• Must maintain a valid Washington State Drivers License and must be insurable through our company.