Home › Companies › Iawfqy Fa Ocs Oraclecloud Com CX 1 › Coding Compliance Specialist
Coding Compliance Specialist
Iawfqy Fa Ocs Oraclecloud Com CX 1 · Hillsboro, OR, United States; Hillsboro - NE Aloclek Dr, Hillsboro, OR, US · On Site · Active · Oracle Recruiting Cloud / Fusion HCM
Job facts
| Field | Value |
|---|---|
| Company | Iawfqy Fa Ocs Oraclecloud Com CX 1 |
| Title | Coding Compliance Specialist |
| Normalized title | - |
| Department / team | Administrative |
| Location | Hillsboro, OR, United States |
| Work model | On Site |
| Employment type | Full Time |
| Salary | - |
| Status | active |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2026-03-06 / 2026-05-31 |
| Changed / last seen | 2026-05-31 / 2026-06-06 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Iawfqy Fa Ocs Oraclecloud Com CX 1. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Oracle Recruiting Cloud / Fusion HCM. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Hillsboro. | Open |
| Department jobs | Active postings in Administrative. | Open |
| Work model jobs | Active On Site postings. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Iawfqy Fa Ocs Oraclecloud Com CX 1 |
| Source | 9666ee08-7616-4ef0-94d8-85d3e01e4826 |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
Description
Description
At Virginia Garcia Memorial Health Center, we welcome diversity; we encourage, uplift, and are honored to serve people who have been historically underrepresented and underserved. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special emphasis on seasonal and migrant farm workers and others with barriers to receiving healthcare. We strive to provide an inclusive environment that welcomes and values the diversity of the people we employ and serve.
Job Summary: The role of the Coding Compliance Specialist is to maintain organizational compliance with coding and medical record documentation. The person holding this position is responsible for reviewing the coding of professional services records for compliance with CMS, AMA and certified coding standards. This position will conduct internal chart audits, encounter form reviews, assists with teaching providers and staff coding and reporting results. This position will support any third party billing staff in areas related to coding or collections.
Essential Duties and Responsibilities:
· Ensure the medical claims are submitted accurately and in a timely manner by:
o Reviewing electronic health records to assign accurate ICD-10-CM and CPT/HCPCS codes based upon coding principles and official guidelines.
o Reviewing patient records documentation to ensure that services provided are accurate and meet guidelines.
o Monitoring billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation.
o Utilizing advanced knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic /procedure bulling coeds, in compliance with third party payer requirements.
o Interacting with patient care providers regarding billing and documentation policies, procedures and regulations; obtains clarification of conflicting or non-specific documentation.
o Monitoring external data sources to ensure receipt and analysis of all charges (EOBs).
o Reviewing and resolving the claim edit and charge review work queues.
· Assures compliance with all regulatory agencies and payer sources:
o Regular compliance auditing and monitoring payers
o Creating reports of audit findings under the direction of the Billing Manager.
o Performing audits and analyses of payer denials; providing information on compliance issues arising from audits and formulates recommendations to providers regarding improving documentation practices.
· Assures that providers and support staff have an understanding of their responsibility for accuracy of patient registration and coding of encounters.
o Lead or assist in developing education programs for providers around coding.
o Researching inquiries from providers and patients about fees, reimbursements and denials.
· Acting as a liaison between the Lead Providers, members of senior leadership and the billing department.
o Work with OCHIN to remedy billing problems.
o Interacting with department heads and administrative staff regarding implementation of new codes and revision of charge documents.
· Ensuring the integrity of the HCPCS, CPT and ICD-10 codes are maintained in the electronic medical record (EMR).
· Maintains current coding credentials knowledge of State and Federal regulations applicable to coding by attending conferences, workshops and participating in OCHIN Billing Workgroups.
· Handle protected health information (PHI) in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
· Valid driver's license, reliable transportation, safe driving record and insurance coverage required.
· Perform other duties as assigned.
HIPAA Requirements:
The Coding Compliance Specialist has access to PHI to create and maintain an accurate and up-to-date health record. Applying the minimum necessary standard of HIPAA, the designated record sets to which this employee will have access include all sections of the dental and medical record, patient demographic information in the practice management system, incoming records, reports, results, consultations, etc. The [position title] should read the content of these records only to the extent needed to accomplish the assigned task (e.g. filing or disclosure).
Knowledge, Skills and Abilities Required:
Knowledge of auditing concepts and principals Knowledge of patient care charts and patient histories Ability to analyze complex medical records and identify billable services. Ability to maintain quality and safety standards. Knowledge of current and developing issues and trend in medical coding procedure requirements. Advance knowledge of medical coding procedures, systems, and regulatory issues within a specified area of medical specialty. Knowledge of anatomy and physiology Analytical and problem solving skills Ability to gather data, compile information and prepare reports Knowledge of medical terminology Knowledge of ICD-9CM, ICD-10CM, and CPT-4 coding. Ability to clearing communicate medical information to professional practitioners and/or the general public. Demonstrated ability to work effectively in a team environment High level of accuracy with numbers and data, which will become patient records Excellent interpersonal, oral, non-verbal and written communication skills Microsoft office suite including Microsoft Word, Excel, PowerPoint and database software Commitment and alignment to Virginia Garcia's mission, vision and values Bilingual/bicultural proficiency (Spanish/English spoken and written) desirable Education and Experience Required:
High School Diploma or GED and certificate of successful completion of a coding exam is required. Certification procedural coder (CPC, CPC-H, CCS, CCSP), accredited records technician (ART) or as a registered health information technician (RHIT). Minimum of one year of experience working with Electronic Health Record and specialty coding. At least two years' experience directly related to the duties and responsibilities specified in the job description. Additional education and training is desirable with two year medical office experience and training. Billing experience and chart auditing experience preferred. Community health experience desirable. Valid Oregon driver's license, reliable transportation, safe driving record and insurance coverage required. Behavioral Competencies:
Accountability: Role model VG's mission, vision, and shared values
Customer-Focus: Listen to the voice of the customer and strive to delight them by exceeding their expectations
Teamwork: If someone needs help, help them
Initiative: Be innovative, apply fresh ideas, and continuously improve how you do your work
Confidentiality: Maintain strict confidentiality and respect the privacy of others
Ethical: Demonstrate integrity, honesty, and stewardship in all encounters at work
Respect: Demonstrate consideration and appreciation for co-workers and patients
Communication: Demonstrate the ability to convey thoughts and ideas as well as understand perspective of others
Physical Requirements:
Standing: 10% Walking: 10% Sitting: 75% Reaching/stooping/bending: 5% Must be able to lift/carry up to 25 lbs. Computer usage: 75% Travel: Occasional travel to clinics and migrant worker camps. Working Environment/Physical Hazards:
· Work in a well-lighted, ventilated environment
· No exposure to blood borne pathogens or hazardous chemicals
· Must be able to handle fast paced work environment with multiple time-sensitive competing demands.
Equipment Used:
Computer Telephone Fax/copier/scan Immunization:
Staff members must meet immunization requirements as stated in VGMHC's immunization policy and state and federal guidelines.
Job descriptions represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish VGMHC's Mission.
VGMHC is an Equal Opportunity Employer. No person is unlawfully excluded from consideration for employment because of race, color, religious creed, national origin, ancestry, sex, age, veteran status, marital status, or physical challenges. The policy applies not only to recruitment and hiring practices, but also includes affirmative action in placement, promotion, transfer, rate of pay, and termination.
Full job record
| Job ID | 6629ef58aa3fdc15f16f0a59c03a8af3569314d5 |
| Org ID | d5192402-5850-4ba4-ac33-24c08484cb2f |
| Source ID | 9666ee08-7616-4ef0-94d8-85d3e01e4826 |
| Board ID | 9666ee08-7616-4ef0-94d8-85d3e01e4826 |
| Provider | oracle_hcm |
| Provider Job Key | 650 |
| Title | Coding Compliance Specialist |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Hillsboro, OR, United States; Hillsboro - NE Aloclek Dr, Hillsboro, OR, US |
| Department | Administrative |
| Team | — |
| Employment Type | full_time |
| Workplace Type | on_site |
| Remote Policy | — |
| Country | United States |
| Region | OR |
| City | Hillsboro |
| Salary Raw | Description At Virginia Garcia Memorial Health Center, we welcome diversity; we encourage, uplift, and are honored to serve people who have been historically underrepresented and underserved. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special emphasis on seasonal and migrant farm workers and others with barriers to receiving healthcare. We strive to provide an inclusive environment that welcomes and values the diversity of the people we employ and serve. Job Summary: The role of the Coding Compliance Specialist is to maintain organizational compliance with coding and medical record documentation. The person holding this position is responsible for reviewing the coding of professional services records for compliance with CMS, AMA and certified coding standards. This position will conduct internal chart audits, encounter form reviews, assists with teaching providers and staff coding and reporting results. This position will support any third party billing staff in areas related to coding or collections. Essential Duties and Responsibilities: · Ensure the medical claims are submitted accurately and in a timely manner by: o Reviewing electronic health records to assign accurate ICD-10-CM and CPT/HCPCS codes based upon coding principles and official guidelines. o Reviewing patient records documentation to ensure that services provided are accurate and meet guidelines. o Monitoring billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. o Utilizing advanced knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic /procedure bulling coeds, in compliance with third party payer requirements. o Interacting with patient care providers regarding billing and documentation policies, procedures and regulations; obtains clarification of conflicting or non-specific documentation. o Monitoring external data sources to ensure receipt and analysis of all charges (EOBs). o Reviewing and resolving the claim edit and charge review work queues. · Assures compliance with all regulatory agencies and payer sources: o Regular compliance auditing and monitoring payers o Creating reports of audit findings under the direction of the Billing Manager. o Performing audits and analyses of payer denials; providing information on compliance issues arising from audits and formulates recommendations to providers regarding improving documentation practices. · Assures that providers and support staff have an understanding of their responsibility for accuracy of patient registration and coding of encounters. o Lead or assist in developing education programs for providers around coding. o Researching inquiries from providers and patients about fees, reimbursements and denials. · Acting as a liaison between the Lead Providers, members of senior leadership and the billing department. o Work with OCHIN to remedy billing problems. o Interacting with department heads and administrative staff regarding implementation of new codes and revision of charge documents. · Ensuring the integrity of the HCPCS, CPT and ICD-10 codes are maintained in the electronic medical record (EMR). · Maintains current coding credentials knowledge of State and Federal regulations applicable to coding by attending conferences, workshops and participating in OCHIN Billing Workgroups. · Handle protected health information (PHI) in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). · Valid driver's license, reliable transportation, safe driving record and insurance coverage required. · Perform other duties as assigned. HIPAA Requirements: The Coding Compliance Specialist has access to PHI to create and maintain an accurate and up-to-date health record. Applying the minimum necessary standard of HIPAA, the designated record sets to which this employee will have access include all sections of the dental and medical record, patient demographic information in the practice management system, incoming records, reports, results, consultations, etc. The [position title] should read the content of these records only to the extent needed to accomplish the assigned task (e.g. filing or disclosure). Knowledge, Skills and Abilities Required: Knowledge of auditing concepts and principals Knowledge of patient care charts and patient histories Ability to analyze complex medical records and identify billable services. Ability to maintain quality and safety standards. Knowledge of current and developing issues and trend in medical coding procedure requirements. Advance knowledge of medical coding procedures, systems, and regulatory issues within a specified area of medical specialty. Knowledge of anatomy and physiology Analytical and problem solving skills Ability to gather data, compile information and prepare reports Knowledge of medical terminology Knowledge of ICD-9CM, ICD-10CM, and CPT-4 coding. Ability to clearing communicate medical information to professional practitioners and/or the general public. Demonstrated ability to work effectively in a team environment High level of accuracy with numbers and data, which will become patient records Excellent interpersonal, oral, non-verbal and written communication skills Microsoft office suite including Microsoft Word, Excel, PowerPoint and database software Commitment and alignment to Virginia Garcia's mission, vision and values Bilingual/bicultural proficiency (Spanish/English spoken and written) desirable Education and Experience Required: High School Diploma or GED and certificate of successful completion of a coding exam is required. Certification procedural coder (CPC, CPC-H, CCS, CCSP), accredited records technician (ART) or as a registered health information technician (RHIT). Minimum of one year of experience working with Electronic Health Record and specialty coding. At least two years' experience directly related to the duties and responsibilities specified in the job description. Additional education and training is desirable with two year medical office experience and training. Billing experience and chart auditing experience preferred. Community health experience desirable. Valid Oregon driver's license, reliable transportation, safe driving record and insurance coverage required. Behavioral Competencies: Accountability: Role model VG's mission, vision, and shared values Customer-Focus: Listen to the voice of the customer and strive to delight them by exceeding their expectations Teamwork: If someone needs help, help them Initiative: Be innovative, apply fresh ideas, and continuously improve how you do your work Confidentiality: Maintain strict confidentiality and respect the privacy of others Ethical: Demonstrate integrity, honesty, and stewardship in all encounters at work Respect: Demonstrate consideration and appreciation for co-workers and patients Communication: Demonstrate the ability to convey thoughts and ideas as well as understand perspective of others Physical Requirements: Standing: 10% Walking: 10% Sitting: 75% Reaching/stooping/bending: 5% Must be able to lift/carry up to 25 lbs. Computer usage: 75% Travel: Occasional travel to clinics and migrant worker camps. Working Environment/Physical Hazards: · Work in a well-lighted, ventilated environment · No exposure to blood borne pathogens or hazardous chemicals · Must be able to handle fast paced work environment with multiple time-sensitive competing demands. Equipment Used: Computer Telephone Fax/copier/scan Immunization: Staff members must meet immunization requirements as stated in VGMHC's immunization policy and state and federal guidelines. Job descriptions represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish VGMHC's Mission. VGMHC is an Equal Opportunity Employer. No person is unlawfully excluded from consideration for employment because of race, color, religious creed, national origin, ancestry, sex, age, veteran status, marital status, or physical challenges. The policy applies not only to recruitment and hiring practices, but also includes affirmative action in placement, promotion, transfer, rate of pay, and termination. |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | — |
| Source URL | https://iawfqy.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/650 |
| Apply URL | https://iawfqy.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/650 |
| First Seen At | 2026-05-31 18:03:34Z |
| Last Seen At | 2026-06-06 11:04:26Z |
| Last Checked At | 2026-06-06 11:04:26Z |
| Last Changed At | 2026-05-31 18:03:34Z |
| Inactive At | — |
| Source Posted At | 2026-03-06 23:58:36Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=iawfqy.fa.ocs.oraclecloud.com|CX_1/date=2026-06-06/2026-06-06T11-04-21-910Z-0f7d48f3abd11fff822fa390872b4cbab2314e26187b60d96b054c3e38f0df32.json |
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"ExternalDescriptionStr": "<div class=\"WordSection1\"><p class=\"MsoNormal\" style=\"text-align: center;\"><span style=\"font-family: Calibri, sans-serif;\"><i><span lang=\"EN-US\" style=\"font-size: 11pt; font-weight: normal;\"><strong>At Virginia Garcia Memorial Health Center, we welcome diversity; we encourage, uplift, and are honored to serve people who have been historically underrepresented and underserved. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special emphasis on seasonal and migrant farm workers and others with barriers to receiving healthcare. We strive to provide an inclusive environment that welcomes and values the diversity of the people we employ and serve.</strong></span></i></span></p><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Job Summary:</strong> The role of the Coding Compliance Specialist is to maintain organizational compliance with coding and medical record documentation. The person holding this position is responsible for reviewing the coding of professional services records for compliance with CMS, AMA and certified coding standards. This position will conduct internal chart audits, encounter form reviews, assists with teaching providers and staff coding and reporting results. This position will support any third party billing staff in areas related to coding or collections.</span></span></p><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Essential Duties and Responsibilities:</strong></span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Ensure the medical claims are submitted accurately and in a timely manner by:</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Reviewing electronic health records to assign accurate ICD-10-CM and CPT/HCPCS codes based upon coding principles and official guidelines.</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Reviewing patient records documentation to ensure that services provided are accurate and meet guidelines.</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Monitoring billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation.</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Utilizing advanced knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic /procedure bulling coeds, in compliance with third party payer requirements.</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Interacting with patient care providers regarding billing and documentation policies, procedures and regulations; obtains clarification of conflicting or non-specific documentation.</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Monitoring external data sources to ensure receipt and analysis of all charges (EOBs).</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Reviewing and resolving the claim edit and charge review work queues.</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Assures compliance with all regulatory agencies and payer sources:</span></span></p><p class=\"MsoListParagraphCxSpFirst\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Regular compliance auditing and monitoring payers</span></span></p><p class=\"MsoListParagraphCxSpMiddle\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Creating reports of audit findings under the direction of the Billing Manager.</span></span></p><p class=\"MsoListParagraphCxSpLast\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Performing audits and analyses of payer denials; providing information on compliance issues arising from audits and formulates recommendations to providers regarding improving documentation practices.</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Assures that providers and support staff have an understanding of their responsibility for accuracy of patient registration and coding of encounters.</span></span></p><p class=\"MsoListParagraphCxSpFirst\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Lead or assist in developing education programs for providers around coding.</span></span></p><p class=\"MsoListParagraphCxSpLast\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Researching inquiries from providers and patients about fees, reimbursements and denials.</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Acting as a liaison between the Lead Providers, members of senior leadership and the billing department.</span></span></p><p class=\"MsoListParagraphCxSpFirst\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Work with OCHIN to remedy billing problems.</span></span></p><p class=\"MsoListParagraphCxSpLast\" style=\"margin-left: 0.75in; text-indent: -0.25in;\"><span style=\"font-family: "Courier New";\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">o</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Interacting with department heads and administrative staff regarding implementation of new codes and revision of charge documents.</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Ensuring the integrity of the HCPCS, CPT and ICD-10 codes are maintained in the electronic medical record (EMR).</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Maintains current coding credentials knowledge of State and Federal regulations applicable to coding by attending conferences, workshops and participating in OCHIN Billing Workgroups.</span></span></p><p class=\"MsoListParagraphCxSpFirst\" style=\"margin-left: 0.25in; text-indent: -0.25in;\"><a name=\"_Hlk150170920\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Handle protected health information (PHI) in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).</span></span></a></p><p class=\"MsoListParagraphCxSpMiddle\" style=\"margin-left: 0.25in; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Valid driver's license, reliable transportation, safe driving record and insurance coverage required.</span></span></p><p class=\"MsoListParagraphCxSpLast\" style=\"margin-left: 0.25in; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Perform other duties as assigned.</span></span></p><p class=\"MsoNormal\"> </p><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>HIPAA Requirements:</strong></span></span></p><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">The Coding Compliance Specialist has access to PHI to create and maintain an accurate and up-to-date health record. Applying the minimum necessary standard of HIPAA, the designated record sets to which this employee will have access include all sections of the dental and medical record, patient demographic information in the practice management system, incoming records, reports, results, consultations, etc. The </span></span><span style=\"background-color: white; color: black; font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">[position title]</span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"> should read the content of these records only to the extent needed to accomplish the assigned task (e.g. filing or disclosure).</span></span></p><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Knowledge, Skills and Abilities Required:</strong></span></span></p><ul type=\"disc\" style=\"list-style-type: disc; margin-top: 0in;\"><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Knowledge of auditing concepts and principals</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Knowledge of patient care charts and patient histories</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Ability to analyze complex medical records and identify billable services.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Ability to maintain quality and safety standards.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Knowledge of current and developing issues and trend in medical coding procedure requirements.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Advance knowledge of medical coding procedures, systems, and regulatory issues within a specified area of medical specialty.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Knowledge of anatomy and physiology</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Analytical and problem solving skills</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Ability to gather data, compile information and prepare reports</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Knowledge of medical terminology</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Knowledge of ICD-9CM, ICD-10CM, and CPT-4 coding.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Ability to clearing communicate medical information to professional practitioners and/or the general public.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Demonstrated ability to work effectively in a team environment</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">High level of accuracy with numbers and data, which will become patient records</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Excellent interpersonal, oral, non-verbal and written communication skills</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Microsoft office suite including Microsoft Word, Excel, PowerPoint and database software</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Commitment and alignment to Virginia Garcia's mission, vision and values</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Bilingual/bicultural proficiency (Spanish/English spoken and written) desirable</span></span></li></ul><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Education and Experience Required:</strong></span></span></p><ul type=\"disc\" style=\"list-style-type: disc; margin-top: 0in;\"><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">High School Diploma or GED and certificate of successful completion of a coding exam is required.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Certification procedural coder (CPC, CPC-H, CCS, CCSP), accredited records technician (ART) or as a registered health information technician (RHIT).</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Minimum of one year of experience working with Electronic Health Record and specialty coding.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">At least two years' experience directly related to the duties and responsibilities specified in the job description.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Additional education and training is desirable with two year medical office experience and training.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Billing experience and chart auditing experience preferred.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Community health experience desirable.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Valid Oregon driver's license, reliable transportation, safe driving record and insurance coverage required.</span></span></li></ul><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Behavioral Competencies:</strong></span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in;\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Accountability:</strong> Role model VG's mission, vision, and shared values</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in;\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Customer-Focus:</strong> Listen to the voice of the customer and strive to delight them by exceeding their expectations</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in;\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Teamwork:</strong> If someone needs help, help them</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in;\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Initiative: </strong>Be innovative, apply fresh ideas, and continuously improve how you do your work</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in;\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Confidentiality: </strong>Maintain strict confidentiality and respect the privacy of others</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in;\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Ethical: </strong>Demonstrate integrity, honesty, and stewardship in all encounters at work</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in;\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Respect: </strong>Demonstrate consideration and appreciation for co-workers and patients</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 0.25in;\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Communication: </strong>Demonstrate the ability to convey thoughts and ideas as well as understand perspective of others</span></span></p><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Physical Requirements:</strong></span></span></p><ul type=\"disc\" style=\"list-style-type: disc; margin-top: 0in;\"><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Standing: 10%</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Walking: 10%</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Sitting: 75%</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Reaching/stooping/bending: 5%</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Must be able to lift/carry up to 25 lbs.</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Computer usage: 75%</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Travel: Occasional travel to clinics and migrant worker camps.</span></span></li></ul><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Working Environment/Physical Hazards:</strong></span></span></p><p class=\"MsoNormal\" style=\"margin-left: 39pt; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Work in a well-lighted, ventilated environment</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 39pt; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">No exposure to blood borne pathogens or hazardous chemicals</span></span></p><p class=\"MsoNormal\" style=\"margin-left: 39pt; text-indent: -0.25in;\"><span style=\"font-family: Symbol;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">·</span><span lang=\"EN-US\" style=\"font: 7pt "Times New Roman";\"> </span></span><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Must be able to handle fast paced work environment with multiple time-sensitive competing demands.</span></span></p><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Equipment Used:</strong></span></span></p><ul type=\"disc\" style=\"list-style-type: disc; margin-top: 0in;\"><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Computer</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Telephone</span></span></li><li class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Fax/copier/scan</span></span></li></ul><p class=\"MsoNormal\" style=\"line-height: 14.5pt;\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\"><strong>Immunization:</strong></span></span><br><a name=\"_Hlk150170898\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Staff members must meet immunization requirements as stated in VGMHC's immunization policy and state and federal guidelines.</span></span></a></p><p class=\"MsoNormal\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">Job descriptions represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish VGMHC's Mission. </span></span><br><br> </p><p style=\"line-height: normal; margin: 0in;\"><span style=\"font-family: Calibri, sans-serif;\"><span lang=\"EN-US\" style=\"font-size: 11pt;\">VGMHC is an Equal Opportunity Employer. No person is unlawfully excluded from consideration for employment because of race, color, religious creed, national origin, ancestry, sex, age, veteran status, marital status, or physical challenges. The policy applies not only to recruitment and hiring practices, but also includes affirmative action in placement, promotion, transfer, rate of pay, and termination.</span></span></p></div>",
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Rendered from the bluedoor Job Postings API. Reproduce it:
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