Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Providence Health Plan is calling a Senior Program Coordinator who will: Be responsible for supporting both coding and administrative facilitation of all Coding Policy team initiatives. This work involves: Coding policy writing and Peer review for accuracy and quality
Work to summarize all coding policy changes including but not limited to:
Vetting policy change impacts using analytics data and coding resources
Presenting coding changes at appropriate committee meetings to ensure stakeholder approval
Publication of all changes in the coding newsletter
Be responsible for Committee agendas, minutes and action items
Be responsible for all publications of policy and submission of coding change request forms within the JAMA application
Review Clinical Edit Inquiries (CEI) from the provider fax queue that are routed by Provider Relations
Create customer service inquiries (CSI) for the Coding Policy Analyst (CPA) work queue (also called the FSA queue)
Create letters from the CPA responses on the CSI and fax to the provider's office
Assist analysts in making coding decisions for letter responses to providers
Assist Coding Policy Analysts with code updates and the code review process through Code Review Committee (CRC). This includes monitoring nThrive (a coding application) and CMS and AMA websites for changes to CPT, HCPCS, and ICD-10 codes, updating the company's coding database with new, deleted, and revised codes as these are published throughout the year
Be responsible for compiling agenda items for Code Review Committee meetings, sending the agenda to all members of the committee at least three business days prior to the meeting, and distributing the minutes following the meeting
Assist the Coding Policy Manager in attending various department committee meetings as a representative of the team, publication of coding policies and coding announcements and additional coding related administrative duties as assigned
Have excellent writing skills, keen critical thinking abilities, and impeccable organizational skills
Perform all duties in a manner which promotes team concept and reflects the Sisters of Providence mission and philosophy
We welcome 100% remote work for residents who reside in one of the following areas: Oregon: Washington & Multnomah Counties Required qualifications for this position include: Bachelor's Degree -OR- a combination of equivalent education and experience
3+ years of program coordination experience
2+ years of experience in healthcare related field (clinical setting or medical insurance) required
1+ years of experience in detailed coding applications
1+ years of experience with Microsoft Office capabilities, such as Excel, Word, and Access
1+ years of experience with data entry, word processing, database and spreadsheet programs in a Windows based environment
Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 278867
Company: Providence Jobs
Job Category: Administrative Support
Job Function: Administration
Job Schedule: Full time
Job Shift: Day
Career Track: Admin Support
Department: 5018 HCS MEDICAL MANAGEMENT OR REGION
Address: OR Beaverton 3601 SW Murray Blvd
Work Location: Murray Business Ctr Beaverton-Beaverton
Pay Range: $29.56 - $46.10
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
