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Providence Manager, Outpatient Coding *Telecommute* in Montana


Providence St. Joseph Health is calling a Manager, Outpatient Coding to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.

Revenue Cycle Shared Services reflect the Providence employees who work throughout Providence St. Joseph Health in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska, Washington, Montana, Oregon, California, Texas, and New Mexico. Revenue Cycle's objective is to ensure our core strategy, Committed to Excellence, is enhanced along with the overall patient care experience (know me, care for me, ease my way) by delivering a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.

The Manager, Outpatient Coding is responsible for operationalizing, and monitoring best practices for the outpatient coding team and its processes throughout the Providence Health System, including affiliates, leading to the compliant and timely coding of outpatient encounters for use in claim submission, and regulatory, quality, and population health reporting to support the delivery of safe and effective patient care.

This leader, in collaboration with the Director, and other Managers is responsible for the performance of the coding support function ensuring organizational performance is in alignment with the short-term and long-term coding goals of the Providence Health System.


  • Provides management and oversight of outpatient coding staff.

  • Provides outpatient coding expertise and direction to other departments, medical staff and other providers to improve clinical documentation as guided by official coding guidelines.

  • Implements standardized policies, procedures, and practices related to outpatient coding/abstracting.

  • Leads /participates in enterprise-wide hospital-based coding-related initiatives and ensures adherence to official coding and regulatory guidelines.

  • Partners with physicians, CDI, Quality, Risk / Integrity / Compliance, and other departments to optimize clinical documentation practices related to coding across the enterprise.

  • Alerts the organization and works with the appropriate leaders on any identified coding quality and integrity risks and assists in the development of risk-mitigation strategies.

  • Communicates ideas or positions in a persuasive manner that builds support, agreement, or commitment. Takes actions that directly or indirectly influence others to create buy-in, gain trust, and motivate actions in others or win concessions without damaging relationships.

  • Works closely with the HIM IP Coding QA, Education, and Training Team to ensure a high-level of coding accuracy, productivity, and compliance with official coding and regulatory guidelines.

  • Provides management of coding technology and use of common tools including encoders, groupers, and other systems related to coding /abstracting.

  • Monitors compliance to all outpatient coding-related KPI’s.

  • Monitors performance related to metrics relevant to outpatient such as DNFB (Discharged Not Final Billing) and coding A/R days.

  • Monitors metrics related to coding productivity and quality.

  • Evaluates and monitors individual coder performance and provides appropriate coaching, mentoring, disciplinary actions as appropriate.

  • Recruits for, screens, interviews, and hires outpatient coders.

Required qualifications:

  • Bachelor's Degree in AHIMA accredited HIM program or other healthcare related field of study.

  • 3 years Experience in medical coding and auditing with thorough knowledge of CPT,ICD-10, and HCC coding principles.

  • 7 years Extensive background in all aspects of coding operations, data management and reporting, coding software applications.

  • Required upon hire: National Certification from American Academy of Professional Coders Or

  • Required upon hire: National Certified Coding Associate - American Health Information Management Association Or

  • Required upon hire: National Certified Coding Specialist - American Health Information Management Association Or

  • Required upon hire: National Certified Coding Specialist - Physician - American Health Information Management Association Or

  • Required upon hire: National Certified Documentation Improvement Practitioner - American Health Information Management Association Or

  • Required upon hire: National Certified Health Data Analyst - American Health Information Management Association Or

  • Required upon hire: National Registered Health Information Administrator - American Health Information Management Association Or

  • Required upon hire: National Registered Health Information Technician - American Health Information Management Association

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.

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.

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.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 132611
Company: Providence Jobs
Job Category: Coding
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 4001 SS RC CODING NWR
Address: CA Irvine 3345 Michelson Dr

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.