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8/17/12


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Better care is in the details. Regence needs your inquisitive nature, big-picture viewpoint and strong ties to the medical community. Use your skills to coordinate with multiple providers and facilities to ensure our members get effective, integrated care. Coordinate care for Regence members.

Coding and Clinical Documentation Specialist
Portland, OR; Salem, OR; Seattle, WA

Coding and Clinical Documentation Specialist - Regence Blue Cross Blue Shield

This incredible opportunity will contribute expertise to the development of clinician training on the CMS Risk Adjustment / HCC model. Participate in quality improvement activities with an emphasis on clinical documentation and coding improvement initiatives for providers.

Job Requirements

Key qualifications and experience:

  • 5+ years clinical experience with a working knowledge of physician service delivery
  • 3+ years as a clinical coder or auditor
  • 3 years' experience conducting training / educational sessions for professional staff, including preparations of instructional materials preferred
  • Thorough knowledge of CMS and other applicable guidelines and regulations
  • Competency in Microsoft Office products and ability to quickly learn proprietary vendor software tools as needed
  • Knowledge of Medicare Risk Adjusted coding and reimbursement methodologies preferred
  • Ability to gather data and make sound, mature decisions
  • Highly motivated and self-directed
  • Strong communication skills, ability to deal tactually with professional medical staff
  • Completion of an accredited 2 year Health Information program and certification as an RHIA or RHIT. Alternatively, a Clinical Degree (RN license) with completion of a Health Information program and Certification as a CPC or CCS; or the equivalent in education and experience
  • License and/or Certifications must be current
  • Bachelor's Degree in Health Information or Nursing preferred

Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. To search and apply for employment opportunities at Regence, visit us at: www.cambiahealth.com/careers and Apply Online to Job # 19973

Hard work and dedication are rewarded at Cambia. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. Drug Screening and Background Check is required.

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