Medical Coding Specialist

Current employees: Please apply through the employee portal to be considered for this opportunity.

Pay Range:

$30.14 $36.91 Hourly

Department:

Health Department

Job Type:

Regular Represented

Exemption Status:

United States of America (NonExempt)

Closing Date (Open Until Filled if No Date Specified):

The Opportunity:

THIS WORK MATTERS!

This recruitment is Open Until Filled to allow for a deeper candidate pool. Applicants will be reviewed every week, starting 08052025.

The primary purpose of the Medical Coding Specialist (Finance Specialist 1) is to analyze coding, charges and provider documentation for Behavioral Health Services with the goal of providing technical assistance, training for staff as well as optimizing revenue, ensuring compliant coding practices, and increasing the volume of accurate claims for reimbursement.

Knowledge, Skills and Abilities (KSA): Certified Medical Coder issued from AAPC or AHIMA (REQUIRED).

As the Medical Coding Specialist, other duties will include:

Quality Assurance and Compliance

• Provide customer service by telephone, email, and virtuallyinperson to Behavioral Health staff and leadership to aid them in understanding healthcare reimbursement, documentation and codingcharges.

• Assist staff and internal customers with current coding and compliance guidelines, procedures and related laws.

• Assist in the internal development of technical assistance guides, rate sheets, policies and procedures related to coding, billing, documentation, and rebilling to meet department and external partner requirements.

• Work with and apply Oregon Health Authority (OHA) and Coordinated Care Organization (CCO)CareOregon rules and regulations; apply expertise in coding guidelines and federal regulations.

• Assist with transition from Evolv to EPIC electronic health record.

• Provide technical assistance around coding requirements to aid QM Billing Team in training and educating staff on selecting codes for services rendered.

• Participate in internal projects related to improving efficiencies and processes.

• Review and Analysis Fee Coding and Charges

  • Review and analyze Behavioral Health charts to ensure accurate clinical coding and charges based on provider documentation.

  • Ensure services billed are compliant with applicable rules and regulations, internal policies and procedures, payer requirements and federal guidelines related to professional fee services.

  • Use knowledge of clinical documentation practices, Health Resources and Services Administration (HRSA) and Federally Qualified Health Center (FQHC) methodology.

  • Navigate electronic health records (Evolv and Epic), Work Queues, messaging Inbox, etc.

  • Interpret and resolve coding and documentation errors related to denials, charge review and claim edits, and Clearinghouse rejections.

  • This position requires collaborating with staff and programs in the Finance & Business Management Division, Clinical Systems Information (CSI) team, clinical teams, leadership teams, andor OCHIN, as appropriate.

  • Involves communications with clinical staff, leadership team and internal partners in order to resolve coding and documentation issues.

  • Identify recurring trends, patterns and behaviors that adversely affect timely filing of claims.

  • Identify opportunities for systems andor workflow improvements.

  • Professional Direction and Advice

    • Attend relevant meetings which may include staff from areas such as Accounts Receivable, Billings, Operations andor clinical personnel.

    • Coordinate efforts to resolve technical and operational issues that arise.

    • Develop and apply excellent diplomacy, interpersonal and professional skills to work with all levels of the organization to identify, understand, communicate and clearly explain coding errors, trends and concerns, both internally and externally to the organization.

    • Use the equity lens and a traumainformed approach in listening and providing guidance for understanding, improvement and most advantageous result for staff involved and the Behavioral Health Division.

    • TO QUALIFY:

      We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications, review our overview of the selection process page.

      Minimum QualificationsTransferable Skills*:

      EducationCertification: Equivalent to an associates degree and one (1) to four (4) years of experience that demonstrates the ability to perform the duties of the position. (Equivalency 36 years of qualifying training andor experience).

      Other:

      • Knowledge, Skills and Abilities (KSA): Certified Medical Coder issued from AAPC or AHIMA.

      • This position requires a background investigation, which may include being fingerprinted.

      • Preferred Qualifications Transferable Skills*: You do not need to have the following preferred qualifications transferable skills to qualify. However, keep in mind we may consider some or all of the following when identifying the most qualified candidates.

        • Knowledge of issues faced by those who experience behavioral health challenges and a basic understanding of the full continuum of care for those in need of services.

        • Lead with race through actions and advocacy with internal programs, with community partners and across departments throughout the county.

        • Demonstrate the ability to flex style when faced with myriad dimensions of culture in order to be effective across cultural context.

        • Respect and appreciation for ethnic and cultural diversity.

        • Ability to collaborate and build relationships to achieve positive work outcomes.

        • Ability to maintain a safe and healthful workplace.

        • High degree of resilience, is outcome driven and can thrive in an environment of rapid change while effectively managing pressure in an effective and professional manner.

        • *Transferable skills: Your transferable skills are any skills you have gained through education, work experience (including the military) or life experience that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.

          SCREENING & EVALUATION (REQUIRED):

          The Application Packet: You must submit ALL requested items below. Failure to do so will be deemed as an incomplete application.

          1. Attach a Resume demonstrating you meeting minimum qualifications; AND

          2. Attach a Cover Letter addressing the following:

          • Describe your experience working with complex data sets, and include any billing or coding experience; and

          • How you meet the qualifications for this position

          • 3. Attach a copy of your AAPC or AHIMA certification.

            Note: The application, resume and cover letter should demonstrate your work experienceskills and how it is related to those shown in the ‘Overview’ and ‘To Qualify’ sections of the job announcement. Please be thorough, as these materials will be scored and determine your eligibility to advance in this recruitment process.

            The Selection Process: For details about how we typically screen applications, review our overview of the selection process page. We expect to evaluate candidates for this recruitment as follows:

            • Initial review of minimum qualifications

            • Resume and Cover Letter Review

            • Phone screen

            • Consideration of top candidates

            • Background, reference

            • Note: Application information may be used throughout the entire selection process. This process is subject to change without notice.

              ADDITIONAL INFORMATION:

              Type of Position: This hourly unionrepresented position is eligible for overtime

              Type: Represented

              FLSA: NonExempt

              
              Diversity and Inclusion: At Multnomah County, we dont just accept difference; we value it and support it to create a culture of dignity and respect for our employees.

              We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.

              Veterans’ Preference: Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.

              Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.

              Questions?

              Recruiter:

              Caitrin Thomaselli

              Email:

              caitrin.thomaselli@multco.us

              Phone:

              +1 (971) 4218257

              Application information may be used throughout the entire selection process. This process is subject to change without notice.

              Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.

              Job Profile:

              6029 Finance Specialist 1