Planned Parenthood
Working at Planned Parenthood Great Northwest, Hawai’i, Alaska, Indiana, Kentucky is more than a job. It provides the opportunity to contribute to our powerful mission and perform meaningful work.
In healthcare services, this means a commitment to providing the absolute best in patient care and education. Our exceptional health center staff drives our mission forward by upholding our acclaimed customer service & confidentiality standards, and working to create a safe, judgement-free space for anyone seeking Planned Parenthood services.
As an organization, we are focused on equity, diversity, and inclusion. Specifically, we recognize that profound racism impacts the education, health, and wellbeing of people in our communities, and we are actively working to address all forms of oppression. We believe our employees should reflect the diversity of the populations we serve, including racial and ethnic diversity. People of color are strongly urged to apply.

About this position: Coding and Documentation Integrity Manager
Under the general supervision of the Revenue Cycle Director, develops, executes, and maintains clinical coding program which includes but is not limited to coding training, coding audits, documentation, resources, and tools; consults with other departments across the agency when coding and clinical documentation expertise is necessary.
Manages coding integrity auditing and clinical documentation improvement activities for the organization. Develops or contributes to the development of and provides coding and documentation education for clinical staff. Supports the fiscal goals of the organization by providing timely and accurate deliverables, working with other departments across the organization to meet coding and documentation quality objectives. Ensures revenue integrity through compliant coding and documentation capture approaches.
This is a full-time remote position and is only open to applicants that reside in the states of WA, ID, HI, KY, IN, AK.

What you’ll be doing:

• Works closely with Clinical Leadership; identifies coding trends, deficiencies, and opportunities for improvement.
• Performs quality audits for clinician services incorporating both coding and clinical documentation requirements into the assessment.
• Reviews clinician documentation in the medical record to ensure compliance with all federal, state, and third-party billing requirements, rules, regulations, and standards of care.
• Provides coding support, education, and training to clinical staff.
• Develops audit tools and coding resources; including, but not limited to clinician audit dashboard, coding training guides, annual coding updates, maintains a “Coding Corner” on SharePoint
• Reviews records for documentation deficiencies and collaborates with the clinicians and clinical leadership to improve documentation specificity.
• Performs research and provides coding and documentation guidance for new services offered at PPGNHAIK health centers.
• Represents Revenue Cycle Operations as a coding and documentation subject matter expert in workgroups, projects, and implementations where needed.
• Participates on the EHR Upgrade Team to provide input on how EHR changes may impact coding and documentation.
• Maintains proficiency in coding changes ensures most current information is available.
• Research and address coding questions from clinical and billing staff.
• Works HCC/Hedis Gap Reports from health plans
• Coordinates with Medical Records, QRM, Clinical Applications and the Director of Strategic Initiatives as necessary
• Supervises Coding Specialist

We’ll trust you to:

• Adheres to the PPGNHAIK code of conduct and all policies, procedures, and protocols.
• Demonstrates and maintains a high degree of professionalism.
• Takes action to support the affiliate’s commitment to equity, diversity, and inclusion.
• Supports and acts in accordance with the PPGNHAIK customer service standards.
• Values continuous learning and seeks ongoing training and development.

You’ll need to have:Education:

• High School Diploma or GED required, BA/BS degree in business or applicable field preferred.

Certification:

• AAPC Certified Professional Coder (CPC) or equivalent required.
• AAPC Certified Risk Adjustment Coder (CRC) or equivalent required
• Certified Professional Medical Auditor (CPMA) preferred.

Experience:

• Minimum of two years practical clinical documentation improvement, coding and/or auditing experience
• Demonstrated ability training clinical staff on coding concepts.
• Strong analytical, data management and PC skills including advanced knowledge of Excel, Word, Outlook, and PowerPoint.
• Excellent communication, coordination, and organization skills

Compensation: PPGNHAIK's compensation philosophy is based on equity and transparency. Starting offers are determined by both the candidate's directly applicable experience and internal equity within the pay grade.
The pay range is $69,200 to $115,333 annually.

Perks: As part of our total rewards package, we offer meaningful work, promotional opportunities, and competitive compensation.
Our attractive benefits package includes medical, dental, and vision coverage for you and eligible dependents, life insurance, short- and long-term disability coverage. For additional information regarding compensation, pay scales, or total rewards, please reach out to [email protected].

Proof of completed COVID-19 and Flu Vaccination is required prior to starting employment with PPGNHAIK. If selected as the final candidate for this role, you will be required to provide proof of receiving both a current flu vaccination and two doses of the COVID vaccine. Please inform your Talent Acquisition Specialist if you will require an exemption/accommodation.
Also, you will be required to provide three references (one from a supervisor and two from coworkers/peers).
This position is only open to applicants that reside in the states of WA, ID, HI, KY, IN, AK.

Next Steps: Please click apply now below to submit an application and resume. Once your information has been reviewed by our recruitment team, we will reach out by telephone and/or email to schedule an interview for all qualified applicants. Please continue to check your spam folder for all email communications that may come from our organization.

Equal Opportunity Employment
PPGNHAIK is an equal-opportunity employer and seeks to recruit people of diverse backgrounds - and to support their retention and advancement within the organization. Justice is one of our core values, and we are committed to fostering a workplace culture inclusive of people with respect to their race, ethnicity, national origin, gender/gender identity, sexual orientation, socio-economic status, veteran status, marital status, age, disabilities, political affiliation, religious beliefs or any other characteristic. Our commitment to justice and diversity also means providing a work environment that is welcoming, respectful and engaging.
Racism deeply impacts the health and wellbeing of our communities, compounding existing disparities and creating intersectional barriers. We strive to name and address these barriers through community engagement and assessment, relevant and effective policy creation, and organizational accountability methods. We support initiatives that address all forms of oppression, however, maintaining an explicit focus on race is essential to advancing equity across our communities. Improving outcomes for people of color will improve outcomes for everyone.