Department Overview This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA. Function/Duties of Position Coding - Coding at 95% or above accuracy. - Abstract information from patient medical records to assign correct codes and charges to outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. - Depending on job need, assign correct CPT, ICD-10-CM; HCPCS or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or Surgical coding. - Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). - Coordinate patient encounter billing information and ensure that all information is complete and accurate before submission. Enter coding and billing information into EPIC, establish and maintain procedures and other controls necessary in carrying out all coding and billing activity. - Resolve with billing, any issues, coding denial requests or questions as part of coding denial process. - Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). - Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU. - Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). - Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned. - Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary. Department Support - Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues. - Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support and mentor and orientate coding staff as necessary. - Monitor coding and billing information from CMS guidelines, Professional licensing organizations, Internal communication memos, and transmittals from coding publishers and governmental agencies to advise facility and team of billing practice changes in CPT, ICD-10-CM, and HCPCS and ensure changes are implemented to maximize revenue and reflect medical evaluation of patient encounters. - Make recommendations to coding leadership and implement remedial actions for problems. Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues. - Attends coding meetings and seminars and shares knowledge with other coders. Participates in EC Huddles. - Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM, and HCPCS and ensure changes are implemented to maximize revenue and reflect medical evaluation of patient encounters. - Make recommendations to coding leadership and implement remedial actions for problems. Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues. - Attends coding meetings and seminars and shares knowledge with other coders. - In collaboration with Enterprise Coding Leadership, develop and disseminate written procedures to facilitate and improve billing and documentation processes. Other duties as assigned. Required Qualifications - High school diploma or GED. - Minimum of 4 years professional or hospital experience reviewing, abstracting, coding in ICD 10 CM or ICD 10 PCS, or CPT. - Certification in one of the following Coding certification from AAPC or AHIMA: - Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). - Active AAPC membership is required. - Certified Professional Coder (CPC) through the American Academy of Professional Coders. Preferred Qualifications - Accredited Coding Program, Associates or Bachelor Degree; Specialized Coding Credential. - Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements. - Experience using an EMR. - Some college course work or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding. - Knowledge of CPT Outpatient coding guidelines. CCI edits and familiarity with medical necessity guidelines. - Experience using EPIC, 3M encoder. - Advanced knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates. - Proficiency with word processing and Excel spreadsheets. - Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc. - Ability to work as a team player. - Member of the American Academy of Professional Coders and Certified Professional Coder or AHIMA certification required upon hire. - Must be able to pass internal coding test to qualify as a Level 3. Additional Details This is a remote position.Department core hours are Monday - Friday, 5:00am -10:00pm (with some flexibility available). Benefits - Healthcare for full-time employees covered 100% and 88% for dependents. - $50K of term life insurance provided at no cost to the employee. - Two separate above market pension plans to choose from. - Vacation - up to 200 hours per year dependent on length of service. - Sick Leave - up to 96 hours per year. - 9 paid holidays per year. - Substantial Tri-Met and C-Tran discounts. - Employee Assistance Program. - Childcare service discounts. - Tuition reimbursement. - Employee discounts to local and major businesses. Why apply to OHSU? We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu

At Curana Health, we’re on a mission to radically improve the health, happiness, and dignity of older adults—and we’re looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we’ve grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. If you’re looking to make a meaningful impact on the senior healthcare landscape, you’re in the right place—and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary The Provider Enrollment Coordinator supports Curana Health’s medical group by ensuring all employed and contracted providers are properly enrolled and active with required payers, facilities, and regulatory entities. This role plays a critical part in onboarding new rounding providers, maintaining enrollment data accuracy, and ensuring compliance with federal, state, and facility requirements so clinicians can begin seeing patients and billing without delay. Essential Duties & Responsibilities - Coordinate the end-to-end provider enrollment process for physicians, nurse practitioners, and physician assistants joining the medical group. - Prepare and submit enrollment applications to Medicare, Medicaid, and other applicable payers to establish billing privileges. - Manage and track facility privileging and attestation requirements across skilled nursing and senior living communities. - Maintain accurate provider data within internal systems (e.g., NPPES, PECOS, CAQH, and iCIMS/HRIS) to ensure consistency across platforms. - Partner closely with Credentialing, HR, and Operations teams to align enrollment timelines with provider onboarding and start dates. - Follow up with payers, facilities, and providers to obtain missing information or resolve discrepancies. - Track enrollment status and communicate progress updates to stakeholders, including Market Operations and Finance teams. - Process revalidations, address changes, and terminations to maintain active enrollment status for all current providers. - Support reporting, audits, and internal reviews related to provider enrollment and compliance. Qualifications - High school diploma or equivalent required; associate’s degree preferred. - Minimum of 2 years of experience in provider enrollment, credentialing, or healthcare administration (preferably within a medical group or multi-site provider organization). - Knowledge of Medicare/Medicaid enrollment processes and facility privileging preferred. - Familiarity with CAQH, NPPES, PECOS, and similar systems strongly preferred. We’re thrilled to announce that Curana Health has been named the 147th fastest growing, privately owned company in the nation on Inc. magazine’s prestigious Inc. 5000 list. Curana also ranked 16th in the “Healthcare & Medical” industry category and 21st in Texas. This recognition underscores Curana Health’s impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.

Join HME Specialists in Albuquerque as a Full-Time Medical Billing - Cash Posting Specialist and take your career to the next level. This role offers the excitement of being part of a dynamic team dedicated to solving complex billing problems while providing exceptional service in the medical supply industry. With a strong emphasis on customer-centricity, you will have the opportunity to make a real impact on our clients' experiences. Enjoy the flexibility of working from home, allowing you to balance your personal and professional life while contributing to a forward-thinking organization. Immerse yourself in a culture that values empathy and professionalism, where your skills will be honed, and your contributions recognized. You will be offered great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Competitive Salary, and Paid Time Off. If you are motivated by helping others and eager to thrive in an energetic environment, this is the perfect opportunity for you. Who are we? An Introduction We strive to help each patient reach their highest level of medical independence by delivering equipment and services seamlessly, with exceptional care. Your day to day as a Medical Billing- Cash Posting Specialist HME Specialists is seeking a detail-oriented and reliable Cash Posting Specialist to enhance our Medical Billing team. In this pivotal role, you will be responsible for accurately posting payments, reconciling accounts, and ensuring that all payments are applied correctly and timely within our billing system. The ideal candidate will possess strong attention to detail, a solid understanding of medical billing processes, and the ability to thrive in a fast-paced environment. Initially, you will receive comprehensive on-site training before transitioning to a remote position. Key responsibilities include posting insurance and patient payments, applying adjustments and denials per EOBs/ERAs, reconciling daily deposits, and resolving discrepancies in payments. You will collaborate closely with our billing and collections teams, maintaining compliance with company policies and healthcare regulations while ensuring precise record-keeping and documentation of all transactions. Join us to make a meaningful contribution in the medical supply industry! Requirements for this Medical Billing- Cash Posting Specialist job To excel as a Cash Posting Specialist at HME Specialists, candidates must possess a robust set of skills and qualifications. A high school diploma or equivalent is required, while an associate degree is preferred. Candidates should have 1–3 years of experience in medical billing or cash posting, along with a solid understanding of EOBs, ERAs, and CPT/ICD codes. Proficiency with billing software and electronic payment systems is essential, as is the ability to perform accurate data entry with a high level of detail. Strong knowledge of Microsoft Office, particularly Excel, is vital for managing and analyzing payment data effectively. Excellent organizational skills and adept problem-solving abilities will enable you to navigate discrepancies and streamline processes efficiently. If you are detail-oriented and committed to achieving high standards, you will find success in this vital role within our customer-centric team. Knowledge and skills required for the position are: - High school diploma or equivalent required; associate degree preferred - 1–3 years of experience in medical billing or cash posting - Knowledge of EOBs, ERAs, CPT/ICD codes preferred - Experience with billing software and electronic payment systems - Strong data entry skills with high level of accuracy - Proficient in Microsoft Office (especially Excel) - Excellent organizational and problem-solving skills Join us! We're looking for talented individuals like you to join our team and help us achieve our goals. If you're passionate, driven, and committed to making a difference, we want to hear from you! Don't wait - apply now and take the first step towards a fulfilling career with endless possibilities. Let's work together to make great things happen!

• Review medical documentation and assign appropriate codes (ICD-10, HCPCS, CPT). • Ensure compliance with coding standards, regulations, and company procedures. • Improve documentation accuracy through effective communication with medical professionals. • Monitor and validate physician charge capture. • Participate in coding team meetings and serve as a subject matter expert.