Full Time Remote Risk Adjustment Coder Jobs in Spokane, WA

Cardiac Study Center
Remote (Washington State Only) - Candidates must reside in WA state at the time of hire
Full-Time | MondayFriday | No Weekends or Holidays

Cardiac Study Center (CSC) partners with Pulse Heart Institute to deliver trusted outpatient cardiology care across the Puget Sound region for over 50 years. In 2016, CSC joined with MultiCare Health System to form Pulse Heart Institutebringing together clinical excellence, innovation, research, and education to improve heart health in our communities.

Through this partnership, CSC provides essential operational and revenue cycle support that allows Pulse to focus on delivering exceptional cardiovascular care. Our billing and business office teams play a critical role in ensuring the financial health of the organization while supporting a seamless patient care experience.

• Fully remote role for Washington State residents
• MondayFriday schedule no weekends or holidays
• Stable healthcare organization with over 50 years of service
• Collaborative business office environment
• Opportunity to develop expertise in specialty cardiology billing
• Supportive team culture focused on accuracy, growth, and accountability

As a Medical Insurance Billing Specialist, you play a vital role in ensuring the financial accuracy and efficiency of our cardiology billing operations. This role focuses on insurance claim management, denial resolution, and tracking reimbursement patterns to ensure claims are processed correctly and promptly.

You will work closely with insurance companies, internal departments, and the broader business office team to resolve billing issues, analyze claim trends, and ensure compliance with healthcare billing standards. Your work directly supports the financial sustainability of our clinics and helps ensure patients receive uninterrupted care.

• You get to solve complex billing challenges. If you enjoy investigating claims, identifying denial patterns, and finding solutions, this role keeps you engaged.
• Your work directly supports patient care. Accurate billing and timely reimbursements ensure clinics can continue delivering high-quality cardiac services.
• You'll deepen your expertise in specialty medical billing. Cardiology billing offers unique complexity and learning opportunities.
• Structured work with clear priorities. This role rewards organization, focus, and attention to detail.
• Strong weekday schedule. No weekends or holidays means predictable work-life balance.

• Contact insurance companies to verify claim status and request reprocessing when needed
• Submit and track insurance appeals and corrected claims
• Review and analyze aging reports to resolve outstanding claims

• Investigate insurance denials and determine appropriate corrective action
• Identify denial patterns and report trends to improve billing processes
• Coordinate with internal staff to resolve billing discrepancies

• Prepare, audit, and submit claims to primary and secondary payers
• Ensure accurate payment postings and balance allocations
• Adjust claims according to established billing procedures

• Participate in business office phone rotations to support inquiries from patients and external partners
• Maintain strict compliance with HIPAA when handling patient financial information
• Document all account activity and claim updates thoroughly in billing systems

• High School Diploma or GED
• Minimum 1 year of healthcare experience
• Minimum 1 year of experience processing health insurance claims

• Understanding of CMS-1500 claim forms, coordination of benefits (COB), PHI, and medical terminology
• Experience using insurance payer websites to verify eligibility and claim status
• Strong organizational and time-management skills
• Detail-oriented with a high commitment to accuracy
• Strong communication skills for working with insurance companies and internal teams

• Schedule: Full-time
• Shift: MondayFriday
• Location: Fully remote (must reside in Washington State at the time of hire)
• Department: Business Office / Revenue Cycle Operations

Cardiac Study Center / Pulse Heart Institute offers a comprehensive benefits package, including:

• Medical, dental, and vision coverage
• Retirement benefits
• Paid time off
• Competitive compensation
• Tuition Assistance

Pay Range: $19.67 $35.67/hour

Compensation is determined based on experience, skills, certifications, and education, consistent with internal equity and pay transparency requirements.

If you're detail-oriented, analytical, and enjoy working behind the scenes to ensure healthcare operations run smoothly, we'd love to hear from you. Join a team committed to precision, collaboration, and advancing heart health in our community.

Requisition ID: 00779