Location: Wenatchee, WA
Facility: Confluence Health
Schedule: Full Time
Shift: Day Shift
Hours: 0800-1700

Job Description


Insures accurate coding of outpatient services such as ED, ambulatory care surgery diagnoses and procedures, ancillary services, sequencing of assigned codes, and final assignment of DRG/CPT, based on UHDDS guidelines and ICD-10/CPT coding protocol.


  1. AHIMA or AAPC applicable coding credential such as CCS-P, CCS,

  2. CPC-H required.

  3. Must possess immediate computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management.

  4. Minimum of 2 years coding experience in an acute care setting.

  5. Knowledge of medical terminology, anatomy and physiology/DRG/CPT/APC systems, statistical study methods/review.

  6. Quantim/Clintegrity 360 encoder experience desired.

  7. Prior experience with EHR applications required.


  • Demonstrate Confluence Health’s Standards of Behavior in all aspects of job performance.

    • Address patients, visitors, families, and co-workers in a pleasant and respectful manner: display courtesy at all times.

    • Respond quickly and appropriately to inquiries and requests.

    • Assist co-workers without being asked.

    • Display an unhurried and caring manner with visitors, families, and co-workers when performing duties.

    • Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas.

    • Demonstrate a pleasing disposition and sensitivity to visitors’, families, and co-workers’ needs.
  • Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations.

    • Communicate, cooperate and perform related duties with other co-workers in your department and in other departments in a courteous and efficient manner to achieve overall hospital goals and objectives.

    • Respond to all visitors, clients, families, and co-workers with empathy and positive interpersonal skills at all times.

    • Handle all requests with a positive attitude at the time the request is made.

    • Assume the responsibility for maintaining healthy interpersonal relationships with all those working or being cared for in the hospital, outpatient, or home setting.

    • Demonstrate a commitment to providing the highest and most reliable quality service available on a daily basis.

    • Strive for positive change in your work area. Cooperate with team members in a constructive and supportive manner.

    • Be responsible for addressing inappropriate or unacceptable behavior on the part of a co-worker(s) in your department.

    • Demonstrate ethical conduct and practices.


  1. Maintains current knowledge of DRG/CPT and APC methodology and related legislative coding and reimbursement changes regarding ICD-10 and prospective payment systems.

  2. Code and sequence all ambulatory care diagnoses and procedures 3-4 days post discharge using APC, CPT and ICD-10 for coding assignment.

  3. Ensures proper reimbursement on all coded records by:

  4. Charts with incomplete documentation:

  • Query Physician

  • Discuss with CDI

  • Review CDI recommendations:

    • confer with CDI nurse

    • discuss with manager

  • Participate in Quarterly reviews done by Compliance.

  • Respond to requests for statistical data and special study data when requested.

  • Participate in training provided by CH or other required training.

  • Assist in training others.

  • Respond to 3rd party coding inquiries.

  • A strong belief in the organization’s goals and objectives for utilizing EHR systems and excellent interpersonal skills.

  • Strong organizational skills.

  • Skill and experience in EHR charts.

  • Capable of independent work ethic with minimal supervision.

  • Other duties as assigned by Manager.

  • Additional Information

    Who We Are: Confluence Health is an integrated healthcare delivery system that includes two hospitals and more than 40 medical specialties, to provide comprehensive medical care in North Central Washington. With over 270 physicians and 150 advanced practice clinicians, Confluence Health is the major medical provider between Seattle and Spokane. Our goal is to deliver high-quality, safe, compassionate, and cost-effective care close to home. Staying on the leading edge of healthcare innovation is important, so we invest in technology--to provide better care for our patients and allow our providers to operate at the highest level. Our Mission: We are dedicated to improving our patients' health by providing safe, high-quality care in a compassionate and cost-effective manner. Our Vision: To become the highest value rural healthcare system in the nation that improves health, quality of life, and is a source of pride to those who work here.