Coding Quality Auditor - Revenue Cycle

Providence • Seattle, WA

1d • Onsite

About The Position

Under the supervision of the Quality Integrity program, Manager, the HCC Coding Quality Auditor is responsible for detailed diagnostic chart reviews of clinical documentation and coding associated with Risk Adjustment and HCC coding. The incumbent reviews and abstracts HCC codes to ensure they are coded accurately, to the highest specificity, queries providers to clinically validate or clarify diagnosis criteria, and reviews for compliant documentation resulting in compliant reporting/billing and RVU capture. Providence caregivers are not simply valued – they’re invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Requirements

• Coding Certification (Facility Managed)
• 3 years Experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVU’s.
• Experienced in reviewing patient account information, insurance explanation of benefits, computer screens, and financial records.

Nice To Haves

• Associate's Degree.

Responsibilities

• Detailed diagnostic chart reviews of clinical documentation and coding associated with Risk Adjustment and HCC coding.
• Reviews and abstracts HCC codes to ensure they are coded accurately, to the highest specificity.
• Queries providers to clinically validate or clarify diagnosis criteria.
• Reviews for compliant documentation resulting in compliant reporting/billing and RVU capture.

Benefits

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees