Revenue Cycle Quality Analyst (Coding Compliance)

Proliance Surgeons•Seattle, WA

10d

About The Position

At Proliance Surgeons, Bellingham Surgery Center and Surgery Center at Valley our patients come from all walks of life — and so do we. We hire and support people from diverse backgrounds, fostering growth and development to make Proliance a great place to work. Our unique experiences and perspectives help us deliver Exceptional Outcomes, Personally Delivered. We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details regarding Benefits and Washington State Minimum Wage details please visit our careers page at www.proliancesurgeons.com/careers Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity. Be Part of Who We Are! Position Summary The Revenue Cycle Quality Analyst (Coding Compliance) supports accurate coding practices, reduces compliance risk, and strengthens overall coding quality across the organization. This role assists with coding audits, regulatory monitoring, coding education, policy development, and workflow improvements. The analyst helps ensure coding integrity by reviewing claims, identifying trends, validating audit findings, and supporting training efforts in alignment with payer rules, CMS guidelines, and internal standards.

Requirements

Bachelor’s degree or equivalent experience preferred
Certified Professional Coder (CPC, CCS, or equivalent) required
At least five years of medical coding experience (orthopedics preferred)
Solid understanding of CMS rules, payer policies, and regulatory standards
Working knowledge of ICD-10, CPT, HCPCS, and payer billing rules
Ability to interpret and apply Medicare and commercial payor guidance
Skilled in reviewing medical documentation and assessing coding accuracy.
Proficient in EMR systems and audit software
Strong analytical skills, problem-solving ability, and documentation skills
Ability to navigate complex coding scenarios and provide clear recommendations
Comfortable supporting education and explaining coding concepts simply
Excellent communication, organization, and time-management skills
You will be required to provide your own internet
You will be required to maintain your own quiet workspace
The teammate is required to sit for long periods of time. Use of telephone and Computer is required.
Manual dexterity required for use of computer keyboard.
Requires working under stressful conditions or working irregular hours.

Responsibilities

Assist in internal coding audits and quality checks for providers and coding staff
Validate and document audit findings and support data-driven reporting
Identify trends, patterns, and risk areas
Track audit results and follow-up remediation activities
Monitor federal, state, and payer-specific coding and billing updates
Help maintain compliance with CMS, payer rules, ICD-10, CPT, and HIPAA
Research coding and compliance questions and escalate when needed
Identify risk trends and provide recommendations to improve compliance
Assist in updating compliance monitors, workflows, and audit protocols
Support the development and maintenance of policies and SOPs
Participate in coding and provider training sessions
Support annual compliance training coordination
Assist in preparing reports for compliance initiatives and regulatory readiness