Coding Quality Auditor - Revenue Cycle

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 and at 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. Serves as a coding expert, working with the Quality Integrity Program Manager and clinical documentation review team to ensure compliance with Official Coding Guidelines for Coding and Reporting, coding conventions, and regulatory oversight agencies. This includes identifying and researching provider diagnostic coding concerns, documentation compliance standards, and performing education related to provider coding errors. The incumbent supports the mission and core values of PacMed through responsible and effective work performance. Required Qualifications Upon hire: Coding Certification (Facility Managed) 3 years of experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVUs. Experienced in reviewing patient account information, insurance explanation of benefits, computer screens, and financial records. Preferred Qualifications Associate's Degree. Compensation & Benefits Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based on relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well‑being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Location: Seattle, WA 1200 12th Ave S (PACMED Admin Bh‑Seattle) Pay Range: $35.83 – $56.55 #J-18808-Ljbffr