Coding Quality Auditor – Revenue Cycle

Providence

HCC Coding Quality Auditor responsible for detailed chart reviews of clinical documentation and coding for Risk Adjustment. Ensuring accuracy and compliance in coding and reporting requirements.

Posted 4/28/2026full-timeSeattle • Washington • 🇺🇸 United StatesMid-LevelSenior💰 $26 - $41 per hourWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

Upon hire: 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.
Associate's Degree (preferred).

Benefits

Comp & perks

Health care benefits (medical, dental, vision)
401(k) Savings Plan with employer matching
Life insurance
Disability insurance
Time off benefits (paid parental leave, vacations, holidays, health issues)
Voluntary benefits
Well-being resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

HCC codingdiagnostic chart reviewscoding accuracycoding specificitymedical billingmedical insurance reimbursementcharge reviewRVU capturepatient account information reviewfinancial records review

Certifications

Coding CertificationAssociate's Degree