Valley Medical Center · 16 hours ago
Coding and Revenue Auditor (2026-0072)
Renton, WA
Full-time
Onsite
Mid Level
$62K/yr - $90K/yr
3+ years expValley Medical Center is a healthcare provider, and they are seeking a Coding and Revenue Auditor. The Professional Services Coding and Revenue Auditor is responsible for auditing healthcare professionals involved in coding and documentation, collaborating with management on education opportunities, and ensuring compliance with coding regulations.
Hospital & Health Care
Responsibilities
Collaborates with the Manager, Revenue Charge Capture on educational programming for coding staff, and providers of all levels as they relate to coding and, clinical documentation
Collaborates with the Manager, Revenue Charge Capture in the creation of documentation and coding job aids and best practice tools related to E&M, procedure and diagnosis coding for providers
Performs medical chart reviews to ensure all diagnosis and procedure codes that are submitted are appropriate, accurate and sufficiently supported by written clinical documentation including co-morbidities
Conducts and provides feedback through coding and documentation audits for accuracy and compliance. Utilizes these results to identify trends or variances in coding that require additional education for performance improvement
Identifies coding education opportunities for PB coding staff and effectively communicates documentation review findings to the PB coding team leadership
Ensures compliance through demonstrated knowledge of Federal regulatory and Commercial payer guidelines for documentation, coding and billing
Assists in the creation of departmental policies and updates forms and manuals to remain current and effective
Maintains current on any regulation, best practices, or processes related to the implementation of ICD-10-CM and provides education and knowledge to all affected providers and staff members
Performs new provider audits per departmental policy analyzing trends for educational opportunities
Performs annual provider audits in accordance with the UW Compliance Office's established schedule
Evaluates policies and procedures to improve the quality and outcomes of coding and revenue cycle performance
Monitors user performance in conjunction with appropriate management team
Develops and maintains quality controls through auditing outpatient practices for coding compliance and effectively communicates identified errors to appropriate management team
Performs QA on hospital outpatient and professional services, to include outpatient surgeries, E/M services, procedures and diagnoses) as needed
Communicate QA performance results to individual staff members
Retains a professional appearance while personifying UW/Valley Medical Center's mission with interactions with colleagues, staff, physicians, patients, and/or any other individual while on facility grounds
Maintains confidentiality of information pertaining to department personnel records and other protected health information
Performs all job functions and any others required, in a manner consistent with Valley's cultural expectations defined as Valley Values. These characteristics include quality performance, demonstrating compassion, respect, teamwork, community-centered awareness and innovation
Performs Other Related Job Duties As Required
Qualification
Required
Minimum three (3) years' experience in medical record documentation review, diagnosis, and procedure coding, and/or auditing required
Two (2) years' experience performing, analyzing, and providing feedback on physician documentation and coding audits required
Excellent Oral and Written Communication. Demonstrates articulate and concise oral communication; as well as ability to write clearly and concisely
Advanced knowledge of ICD-10 CM/PCS
Demonstrates a working knowledge of Risk Adjustment Reporting based on HCC documentation
Capable of working both in a team and individual environment and is confident working with a variety of healthcare professionals to ensure ongoing coding compliance
Heightened understanding of ICD-10-CM
Capable of coding across several specialties and varying degrees of complexity in CPT-4, HCPCs, and ICD-10-CM systems consistent with UW/Valley Medical Center expectations of accuracy
Expert in Medicare/Medicaid and all coding-related CMS guidelines, as well as comprehensive understanding of HCC's and Risk Adjustment reporting, and reimbursement systems
Practical knowledge and understanding of official Evaluation and Management (E & M) guidelines and documentation requirements across a wide range of specialties, in support of proper E & M code assignment and establishment of medical necessity
Commitment to continuously increasing knowledge of, and familiarity with constantly changing updates in the business practices of medicine directly impacting provider coding, billing, and reimbursement
High-level thinker with the ability to analyze complicated materials, such as coding and documentation audits, and place in a format all knowledge levels can easily understand
Highly organized, works well independently
Strong communicator, both written and verbal
Demonstrated ability to meet strict deadlines, with good time management and prioritization skills
Proficient in anatomy, disease and diagnosis, pharmacology, and medical terminologies
Preferred
Two (2) or more years' experience in professional fee documentation and coding auditing preferred
Risk Adjustment Reporting (HCC) Experience Preferred
Certified Evaluation and Management Coder (CEMC) preferred
Certified Professional Medical Auditor (CPMA) strongly preferred
Demonstrated ability to use various computer applications, including Microsoft Office; EXCEL, WORD and PowerPoint, as well as familiarity with Epic system preferred
Familiarity with personal computers, spreadsheets, and Epic system software preferred
Company
Valley Medical Center
Valley Medical Center is the largest nonprofit healthcare provider between Seattle and Tacoma.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Michele Forgues-Lackie MBA, FACHE, FACMPE, CHFP
SVP/CFO, UW Medicine's Valley Medical Center
Liz Nolan
SVP Chief Communications & Marketing Officer
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