Coding Auditor

Coding Auditor and Educator (Remote - WA Residents Only) (2026-0072)

Job Title: Coding Auditor and Educator (Remote - WA Residents Only)

Req: 2026-0072

Location: Billing Office

Department: Patient Financial Services

Shift: Days

Type: Full Time

FTE: 1

Hours: 7:00 - 3:30

City State: Renton, WA

Category Professional

Salary Range: Min $32.39 - Max $46.96/hourly DOE

Job Description:

JOB DESCRIPTION

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.

TITLE: Coding Auditor and Educator

JOB OVERVIEW: The Coding Auditor and Educator plays a key role in the orientation, auditing, and education of all healthcare providers involved in professional fee coding and documentation at Valley Medical Center. This position conducts both new and routine physician coding and documentation audits, delivers targeted education, and develops training materials to support ongoing learning initiatives. The role is also responsible for monitoring, interpreting, and communicating CMS and federal/state coding regulations and reimbursement requirements to ensure continued coding accuracy and documentation compliance.

DEPARTMENT: Patient Financial Services

WORK HOURS: Monday - Friday, typically 8:00 AM - 4:30 PM. Flexibility may be required to meet department and organization needs

REPORTS TO: Manager, Revenue Charge Capture

Prerequisites - Education And Experience:

Minimum of 3 years of experience in CPT, HCPCS, ICD-10 coding and medical record documentation review

Minimum of 2 years of experience delivering documentation and coding education and training to healthcare providers.

Certified Professional Coder (CPC) or Certified Coding Specialist-Physician Based (CCS-P) certification required.

Certified Evaluation and Management Coder (CEMC) preferred.

Certified Professional Medical Auditor (CPMA) strongly preferred.

Proficient in various computer applications, including Microsoft Office, Excel, Word, PowerPoint, Visio, and Outlook.

Qualifications:

Knowledge and understanding of official Evaluation and Management (E/M) guidelines and documentation requirements across a wide range of specialties.

Demonstrated ability to interpret and apply national coding and documentation guidelines, translating regulatory standards into effective audit methodologies, tools, and actionable feedback.

Demonstrated knowledge of official Evaluation and Management (E/M) guidelines and documentation requirements across multiple specialties to support accurate E/M code selection and medical necessity determination

Demonstrated ability to assess individual knowledge levels and deliver targeted, personalized education to enhance coding accuracy, documentation quality, and regulatory compliance

Demonstrated ability to work effectively both independently and within a team

Strong verbal, written and presentation skills

Demonstrated ability to consistently meet strict deadlines through effective time management, organization, and prioritization of competing audit and education responsibilities.

Proficient in anatomy, disease and diagnosis, pharmacology, and medical terminologies

Unique Physical/Mental Demands, Environment And Working Conditions:

Must possess ability to work independently, with a minimum of direction, and take initiative in problem solving.

Must be able to interact professionally and effectively with a wide variety of people, including operations staff, providers, the general public, and departments in UW Medicine/Valley Medical Center (VMC).

Requires typing, legible handwriting and computer/keyboard skills.

Regular and punctual attendance is a condition of employment.

Requires the ability to maintain self-composure and a positive attitude under stress.

Requires problem solving and coaching ability and effective resolution of conflicts.

Must be able to function effectively in an environment with frequent interruptions and multiple tasks

Performance Responsibilities:

Conduct medical chart reviews to ensure all CPT, HCPCS and ICD-10 codes submitted are appropriate, accurate, and sufficiently supported by written clinical documentation.

Perform routine annual and follow-up audits for all VMC employed providers by providing detailed audit reports outlining findings and corrective recommendations.

Perform post-audit education sessions, translating audit findings into actionable guidance to improve documentation quality, coding accuracy, and overall performance.

Provide targeted education to new providers on documentation and coding standards, and conduct post-education audits to evaluate comprehension, ensure compliance, and reinforce best practices.

Develop provider education tools, job aids, and best-practice resources supporting accurate E/M, procedural, and diagnosis coding.

Analyze audit results to identify coding trends, patterns, and variances that inform targeted education and performance improvement initiatives.

Proactively identify educational opportunities for Professional Billing (PB) coding staff and clearly communicate documentation review findings to PB coding leadership to support coding accuracy, compliance, and continuous performance improvement.

Effectively interpret and translate regulatory and commercial documentation and coding guidelines into compliant, risk-based auditing practices and methodologies.

Support the development, review, and maintenance of departmental policies and procedures to ensure alignment with current regulations, coding guidelines, and operational best practices.

Maintain professional and technical expertise by participating in continuing education, attending workshops, reviewing professional publications, and remaining current with evolving industry coding, documentation, and regulatory requirements.

Communicate annual CPT and diagnosis coding updates to providers, ensuring awareness of coding changes, documentation impacts, and compliance requirements.

Support the professional billing (PB) coding team by assisting with charge review work queues as needed to address volume backlogs or staffing demands.

Maintain confidentiality of all protected health information.

Perform all job functions 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.

Other duties as assigned to facilitate accurate and efficient operation of the revenue cycle and organization.

Revised: 3/2026

Grade: NC-07

FLSA: NE

CC: 8531

Qualifications:

Job Qualifications:

Knowledge and understanding of official Evaluation and Management (E/M) guidelines and documentation requirements across a wide range of specialties.

Demonstrated ability to interpret and apply national coding and documentation guidelines, translating regulatory standards into effective audit methodologies, tools, and actionable feedback.

Demonstrated knowledge of official Evaluation and Management (E/M) guidelines and documentation requirements across multiple specialties to support accurate E/M code selection and medical necessity determination

Demonstrated ability to assess individual knowledge levels and deliver targeted, personalized education to enhance coding accuracy, documentation quality, and regulatory compliance

Demonstrated ability to work effectively both independently and within a team

Strong verbal, written and presentation skills

Demonstrated ability to consistently meet strict deadlines through effective time management, organization, and prioritization of competing audit and education responsibilities.

Proficient in anatomy, disease and diagnosis, pharmacology, and medical terminologies