Coding Auditor and Educator (Remote - WA Residents Only)

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 c