Coding Quality Educator- Revenue Integrity Spokane

Providence Health Plan Group; Spokane, Northern (WA, KY); Hybrid; USD 44,000 - 68,000; Full time

Job summary

Providence Health Plan Group seeks a Revenue Integrity Coding Educator to advance accurate, compliant, and optimized coding across specialties by auditing documentation and educating providers and staff. This fully remote role involves translating CPT/ICD-10-CM/HCPCS requirements into practical training materials, identifying denial trends, and partnering with Revenue Cycle leaders to drive improvements.

Ideal candidates bring 5+ years in medical insurance reimbursement and coding, and AHIMA or

Qualifications

• 5 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.

Responsibilities

• Audit medical record documentation and coded services to ensure accuracy and compliance.
• Translate CPT, ICD-10-CM, HCPCS, payer, and regulatory requirements into practical education for providers, coders, and operational teams.
• Develop and deliver training materials and coaching to improve coding quality and reimbursement accuracy.
• Identify documentation, charge-capture, denial, and workflow trends and communicate actionable insights to stakeholders.
• Partner with clinical and Revenue Cycle leaders to implement corrective actions and monitor outcomes for sustained improvement.

Education

AAPC Certification

CCA - AHIMA

CSC - AHIMA

CCS-PHYS - AHIMA

CDIP - AHIMA

CHDA - AHIMA

RHIA - AHIMA

RHIT - AHIMA

Job description

Description

The Revenue Integrity Coding Educator serves as a subject matter expert who advances accurate, compliant, and optimized coding across assigned specialties by auditing medical record documentation and coded services; translating current CPT, ICD-10-CM, HCPCS, payer, and regulatory requirements into practical education; and providing timely coaching to providers, coders, and operational teams. This role develops and delivers training materials, identifies documentation, charge-capture, denial, and workflow trends, partners with clinical and Revenue Cycle leaders to implement corrective actions, and monitors outcomes to strengthen coding quality, reimbursement accuracy, regulatory compliance, and provider confidence.

This position is fully remote work.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Physician Management Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them.

Required qualifications:

• Upon hire: National Certification from American Academy of Professional Coders. Or
• Upon hire: National Certified Coding Associate - American Health Information Management Association. Or
• Upon hire: National Certified Coding Specialist - American Health Information Management Association. Or
• upon hire: National Certified Coding Specialist - Physician - American Health Information Management Association. Or
• Upon hire: National Certified Documentation Improvement Practitioner - American Health Information Management Association. Or
• Upon hire: National Certified Health Data Analyst - American Health Information Management Association. Or
• Upon hire: National Registered Health Information Administrator - American Health Information Management Association. Or
• Upon hire: National Registered Health Information Technician - American Health Information Management Association.
• 5 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.

Preferred qualifications:

• Associate's Degree

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

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 upon 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.

Address: WA Spokane 20 W 9th Ave
Work Location: Mother Gamelin Ctr-Spokane
Workplace Type: On-site
Pay Range: $31.73 - $49.27
The amounts listed 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.