Risk Adjustment Auditor & Physician Educator — Educate Physicians

Valley Medical Center & Clinics; Renton (WA); On-site; USD 86,000 - 129,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Retirement plan with employer-contrib.

Generous paid time off

Life and disability insurance

Flexible spending accounts

Employee wellness and assistance

Job summary

Valley Medical Center & Clinics in Renton, WA is seeking a Risk Adjustment Auditor and Physician Educator to lead audits of medical records, ensure accurate HCC capture, and partner with physicians on documentation improvements.

Responsibilities include developing QA processes, delivering education and training to providers, and applying national coding guidelines to optimize billing and care quality. This role requires CPC/CCS-P CPMA and clinical coding expertise.

Qualifications

• Bachelor degree or higher in health sciences or related field.
• CPC or CCS-P certification required; CPMA preferred.
• Strong understanding of ICD-10-CM/PCS coding concepts.
• Experience delivering education to physicians and staff.

Responsibilities

• Develop and report on QA reviews of medical records and coding to ensure accurate HCC capture.
• Partner with physicians to educate on documentation and coding best practices.
• Apply national coding guidelines to auditing processes and tools; meet deadlines.

Skills

Chronic disease management

Medicare Risk Adjustment

ICD-10 coding concepts

Audit and education delivery

Critical thinking

Education

Bachelor's degree in health sciences or related field

Certified Professional Coder (CPC)

Certified Coding Specialist-Physician Based (CCS-P)

Certified Professional Medical Auditor (CPMA)

Tools

Microsoft Office

Excel

Outlook

Job description

Valley Medical Center & Clinics in Renton, WA is seeking a Risk Adjustment Auditor and Physician Educator to lead audits of medical records, ensure accurate HCC capture, and partner with physicians on documentation improvements.

Responsibilities include developing QA processes, delivering education and training to providers, and applying national coding guidelines to optimize billing and care quality. This role requires CPC/CCS-P CPMA and clinical coding expertise.