Remote Risk Adjustment Auditor Jobs in Seattle, WA

As our Documentation & Coding Consultant, you will design, implement, and manage ongoing organizational monitoring activities and educational programs. This ensures proper reimbursement and compliance with all regulatory statutes.
Every day you will work in a consulting capacity, identifying compliance issues and analyzing practice patterns. You will verify charges, ensure optimal reimbursement for the organization, and interpret regulatory changes.
To be successful in this role, you will implement the necessary changes and modify VMMC's policies, conveying these changes to the clinical departments. You will possess a strong command of coding guidelines and educate staff thoroughly on compliance requirements.

As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.

Required

• Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P).
• One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer.
• Demonstrated interpersonal, organizational, analytical, and problem-solving skills.
• Ability to interact tactfully yet assertively with physicians and other professional staff.
• Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups.
• Good written and verbal communication skills.

Preferred

• Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer.
• Clinical knowledge and exposure to risk adjustment coding.

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.
Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.
We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Required

• Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P).
• One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer.
• Demonstrated interpersonal, organizational, analytical, and problem-solving skills.
• Ability to interact tactfully yet assertively with physicians and other professional staff.
• Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups.
• Good written and verbal communication skills.

Preferred

• Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer.
• Clinical knowledge and exposure to risk adjustment coding.