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

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.

About the Role

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.

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.