FAQs
What is the role of the HCC Risk Adjustment QA Auditor at Providence Health Plan?
The HCC Risk Adjustment QA Auditor performs internal coding audits of hierarchical condition category (HCC) coding, ensuring compliance with coding guidelines and regulations, and providing education based on audit findings.
What are the required qualifications for this position?
The required qualifications include 5+ years of HCC specific coding experience, 3+ years of recent auditing experience, proficiency in Microsoft Excel, Word, various EMR systems, and an active certification in one or more of the following: RHIT, RHIA, CCS, or CPC.
Is a Bachelor's degree required for the HCC Risk Adjustment QA Auditor position?
A Bachelor's degree is preferred but not required. A combination of equivalent education and experience is acceptable.
Where is this position located?
This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Beaverton, Oregon.
What does the benefits package include?
The benefits package includes health care benefits, a retirement 401(k) savings plan with employer matching, life insurance, disability insurance, paid time off, and various voluntary benefits.
Who can apply for this position?
Applicants who reside in Oregon and Washington are welcome to apply for the HCC Risk Adjustment QA Auditor position.
What is the pay range for this position?
The pay range for the HCC Risk Adjustment QA Auditor position is $34.96 to $55.34, with potential additional compensation opportunities available.
What will be the primary focus of the HCC Risk Adjustment QA Auditor?
The primary focus will be on performing internal coding audits, reviewing ICD-10-CM code assignments, identifying coding issues, and providing education to coding staff based on audit findings.
What type of work environment does Providence Health Plan promote?
Providence Health Plan fosters a culture of patient-focused, whole-person care, emphasizing mutual respect, empowerment, and diversity within the workplace.
What is the role of Providence Shared Services in relation to this position?
Providence Shared Services provides a variety of functional and system support services across the Providence family of organizations, supporting the mission of delivering quality care.