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Added 4 hours ago
Medical Informatics Analyst – Business Analyst Advanced
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Detroit, MI
Provides technical, data and analytical support to customer departments such as Quality, Value Partnerships, Hospital Contracting, Care Management, Risk Adjustment and HCV.
Added 5 hours ago
Software Privacy Engineer, Devices & Services Trust, Privacy, and Accessibility (TPA)
Amazon
Bellevue, WA
5+ years of any combination of the following: threat modeling experience, secure coding, identity management and authentication, software development, cryptography, system administration…
Added 1 day ago
Sr. Quality Data Analytics & PI Analyst
H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.
United States
Strong understanding of analytic methodology, including risk adjustment, geometric versus arithmetic methodology
Added 1 day ago
CC
Data Analyst III Healthcare Analytics, Medical Economics
Centene Corporation
Tallahassee, FL
- $70,100 to $126,200 USD / year
…SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data…
Added 1 day ago
Provider Engagement Manager
Hawaii Medical Service Association
Honolulu, HI
Aggregate data with the Senior Financial Analyst and the Senior Data Analyst.
Added 1 day ago
Strategy & Operations Analyst
Datavant
Remote, United States
Experience in risk adjustment coding apps and technology
Added 1 day ago
Healthcare Data Analyst - Jefferson Health Plan
Health Partners Plans, Inc.
Philadelphia, PA
Develop a working knowledge of the DHS/CMS Risk Adjustment process, HEDIS, NCQA Accreditation, and CMS Stars Program.
Added 1 day ago
OH
Analyst, Risk Adjustment
Oscar Health
NY
- $75,348 to $98,894 USD / year
Hi, we're Oscar. We're hiring a Analyst, Risk Adjustment to join our Risk Adjustment team.
Added 2 days ago
Senior Risk Adjustment Coding Analyst
CenterWell
Nashville, TN
Added 2 days ago
AH
Senior Coding Analyst, Risk Adjustment
Altais Health Solutions
Remote, United States
- $24.88 to $29.86 USD / hour
The Senior Coding Analyst will divide their time coding medical records for the purpose of HCC coding, including our annual health assessments, and working with our physicians on clinical…
Added 2 days ago
GH
Professional Fee QA Analyst
GeBBS Healthcare Solutions, Inc.
Remote, United States
- $27 USD / hour
GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial…
Added 3 days ago
Senior Risk Adjustment Coding Analyst
CDO 2, LLC
Remote, United States
Added 5 days ago
Payer Strategy and Contracting Analyst
CareAbout MSO LLC
United States
Collect agenda inputs and supporting data from clinical operations, care coordination, quality, risk adjustment and coding, revenue cycle management, and finance ahead of each meeting.
Added 6 days ago
Risk Adjustment Operations Senior Project Analyst
Datavant
Remote, United States
The Senior Project Analyst is responsible for building and tracking project pacing by vendor and leading multi-platform forecasting across our project portfolio. This role partners closely…
Added 7 days ago
OH
Actuarial Analyst, Valuation
Oscar Health
NY
- $79,488 to $104,328 USD / year
The Analyst II, Actuarial maintains Oscar's valuation processes for a number of Affordable Care Act (ACA) markets. You will regularly maintain and review actuarial models used to develop…
Added 7 days ago
Risk Adjustment Healthcare Analyst III
MEDICA HEALTH PLANS
MADISON, WI
Added 7 days ago
Sr. Analyst - Accounting and Finance
Toyota
Plano, TX
…F-1 CPT, ‘job flexibility benefits’ [also known as I-140 or Adjustment of Status portability], etc.) now or in the future. You should not apply for this role if you will require Toyota to…
Added 8 days ago
CH
Coding Data Quality Audit Analyst
CVS Health
Work at Home, GA · Work At Home, AL · Work At Home, AR · Work At Home, AZ · Work At Home, CO · Work At Home, FL · Work At Home, IA · Work At Home, ID · Work At Home, IL · Work At Home, IN · Work At Home, KS · Work At Home, KY · Work At Home, LA · Work At Home, MI · Work At Home, MN · Work At Home, MO · Work At Home, MS · Work At Home, MT · Work At Home, NC · Work At Home, ND · Work At Home, NE · Work At Home, NH · Work At Home, NJ · Work At Home, NM · Work At Home, NV · Work At Home, OH · Work At Home, OK · Work At Home, OR · Work At Home, PA · Work At Home, RI · Work At Home, SC · Work At Home, SD · Work At Home, TN · Work At Home, TX · Work At Home, UT · Work At Home, VT · Work At Home, WI · Work At Home, WV · Work At Home, WY
- $21.1 to $36.78 USD / hour
The Coding Data Quality Audit Analyst is responsible for performing second-level quality inter-rater review audits of medical records coded by internal teams, as well as external vendors…
Added 8 days ago
Sr. Analyst - Accounting and Finance
TMN Toyota Motor North America Company
Plano, TX
…F-1 CPT, ‘job flexibility benefits’ [also known as I-140 or Adjustment of Status portability], etc.) now or in the future. You should not apply for this role if you will require Toyota to…
Added 8 days ago
Coding Analyst
Providence
Spokane, WA
The Coding Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding. This impacts revenue and CMS compliance with the coordination of technically…
Added 8 days ago
Senior Analyst, Corp Compliance
CVS Health
Work at Home, RI
The Senior Analyst, Compliance COE will be a key member of the Compliance Monitoring team and will execute assigned compliance monitoring activities. This role applies healthcare…
Added 8 days ago
Senior Claims Analyst
Driscoll Children's Health Plan
Corpus Christi, TX
The Senior Claims Analyst will be responsible to perform highly complex and technical analysis for research, resolution and recover of health plan claims. The position is also responsible…
Added 11 days ago
Risk Adjustment Coding Analyst
CenterWell
Columbus, OH
The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance…
Added 11 days ago
Risk Adjustment Coding Analyst
CenterWell
Sacramento, CA
The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance…
Added 11 days ago
Risk Adjustment Coding Analyst
CenterWell
Phoenix, AZ
The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance…

Providence

Coding Analyst

Spokane, WA, United States

Pay Range: $31.73 - $49.27

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Job details

Pay: Pay Range: $31.73 - $49.27
Posting language: English
Posted: Oct 15, 2026

Original job description

Description

The Coding Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding. This impacts revenue and CMS compliance with the coordination of technically detailed coding applications that impacts operations, programmatic and information systems, as well as contracted providers. Coding analyst will have a comprehensive understanding of ICD-9, ICD-10 and other types of coding to Health Plan, contracted facilities, and providers. This includes the identification and researching of provider diagnostic coding issues; medical record review, documentation standards and identifying and offering education in relation to provider coding errors. Coding analyst will be in an advisory role in development of Health Plan Payment Rules related to risk adjustment.

MAJOR CHALLENGES:

Maintaining credibility with Providers for coding rules and applications.
Integrating coding applications into the changing environment of the Health Plans.
Managing multiple priorities efficiently and effectively.
Working and communicating effectively with all Plan departments and levels of personnel, providers, provider office staffs, hospital staff.
Distributing the work load over the course of the year.
Coordinating workload to meet multiple and varying deadlines.
Staying current with frequently changing coding rules and regulations, accrediting bodies, et al and determining when these changes impact Health Plan operations.

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:

Coursework/Training: Accredited program for medical coding. Or Experience in coding in a Healthcare setting may be considered.
3 years Experience as a certified coder within a healthcare provider organization or health insurance company.

Preferred qualifications:

Bachelor's Degree. Or equivalent educ/experience
1 year Experience in HCC Coding.

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.

About the Team

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 461770

Company: Providence Jobs

Job Category: Coding

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Admin Support

Department: 3042 REVENUE INTEGRITY HCC

Address: WA Spokane 20 W 9th Ave

Work Location: Mother Gamelin Ctr-Spokane

Workplace Type: Remote

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.

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