Quality Assurance RN - Administration
Company: Providence Health and Services
Location: Seattle
Posted on: October 31, 2025
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Job Description:
Description Under the supervision of the Revenue Integrity
Manager, the Clinical Data Reviewer (RN) improves data quality and
appropriately risk stratify the populations in value based
contracts and provide better patient care by reviewing medical
records to determine if there are any gaps in documentation. The
Clinical Data Reviewer will query providers about any gaps to
clarify the documentation to support and record appropriate ICD-10
diagnosis work. An understanding of risk adjustment models and
hierarchical condition category (HCC) coding is necessary. Assists
Population Health leadership in developing new data projects and
elements for the collection, monitoring and reporting of both
clinical and Quality Improvement outcomes. Supports the department
and staff by providing clear and concise technical assistance as
needed. Providence caregivers are not simply valued – they’re
invaluable. Join our team at Swedish Health Services DBA Swedish
Medical 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 know that to inspire
and retain the best people, we must empower them. Required
Qualifications: - Bachelor's Degree BSN Or - Coursework/Training
Sufficient for RN licensure - Upon hire: Washington Registered
Nurse License - 3 years Nursing experience in a hospital or
physician practice environment. 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 improving the health and wellbeing of
each patient we serve. 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. 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.
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 Swedish is the largest not-for-profit
health care system in the greater Puget Sound area. It is comprised
of eight hospital campuses (Ballard, Edmonds, Everett, Centralia,
Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia);
emergency rooms and specialty centers in Redmond (East King County)
and the Mill Creek area in Everett; and Providence Swedish Medical
Group, a network of 190 primary care and specialty care locations
throughout the Puget Sound. Whether through physician clinics,
education, research and innovation or other outreach, we’re
dedicated to improving the wellbeing of rural and urban communities
by expanding access to quality health care for all. 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. For any concerns with this posting relating to the
posting requirements in RCW 49.58.110(1), please click here where
you can access an email link to submit your concern. Requsition ID:
393334 Company: Swedish Jobs Job Category: Clinical Quality Job
Function: Quality/Process Improvements Job Schedule: Full time Job
Shift: Day Career Track: Nursing Department: 3908 ADMINISTRATION
ACO Address: WA Seattle 1730 Minor Ave Work Location: Swedish
Metropolitan Park East-Seattle Workplace Type: Remote Pay Range:
$51.43 - $79.84 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. PandoLogic.
Category:Healthcare, Keywords:Quality Assurance Nurse,
Location:Seattle, WA-98104
Keywords: Providence Health and Services, Seattle , Quality Assurance RN - Administration, Healthcare , Seattle, Washington
