Revenue Cycle Managed Services Coding Auditor

Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed client expectations and are proud to be a trusted partner to many of the nation's leading healthcare organizations. Our mission to drive patient-centered, value-driven outcomes has earned us prestigious industry accolades.

Responsibilities

• Auditing and Quality Assurance:
  • Conduct root cause analysis on coding errors and recurring issues.
  • Track and report audit results, quality metrics, and performance trends.
  • Ensure compliance with ICD-10-CM, CPT, HCPCS, payer-specific guidelines, and regulatory requirements.
• Education & Training:
  • Serve as a coding resource and mentor for coding staff.
  • Develop and deliver individual and group education sessions based on audit findings and identified trends.
  • Assist with onboarding and training of new coders.
  • Create educational materials, reference guides, and coding resources.
  • Support ongoing coder development through coaching and performance feedback.
• Client Support & Subject Matter Expertise:
  • Serve as the primary coding subject matter expert for assigned clients.
  • Participate in client meetings and provide guidance on coding, documentation, and compliance questions.
  • Research complex coding scenarios and communicate recommendations to clients and internal teams.
  • Assist leadership with coding policy development and implementation.
• Production Coding Support:
  • Assist with production coding during periods of increased volume, staffing shortages, or operational needs.
  • Maintain productivity and quality expectations while supporting coding workflows.
  • Complete coding work queues accurately and efficiently.
• Denials & Revenue Cycle Support:
  • Review coding-related denials and identify opportunities for appeal or correction.
  • Partner with coding, revenue cycle, and operations teams to reduce denial trends.
  • Provide education and recommendations to prevent future denials.
  • Assist with payer audit responses and documentation reviews as needed.
• Compliance & Process Improvement:
  • Stay current on coding regulations, industry updates, and payer changes.
  • Participate in internal and external audits.
  • Recommend process improvements that enhance coding quality, efficiency, and compliance.
  • Support special projects, client initiatives, and operational needs as assigned.

Requirements

• Minimum 3-5 years of medical coding auditing experience.
• Strong knowledge of CPT, ICD-10-CM, HCPCS, and payer-specific guidelines.
• Experience conducting coding audits and delivering audit feedback.
• Proven ability to interpret medical documentation and apply accurate coding principles.
• Excellent written and verbal communication skills.
• Strong analytical, organizational, and problem-solving skills.
• Ability to work independently and manage multiple priorities.

Qualifications

• Experience auditing Neurosurgery and/or Complex General Surgery coding.
• Experience with Epic EMR system.
• CPC, CPMA, CCS-P, or equivalent coding certification.
• Experience with physician/professional fee coding.
• Experience working directly with clients.
• Knowledge of denial management and appeals processes.
• Experience developing coder education and training programs.

Schedule

Remote-friendly with flexible scheduling based on project requirements.

Benefits

• This position is a non-exempt hourly position; additional benefits and perks may be available depending on the position and employment terms.
• For salaried positions, this role may also be eligible for an annual performance bonus.

About Us

At Impact Advisors, we cultivate a caring, fun, honest, and autonomous work environment. Our success stems from our associates' dedication and a shared mission to create a “Positive Impact.” We embrace diversity and inclusion, fostering an environment where all employees feel valued and empowered.