Revenue Cycle Managed Services Coding Auditor

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🦅 H1B Visa Sponsor

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Logo of Impact Advisors

Impact Advisors

501 - 1000 employees

Founded 2007

💼 Consulting

🏥 Healthcare

🤖 Artificial Intelligence

Consulting • Healthcare • Artificial Intelligence

Impact Advisors is a healthcare-focused consulting firm that delivers tech-enabled performance improvement services to health systems, hospitals, and health plans. They provide strategy and operational consulting across clinical, financial, and technical domains—including revenue cycle, workforce and supply chain optimization, clinical quality improvement, EHR/ERP implementations, IT modernization, cybersecurity, and data & AI—aimed at measurable, sustainable value and capability transfer to client teams. Impact Advisors emphasizes collaborative implementation, measurable ROI, and long-term sustainability of improvements.

📋 Description

• Perform routine, focused, and validation audits of professional coding across multiple specialties • Evaluate coding accuracy, documentation support, compliance requirements, and reimbursement impact • Review audit findings and provide clear, actionable feedback • Monitor coding trends and identify quality improvement opportunities • Track coding issues and trends and escalate them to the Team Lead or Manager • Conduct root cause analysis on coding errors and recurring issues • Track and report audit results, quality metrics, and performance trends • Serve as a coding resource and mentor for coding staff • Develop and deliver individual and group education sessions • Assist with onboarding and training new coders • Create educational materials, reference guides, and coding resources • 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 • Assist leadership with coding policy development and implementation • Support production coding during increased volume, staffing shortages, or operational needs • Complete coding work queues accurately and efficiently • Review coding-related denials and identify opportunities for appeal or correction • Partner with coding, revenue cycle, and operations teams to reduce denial trends • Assist with payer audit responses and documentation reviews • Stay current on coding regulations, industry updates, and payer changes • Participate in internal and external audits • Recommend process improvements • Support special projects, client initiatives, and operational needs

🎯 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 • 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

🏖️ Benefits

• Remote-friendly work arrangement • Flexible scheduling based on project requirements • Annual performance bonus eligibility may apply for salaried positions • Professional development opportunities • Supportive, inclusive culture • Diversity and inclusion initiatives

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