Strategy & Operations Consultant – Coding Optimization and Automation

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $125k - $235k / year

⏰ Full Time

🟠 Senior

🔴 Lead

⚙️ Operations

🦅 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

• Assess and redesign coding department structure, roles, and work allocation • Identify and implement automation opportunities, including Epic coding functionality, CAC/autonomous coding, and AI-enabled tools • Define automation scope, workflows, and success measures • Align Epic with operational workflows, including workqueue design, routing and assignment rules, and claim edits • Build or optimize coding QA programs for facility and professional coding • Develop coder onboarding, ongoing education, competency programs, and scalable provider education • Establish coding KPIs and reporting for productivity, accuracy, backlog, DNFB, coding-related denials, and turnaround time • Advise client coding and revenue cycle leaders • Lead workstreams, manage deliverables, and communicate progress, risks, and results to executive stakeholders • Divide production coding, denials, and claim edit work across staff with coding expertise • Implement Epic coding-related AI tools • Optimize Epic hospital simple visit coding • Automate level-of-service coding and charging for ambulatory and ED settings • Design ambulatory provider E/M coding education and QA programs at scale

🎯 Requirements

• 7+ years of experience in healthcare coding, HIM, coding operations, revenue integrity, or revenue cycle management • Experience leading or substantially shaping a coding department or coding operations • Hospital and professional coding experience • Strong working knowledge of CPT, ICD-10-CM/PCS, and E/M coding • Proven experience using technology or automation to improve coding processes • Hands-on experience building or optimizing coding QA programs, coder and provider education, and productivity standards • Demonstrated, measurable results such as productivity gains, backlog or DNFB reduction, accuracy improvement, or increased automation rates • Experience optimizing coding workflows in Epic, including workqueues, rules, and related operational workflows • Strong communication, facilitation, and executive presence • Ability to lead workstreams and manage multiple priorities • Bachelor's degree required • Ability to travel up to 80%, depending on engagement needs • Experience with Solventum (formerly 3M) or similar coding and CDI technology preferred • Coding credential (CCS, CPC, RHIA, RHIT, or similar) preferred • Healthcare consulting experience preferred

🏖️ Benefits

• Annual performance bonus eligibility • Additional benefits and perks may be available, depending on the position and employment terms • Caring, fun, honest, and autonomous work environment • Diversity and inclusion environment where employees feel valued and empowered

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