Coding Auditor Leader

LADD MEMORIAL HOSPITAL • Osceola, WI

3d • Remote

About The Position

The Coding Auditor Leader is responsible for overseeing and supporting the team of medical coders to ensure accurate, compliant, and efficient coding practices across all service lines. This role provides day-to-day leadership, coaching, and technical expertise to the coding team, conducts quality reviews, and drives strategic initiatives to improve coding accuracy, productivity, and revenue integrity. The Coding Auditor Leader collaborates with clinical, compliance, and revenue cycle teams to promote best practices and ensure alignment with regulatory and organizational standards.

Requirements

• In-depth knowledge of ICD-10-CM/PCS, CPT, and HCPCS coding systems, as well as DRG and APC payment methodologies.
• Strong understanding of coding compliance, documentation standards, and regulatory requirements (e.g., CMS, OIG).
• Excellent leadership and interpersonal skills with the ability to motivate, mentor, and develop staff.
• Analytical and problem-solving abilities to interpret audit data and implement process improvements.
• Proficient in Microsoft Office Suite and coding/audit software.
• Ability to manage multiple priorities, meet deadlines, and adapt to changing organizational needs.
• Strong written and verbal communication skills to convey complex information clearly to diverse audiences.
• Associate’s or Bachelor’s degree in Health Information Management, Nursing, or related field preferred.
• Equivalent combination of education and experience may be considered.
• Minimum3-5 years of progressive experience in medical coding in hospital and/or professional services, including complex inpatient and outpatient encounters.
• At least 2 years in a leadership, supervisory, or audit capacity within a healthcare organization.
• Active AHIMA or AAPC credential required(e.g., CCS,CCS-P,CPC,CPC-H, or CCA.

Nice To Haves

• Additional auditing credentials preferred (e.g., CPMA, CDIP, or CICA).
• Experience with EHR and Epic.

Responsibilities

• Lead and support medical coding teams in daily operations, providing guidance, training, and performance feedback to ensure high-quality, accurate coding.
• Monitor and evaluate coding accuracy and productivity, conducting regular audits and implementing corrective action or education as needed.
• Serve as a subject matter expert on coding guidelines (CPT, ICD-10-CM/PCS, HCPCS) and payer-specific documentation requirements.
• Develop and maintain coding quality assurance processes to ensure compliance with federal, state, and payer regulations.
• Analyze audit findings and performance metrics to identify trends, gaps, and opportunities for process improvement.
• Collaborate with leadership and cross-functional teams on initiatives to improve documentation quality, revenue capture, and compliance outcomes.
• Lead or support strategic projects focused on coding optimization, workflow improvement, and technology enhancements.
• Provide mentorship and professional development opportunities for coders, promoting continuous learning and engagement.
• Stay current with industry standards, regulatory changes, and emerging trends in medical coding and auditing.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 251-500 employees