Revenue Cycle Managed Services Coding Auditor

Impact Advisors

8d•Remote

About The Position

Impact Advisors, LLC is seeking an experienced Coding Auditor to join their team. This role involves performing routine, focused, and validation audits of professional coding across multiple specialties. The primary goal is to evaluate coding accuracy, documentation support, compliance requirements, and reimbursement impact. The coding auditor will review audit findings and provide clear, actionable feedback, monitor coding trends, and identify opportunities for quality improvement. This role will effectively track coding issues or trends to escalate them to the Team Lead or Manager to ensure compliance with coding.

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.

Nice To Haves

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.

Responsibilities

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.
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.
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.
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.
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.
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.