Coding Quality Advisor

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Requirements:

• Current AAPC or AHIMA certification(s) and medical coding/auditing outpatient experience in a professional setting.
• Prior experience working in healthcare, especially healthcare consulting.
• Experience working with medical coding guidelines and documentation requirements.
• Working knowledge of anatomy/physiology, disease process and medical terminology.
• Familiarity with medications and reimbursement guidelines.
• A proven ability to communicate effectively across domains and experience levels.
• Drive to innovate, identify novel approaches, and act decisively.
• Fluency in productivity tools like Microsoft (Excel, Powerpoint) and Google Suite (Sheets, Docs, etc.).

Responsibilities:

• Working with clients to establish and maintain medical coding accuracy thresholds.
• Developing and enhancing internal and client-facing analytics and reporting.
• Reviewing and auditing medical records and physician documentation for diagnosis and procedure code accuracy.
• Conducting strategic analysis and scenario modelling across functional disciplines.
• Preparing executive presentations and reports for internal and external audiences.
• Tracking, aggregating and summarizing coding and billing rules for the product team.
• Collaborating with engineering and product teams on features and roadmap.
• Providing coding education and training to internal engineering and product teams.