Coding Quality Advisor
About the Role
We are seeking an experienced Coding Quality Advisor to support medical coding accuracy, auditing, and compliance across outpatient healthcare settings. This role is ideal for a senior medical coder with deep audit experience who enjoys working cross-functionally, partnering with clients, and improving systems and processes at scale.
You will collaborate with teams across product, engineering, client success, operations, and sales to ensure high standards of coding quality while helping translate real-world coding insights into operational and product improvements.
This position requires physical residency in the United States.
Key Responsibilities
- Review medical records across multiple outpatient specialties to ensure accurate diagnosis and procedure coding
- Conduct and lead multi-specialty coding audits across professional fee and facility outpatient settings
- Partner with clients to establish, monitor, and maintain coding accuracy standards
- Build and maintain strong, trust-based client relationships
- Prepare clear reports and executive-level presentations for internal teams and clients
- Develop and improve internal and client-facing analytics and reporting
- Collaborate with product and engineering teams to provide coding insights that inform system improvements
- Track and summarize updates to coding, billing, and reimbursement guidelines for internal stakeholders
Required Qualifications
- Active AAPC or AHIMA coding certification(s)
- 5+ years of recent experience leading coding audits (procedure and diagnosis codes), including:
- Emergency department, primary care, and/or E/M leveling
- Professional fee and facility outpatient settings
- 5+ years of experience supporting new client or site activations related to coding
- Strong understanding of current coding guidelines, reimbursement rules, medications, and documentation requirements
- Experience communicating clearly and professionally with external clients
- Comfort working with modern productivity tools (Excel, PowerPoint, Google Workspace, and emerging AI/LLM tools)
- High ownership mindset with a willingness to innovate and improve existing processes
Preferred / Nice to Have
- Revenue cycle or health information management experience
- Experience managing in-house coding teams or external coding vendors
- Multi-specialty auditing beyond ED and primary care
- Inpatient coding or risk adjustment auditing experience
- Clinical documentation improvement (CDI) and education experience
- Consulting experience, including compliance or coding litigation
- Prior experience in a startup or fast-growth environment