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Manager, Coding Audit & Compliance

Key Facts

Remote From: 
Full time
Mid-level (2-5 years)
English

Other Skills

  • Quality Assurance
  • Team Leadership
  • Mentorship
  • Microsoft Office
  • Delegation Skills
  • Training And Development
  • Consulting
  • Professionalism
  • Non-Verbal Communication
  • Multitasking
  • Teamwork
  • Critical Thinking
  • Analytical Thinking
  • Detail Oriented
  • Social Skills
  • Quality Control

Roles & Responsibilities

  • 4+ years of experience in the healthcare industry
  • CPC and CPMA certifications required
  • Proficiency with Electronic Medical Record (EMR) systems and Microsoft Office
  • Expert knowledge of CPT/HCPCS coding, E/M guidelines and documentation standards, HCC and Specialty Coding, CMS and payer regulatory requirements

Requirements:

  • Lead end-to-end coding, compliance, audit, and RCM engagements, managing timelines, budgets, deliverables, and quality from kickoff to completion.
  • Translate CMS, AMA, and payer regulatory guidance into actionable policies, procedures, and training materials; serve as primary client contact for education and meetings.
  • Review audit findings for accuracy and clarity; synthesize improvements and conduct QA reviews for audit and coordinator teams.
  • Supervise and develop Consultants and Senior Consultants; delegate work, provide feedback, and foster a collaborative, client-focused team culture while maintaining client relationships and identifying expansion opportunities.

Job description

Description

About the Role

We are seeking an experienced Manager to support the continued expansion of our Coding, Audit, Compliance, and Revenue Cycle Management (RCM) consulting practice. This leader will oversee client engagements, guide teams of auditors, coordinators and consultants, and ensure the delivery of accurate, high-quality audit reports and work products.

In this role, you will drive engagement planning and execution, lead client communication, mentor staff, and contribute to service line innovation and business development initiatives.


Key Responsibilities

Engagement Management & Client Delivery

  • Lead end-to-end coding, compliance, audit, RCM, and project-specific engagements, ensuring successful execution from kickoff through completion.
  • Manage timelines, budgets, deliverables, and quality standards to produce client-ready outputs.
  • Translate complex regulatory guidance (CMS, AMA, payer policies) into actionable insights, policies, procedures, and educational materials.
  • Review and synthesize audit findings with a focus on accuracy, consistency, detail, and improvement recommendations.
  • Serve as a primary client contact; deliver education, facilitate meetings, and develop training content.
  • Perform Quality Assurance reviews, document improvement opportunities, and uphold production and quality standards for audit and coordinator teams.

Team Leadership & Development

  • Supervise, coach, and mentor Consultants and Senior Consultants.
  • Delegate work effectively while supporting staff growth and skill development.
  • Provide timely, constructive performance feedback.
  • Foster a collaborative, high-performing team culture.

Client Relationship Management

  • Build and maintain strong, trust-based client relationships.
  • Support ongoing client needs and identify opportunities for expanded services.

Preferred Qualifications

  • Experience in Revenue Cycle Management or Revenue Integrity.
  • EPIC system expertise.
  • Prior client-facing consulting experience.

Skills & Competencies

  • Strong analytical and critical thinking abilities.
  • Excellent written and verbal communication skills.
  • Ability to produce clear, concise, client-ready deliverables.
  • High attention to detail and commitment to quality.
  • Ability to manage multiple priorities in a fast-paced consulting environment.
  • Professional presence and strong interpersonal skills.
  • Commitment to a team-oriented, collaborative culture.
  • Opportunities for leadership, professional growth, and thought leadership.
Requirements

 Minimum Qualifications

  • 4+ years of experience in the healthcare industry.
  • Bachelor’s degree preferred.
  • CPC and CPMA certifications required.
  • Proficiency with Electronic Medical Record (EMR) systems and Microsoft Office.
  • Expert knowledge of:
    • CPT/HCPCS coding
    • E/M guidelines and documentation standards
    • HCC and Specialty Coding
    • CMS and payer regulatory requirements
    • External payer audit targets and response strategies
  • Demonstrate experience in project management and team leadership.
  • Background in healthcare compliance, auditing and coding review.
  • Experience developing and delivering provider education and training.
  • Familiarity with audit tools, data analytics, or AI-supported review platforms.

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