Medovent Solutions is a nationally recognized healthcare staffing and consulting firm headquartered in Tampa Bay. We are proud to be named one of the Best Places to Work by the Tampa Bay Business Journal, included in the Fast 50 for fastest-growing companies in Tampa Bay, and honored as part of the prestigious Inc. 5000 list of America’s fastest-growing private companies. We are passionate about supporting healthcare organizations and professionals nationwide with expertise, innovation, and integrity.
Position Overview
The Senior Coding Auditor supports coding quality, compliance, and operational excellence across Medovent Solutions’ Coding Services team. This position conducts coding audits, performs audit-the-auditor reviews, and serves as a senior resource regarding coding audit standards, methodology, and documentation requirements.
The Senior Coding Auditor also supports the hiring process by interviewing coding consultants and evaluating their coding knowledge, critical-thinking abilities, communication skills, professional judgment, and alignment with organizational and account-specific expectations.
Additional responsibilities include training new auditors, presenting audit findings, supporting onboarding audits, participating in account-related discussions, and collaborating with leadership on coding quality and service-delivery initiatives. This position reports to the Vice President of Compliance and Education—Coding Services.
Key Responsibilities
Consultant Interviews and Competency Assessment
- Conduct interviews with prospective coding consultants to assess coding expertise, professional judgment, critical-thinking abilities, communication skills, and readiness for assigned responsibilities.
- Evaluate candidate responses using consistent assessment criteria.
- Provide informed hiring recommendations to recruiting and operational leadership.
- Support the development and refinement of coding interview questions, scenarios, and competency expectations.
Audit Support and Communication
- Present audit results clearly and professionally, including findings, trends, recommendations, and opportunities for improvement.
- Support auditors during onboarding audits by clarifying expectations, reviewing early findings, and promoting consistent application of audit methodology.
- Assist account management and operational teams with audit-related communication.
- Participate in account-related calls as needed to provide coding audit expertise and support issue resolution.
- Respond to audit-related questions, documentation needs, service-quality concerns, and requests for account-specific reviews.
Audit Standards, Reporting, and Process Improvement
- Ensure audit findings are supported by accurate coding rationale, applicable guidelines, payer requirements, and account-specific instructions.
- Perform audit-the-auditor reviews to evaluate internal auditor accuracy, consistency, objectivity, documentation quality, and adherence to established audit methodology.
- Monitor audit trends to identify recurring coding, documentation, workflow, compliance, and educational opportunities.
- Recommend improvements to audit tools, templates, scoring methods, and quality-review processes.
- Train new auditors on audit programs, methodology, documentation expectations, quality standards, and Medovent Solutions’ auditing approach.
- Maintain current knowledge of ICD-10-CM/PCS, CPT, HCPCS, MS-DRG, APR-DRG, HCC risk adjustment, payer guidance, and regulatory updates relevant to coding audit activities.
Special Projects and Operational Support
- Support special projects involving coding quality, audit operations, compliance, onboarding, and account readiness.
- Collaborate with leadership, recruiting, account management, education, and audit teams to address operational needs and improve service delivery.
- Clarify audit expectations and help resolve audit-related questions.
- Identify opportunities to improve the consistency, scalability, efficiency, and communication of Coding Services audit functions.
- Perform other job-related duties as assigned.
Required Skills and Abilities
- Advanced medical coding and auditing expertise across applicable domains, including ICD-10-CM/PCS, CPT, HCPCS, evaluation and management leveling, MS-DRG, APR-DRG, and risk adjustment.
- Strong understanding of official coding guidelines, payer requirements, regulatory guidance, compliance standards, and audit methodology.
- Demonstrated ability to audit coder and auditor work accurately, consistently, objectively, and with sound professional judgment.
- Ability to conduct professional coding consultant interviews and assess technical knowledge, critical thinking, communication skills, and readiness.
- Strong analytical, problem-solving, documentation, and report-writing skills.
- Excellent verbal and written communication skills.
- Ability to explain and present audit results effectively to internal and external stakeholders.
- Ability to support auditors during onboarding audits and provide practical, constructive guidance.
- Ability to train new auditors on audit programs, internal processes, documentation expectations, and consistent application of audit methodology.
- Proficiency with Microsoft Office, Microsoft Teams, audit platforms, encoder tools, and related technology used in coding and audit operations.
Preferred Skills and Experience
- Experience performing audit-the-auditor reviews or providing quality oversight for coding auditors.
- Experience communicating with external stakeholders, responding to questions, supporting follow-up needs, and representing an organization professionally.
- Experience interviewing, assessing, mentoring, or developing coding consultants, auditors, or coding professionals.
- Experience training new coding auditors on audit programs, standards, and organization-specific processes.
- Strong knowledge of inpatient, outpatient, professional fee, risk-adjustment, and facility coding operations.
- Experience supporting remote coding, audit, consulting, or service operations.
Education and Experience
- Associate degree or higher preferred.
- At least five years of progressive experience in medical coding, coding auditing, compliance auditing, or coding quality review.
- Previous experience conducting coding audits, reviewing auditor work, preparing audit reports, and presenting findings to internal or external stakeholders.
Required Certification
Candidates must hold at least one applicable coding credential, including:
- Registered Health Information Technician
- Registered Health Information Administrator
- Certified Coding Specialist
- Certified Professional Coder
- Certified Inpatient Coder
- Another applicable professional coding credential
Multiple coding credentials are preferred.
Preferred Certifications
- Certified Professional Medical Auditor
- Certified Risk Adjustment Coder
- Certified Clinical Documentation Specialist
- Certified Documentation Improvement Practitioner
- AHIMA-Approved ICD-10-CM/PCS Trainer
- Another relevant specialty credential
Competitive base salary, commission package, aggressive bonus program, and an exceptional benefits package including a comprehensive medical/dental/vision plan, a 401(k) savings plan, paid holidays and vacation pay.
Medovent Solutions is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status or military service, or any other characteristic protected by federal or Florida law.
