Surgical Coding Auditor at Alteva RCM

About the role

About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence. Position Summary   The Coding Auditor conducts internal coding audits across assigned specialties and accounts to assess coding accuracy, documentation sufficiency, and compliance with applicable coding guidelines and payer requirements. This role produces well-documented audit findings, supports corrective action follow-through, and contributes to the department's compliance monitoring and education efforts. The Coding Auditor works closely with the Senior Coding Auditor and Coding Compliance & Audit Manager to develop technical skills, deliver consistent audit quality, and grow into an increasingly independent contributor within the audit program.      Key Responsibilities   Audit Execution   Conduct routine coding audits across assigned specialties and client accounts, reviewing clinical documentation and coded encounters for accuracy, documentation alignment, and compliance with applicable guidelines   Apply ICD-10-CM, CPT, HCPCS, modifier rules, and payer-specific requirements to audit findings; support all determinations with clearly cited, authoritative references   Complete assigned audit volumes within established turnaround expectations and quality standards   Escalate complex or unclear coding scenarios to the Senior Coding Auditor for guidance and resolution   Finding Documentation & Reporting   Document audit findings with accuracy and clarity, including discrepancy identification, root cause classification, and corrective recommendations   Prepare individual audit reports and summary submissions in accordance with department templates and standards   Maintain organized, complete audit records and files in accordance with department documentation requirements   Compile audit data for submission to the Coding Compliance & Audit Manager for trend analysis and reporting   Corrective Action & Education Support   Communicate audit findings to audited coders in a professional, constructive, and guideline-grounded manner   Support delivery of audit-driven education, including written feedback, reference materials, and participation in team huddles or education sessions   Assist in re-auditing previously identified findings to assess corrective action effectiveness   Identify patterns in assigned audit findings and report observations to the Coding Compliance & Audit Manager and Senior Coding Auditor   Compliance Monitoring   Remain current with applicable coding guidelines, payer updates, and regulatory requirements relevant to assigned specialties   Flag potential compliance risks or emerging accuracy issues identified during audit activity to the Senior Coding Auditor or Coding Compliance & Audit Manager   Support audit readiness activities and contribute to audit program documentation as directed      Qualifications   3+ years of professional medical coding experience across at least one specialty   Active coding credential required (CPC, CCS, CIC, or equivalent); CPMA or audit-focused credential preferred or actively pursued   Working knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and applicable payer coding requirements   Strong attention to detail with the ability to produce clearly documented findings supported by authoritative references   Effective written communication skills; professional and constructive in delivering feedback   Pay Range $80,000—$100,000 USD Benefits Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Originally posted on Himalayas