Mid Revenue Cycle Coding Consultant

Overview

At J2 Integrity Solutions, we believe people are at the heart of every high-performing revenue cycle. We partner with hospitals and health systems nationwide to strengthen the middle revenue cycle, aligning clinical documentation, coding accuracy, revenue integrity, and compliance to protect revenue in a sustainable way.

The Mid Rev Cycle Coding Consultant serves as a subject matter expert across facility and professional services. This role blends production coding, auditing, documentation review, and education to drive measurable improvement for our clients. Our consultants are educators, problem-solvers, and trusted partners who lead with integrity and excellence.

Position Summary

The Mid Revenue Cycle Coding Consultant is responsible for performing professional and facility coding, conducting coding and documentation audits, identifying trends and root causes, and delivering targeted education to providers and coding teams.

This individual understands the interconnected nature of documentation, coding, charge capture, compliance, and reimbursement. They work collaboratively with clinical, operational, CDI, revenue integrity, and finance teams to improve accuracy, reduce denials, and enhance overall performance.

The ideal candidate is analytical, solutions-oriented, detail-driven, confident, and skilled in both hospital and professional coding environments.

Key Responsibilities

• Pivot between production coding and audit responsibilities based on client needs and internal priorities.
• Perform accurate, timely facility and professional coding across inpatient, outpatient, observation, surgery, ED, ancillary, and multi‑specialty services, meeting productivity standards (≥95–97% accuracy).
• Conduct comprehensive coding audits across inpatient, outpatient, observation, surgery, emergency department, ancillary, and/or professional services.
• Review provider documentation for completeness, specificity, and alignment with billed codes.
• Assign appropriate DRG, ICD-10-CM, ICD-10-PCS, E/M, CPT, HCPCS, and modifiers in accordance with official guidelines, client specific policies, and payer guidelines.
• Ensure coding aligns with CMS, AMA, payer-specific policies, and NCCI edits to support clean claims and denials prevention.
• Compare provider selected and coder selected codes when applicable to identify alignment gaps.
• Provide clear, constructive education and feedback to coders and providers.
• Develop and deliver focused education based on auditing findings and trend analysis.
• Partner with RI, CDI, and operational leaders to address workflow or system-related gaps.
• Identify under coding, over coding, missed charges, risk-adjustment and HCC opportunities, compliance risk, and revenue opportunities.
• Document audit findings with clear rationale, applicable guideline references, and recommended actions.
• Provide respectful, constructive feedback to coders, providers, and stakeholders, including navigating difficult conversations when needed.
• Identify trends, root causes, and recurring patterns impacting coding quality and documentation, and translate them into practical education and process recommendations.
• Develop tip sheets, SOPs, job aids, and training tools to promote coding consistency and best practices.
• Deliver targeted data-driven education and coaching based on audit findings and performance gaps.
• Collaborate with Coding, CDI, Revenue Integrity, and Compliance teams to support denial prevention, revenue protection, and accurate quality reporting.
• Serve as a professional representative and brand ambassador of J2 Integrity Solutions, modeling integrity, and client-focused problem solving.
• Roll up your sleeves to assist with the day-to-day support needed. Create internal policies, procedures, and work efforts at J2.

Other duties as assigned. As a growing company, team members regularly contribute beyond client work. In addition to your primary focus on professional coding and audit work, you may also contribute to internal initiatives such as developing J2-branded content and tools, supporting operational workflows, assisting with marketing and thought leadership, participate in industry events, and cultivate your professional presence on platforms like LinkedIn in alignment with the J2 brand.

We believe in working at the top of our license, stretching ourselves, and stepping into the uncomfortable – together. Flexibility, initiative, and team-oriented mindset are essential. At J2, you won't be left on an island; we'll support one another as we grow and build something meaningful.

Qualifications & Experience

• Certification: CCS, CCS-P, CPC, RHIT, RHIA or equivalent required.
• Experience:
  • 7+ years of combined professional and hospital coding experience.
  • 3+ years of professional coding audit experience strongly preferred.
  • Prior experience in a consulting or multi-client environment is a plus.
• Technical Proficiency: Experience with EHR and encoders. Epic preferred.
• Industry Knowledge: Deep understanding of DRG, ICD-10-CM, ICD-10-PCS, CPT, HCPCS, HCC, modifier application, CMS and AMA documentation standards, NCCI edits and payer-specific requirements, and risk adjustment methodologies.
• Skills:
  • Strong written and verbal communication skills, including the ability to deliver feedback clearly and confidently.
  • Ability to work independently in a remote environment, manage competing priorities, and pivot between coding production and audit responsibilities based on client needs.
  • High degree of accountability, integrity, and follow-through in meeting deadlines and delivering quality work.
  • Ability to use data (dashboards, spreadsheets, and metrics) to track trends and outcomes of audits and education.

Why Join J2 Integrity Solutions?

At J2 Integrity Solutions, we are committed to excellence, integrity, and innovation in healthcare coding and compliance. As part of our team, you will have the opportunity to drive meaningful changes, support diverse clients, and be part of a dynamic team of professionals.