Medical Coding Auditor

Xtensys; Town of Ithaca (NY); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Autonomy & Ownership

Culture of Innovation

Continuous Growth Opportunities

Job summary

Xtensys, located in the Town of Ithaca, is looking for an experienced Medical Coding Auditor. The role involves auditing documentation and coding across several specialties to ensure accuracy with coding systems including CPT, ICD-10-CM, and HCPCS.

The ideal candidate will have 3–5 years of experience, attention to detail, and be proficient in communication. A coding certification is required, with additional auditing certification being a plus. Join us to be part of a mission-driven organization committed to improving healthcare.

Qualifications

• 3–5 years of coding experience in a physician billing environment.
• Strong understanding of E/M guidelines.
• Experience with reimbursement and billing across Medicare Part B and Medicaid.

Responsibilities

• Review and audit documentation and coding across multiple specialties.
• Deliver audit reports and provide provider education.
• Support coders in addressing compliance opportunities.

Skills

Attention to detail

Clear written and verbal communication

Knowledge of ICD-10, CPT-4, HCPCS

Education

High school diploma or equivalent

Current coding certification (AAPC or AHIMA)

Tools

Epic

Excel

Job description

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.

We are seeking an experienced Medical Coding Auditor to support our continued growth and commitment to deliver exceptional client outcomes.

Why Join Us?

• Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.
• Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.
• A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous improvement.
• Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.

The Role

Your Mission: As our next Medical Coding Auditor, you will be responsible for reviewing and auditing documentation and coding across multiple specialties, ensuring accuracy through the appropriate use of CPT, ICD-10-CM, HCPCS, and modifiers.

What You’ll Do Day-to-Day

In this role, you will deliver audit reports, provide provider education, and support coders in addressing identified compliance opportunities. Coding responsibilities may also be assigned as needed to support overall team priorities. The ideal candidate brings a strong attention to detail and a commitment to accuracy when reviewing medical records and assigning codes. Clear written and verbal communication skills are essential to effectively collaborate with physicians and healthcare providers.

Proven Track Record

You bring 3–5 years of coding experience, with a strong working knowledge of ICD-10, CPT-4, and HCPCS coding within a physician billing environment. You’re confident in your understanding of current E/M guidelines and specifications, and you apply that knowledge with accuracy and consistency. Experience with reimbursement and billing across Medicare Part B, Medicaid, and other third-party payers is highly valued, as is familiarity with data entry in a physician billing setting. You bring a detail-oriented mindset and a commitment to accuracy, ensuring high-quality outcomes in every aspect of your work.

Education/Certifications

You have a high school diploma or equivalent, along with additional coursework through recognized coding seminars or programs. Current coding certification from AAPC or AHIMA (such as RHIT, CCS, CPC, etc.) is required. Auditing certification (CCA, CPMA, or Certified Professional Medical Auditor) is a plus.

Technical Savvy

Revenue Cycle Systems Knowledge: Understanding of billing platforms and claim workflows—how coding feeds into reimbursement, denials, and appeals within the revenue cycle. Experience with Epic is a plus. Demonstrated strong analytical skills are required, with intermediate to advanced Excel proficiency to support data analysis, reporting, and insight generation. Travel Requirements: No travel required. Physical Readiness: Capability for sedentary work, including sitting for long periods and occasionally exerting up to 10 pounds of force.