Jun 26, 2026

Outpatient Coding Compliance Auditor

Job Description

Working remotely from anywhere in the U.S., the full-time Outpatient Coding Compliance Auditor will perform audits of outpatient facility coding to ensure compliance with ICD-10-CM diagnoses, CPT/HCPCS codes, and billing standards while effectively communicating findings to stakeholders. Key responsibilities: Perform coding compliance and quality audits in support of the Compliance Program and client expectations Independently analyze clinical documentation from medical records and validate coding accuracy for outpatient facilities Identify audit findings and calculate billing error rates, providing follow-up validation for corrective action plans Required qualifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Outpatient Coder (COC) 5+ years of Outpatient Facility coding experience, including knowledge of NCCI/OCE billing edits 5+ years of Outpatient Facility audit experience, including familiarity with Medicare regulations and OPPS Proficiency in ICD-10-CM and CPT coding guidelines Experience with ACEP Facility or similar Facility E/M matrix guidelines for outpatient coding