We are sharing a specialised consulting opportunity for experienced Medical Auditors with strong expertise in outpatient professional fee coding, coding audits, academic medical center workflows, audit-program management, and coding quality assurance to contribute to an advanced AI training and medical-coding evaluation project.
Selected professionals will audit outpatient professional fee coding, review other coders' work, resolve complex coding cases, identify recurring quality issues, and provide structured feedback grounded in professional coding standards. No prior experience in AI is required.
Key Responsibilities
Coding Audit & Complex Case Review
Audit outpatient professional fee coding for accuracy, compliance, and documentation support
Review other coders' work and identify incorrect, incomplete, or inconsistent coding
Evaluate complex or ambiguous cases and document well-supported determinations
Apply coding guidance consistently across varied clinical scenarios
Identify recurring issues affecting coding quality, reimbursement, or compliance
E/M, Modifiers & NCCI
Apply expertise in Evaluation & Management level selection
Review modifier -25 usage and related documentation requirements
Assess time-based versus Medical Decision Making-based coding
Evaluate NCCI bundling considerations
Provide clear rationale for coding decisions and required corrections
Quality Assurance & Audit Programme Support
Document audit findings and provide actionable reviewer feedback
Support calibration, gold-set review, and quality-assurance workflows
Identify trends requiring broader education or process improvement
Contribute to audit-program consistency and operational effectiveness
Support AI/ML data-validation workflows where relevant
Ideal Profile
AAPC CPC certification
CPMA certification is strongly preferred
10+ years of medical coding experience, or experience managing outpatient professional fee coding audits within an Academic Medical Center
Strong experience auditing other coders' work
Deep knowledge of outpatient professional fee coding
Strong understanding of E/M leveling, modifier -25, time versus MDM coding, and NCCI bundling
Ability to make clear, defensible coding decisions in complex cases
Strong written communication and exceptional attention to detail
Comfortable providing reviewer feedback and participating in calibration
Experience with QA programmes, gold-set reviews, or AI/ML data validation is advantageous
No prior AI-training or model-evaluation experience is required
Engagement Details
Independent contractor engagement
Fully remote
Compensation: $30–$40/hour
Expected review volume is approximately 10 reviews per day
Work will involve outpatient professional fee coding audits, coder-review QA, complex coding decisions, feedback documentation, and audit-program support
Academic medical center audit experience is highly valuable
Project scope, workload, coding scenarios, and evaluation standards may evolve depending on project requirements
Work must be completed without using confidential or proprietary information belonging to any employer, client, institution, patient, or other third party
About the Platform
This opportunity is available through 24-MAG LLC. We connect experienced professionals with remote consulting opportunities across technical, evaluation, and project-based workstreams.
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