587 outpatient coding auditor jobs found

Job Description Job Description Description: Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Identify trends, risks, and educational opportunities based on audit findings Provide written audit feedback and coding education to support quality improvement Collaborate with coding leadership and...

Position Summary The Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding guidelines, regulatory agencies, and internal policies. This role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. This position also collaborates with external vendors to monitor performance and incorporate industry best practices into audit feedback and education. Education High school diploma or equivalent required. Experience Minimum of 5 years of experience in hospital auditing or education experience ICD-10-CM and Outpatient CPT-4, HCPCs coding experience required. Knowledge of Medical Necessity APC,OCE, LCD, and NCD edits required. 3M Encoder experience, Meditech, EPIC, or CERNER preferred. Skills CCS or COC, CPC, RHIT, RHIA required. Knowledge of ICD-10-CM, CPT-4 and HCPCs coding,...

A healthcare provider in Ridgewood, NJ is seeking an Outpatient Coding Auditor to ensure compliance with coding guidelines through detailed audits of outpatient medical records. The ideal candidate will have at least 5 years of relevant experience and certifications in coding. This position offers comprehensive benefits including medical, dental, and a retirement plan, with a competitive hourly pay range of $33.16 - $41.45. #J-18808-Ljbffr

Job DescriptionJob DescriptionDescription :Facility Outpatient Coding AuditorJob Type :Full-Time or Part-Time Remote Medical Coding Audit Outpatient Coding Facility CodingGrow Your Career with a National Leader in Outpatient Medical Coding & Auditing - Work from Home!Are you a certified outpatient medical coding auditor with experience in surgical coding, emergency department (ED) coding, interventional radiology , or facility outpatient services ? Join GeBBS Healthcare Solutions , an award-winning provider of HIM (Health Information Management) and RCM (Revenue Cycle Management) services.We are expanding and seeking experienced Remote Outpatient Facility Coding Auditors to support our national client base.Position Summary :As a Remote Outpatient Coding Auditor , you'll conduct quality assurance audits on coded outpatient medical records.Your audits will focus on multiple service areas including :Outpatient SurgeriesObservationsInterventional RadiologyCardiac...

Trend Health Partners is looking for an Outpatient Coding Auditor to ensure accurate coding compliant with CMS guidelines. The position offers a salary range of $65,000 to $85,000 and includes a competitive benefits package. Responsibilities include reviewing medical documentation, ensuring coding accuracy for outpatient claims, and assisting in new concept development. Candidates must have a coding certification and proficient knowledge in ICD-10, CPT, and HCPCs coding. A collaborative work environment is fostered with continual development opportunities. #J-18808-Ljbffr

Outpatient Coding Auditor, Senior Associate It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for an Outpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing proprietary systems to audit medical...

Outpatient Coding Auditor The Outpatient Coding Auditor is responsible for auditing coded outpatient medical records to ensure compliance with official coding guidelines, regulatory agencies, and internal policies. This role supports coding accuracy, education, and process improvement through detailed review of encounters, identification of trends and variances, and communication with coding staff and leadership. This position also collaborates with external vendors to monitor performance and incorporate industry best practices into audit feedback and education. Education High school diploma or equivalent required. Experience Minimum of 5 years of experience in hospital auditing or education experience ICD-10-CM and Outpatient CPT-4, HCPCs coding experience required. Knowledge of Medical Necessity APC,OCE, LCD, and NCD edits required. 3M Encoder experience, Meditech, EPIC, or CERNER preferred. Skills CCS or COC, CPC, RHIT, RHIA required. Knowledge of ICD-10-CM, CPT-4...

UC Irvine is seeking an Outpatient Coding Auditor to perform coding audits, ensure compliance with regulations, and provide educational support. The ideal candidate will have at least three years of outpatient coding experience, CCS certification, and proficiency in coding systems. Benefits include medical insurance and retirement savings plans. Join a team committed to high ethical standards and quality healthcare services in a diverse environment. #J-18808-Ljbffr

Gainwell Technologies is seeking a Senior Associate for Outpatient Coding Auditor. You will audit medical records for accuracy in coding and compliance with guidelines. Requires 2+ years of outpatient coding experience and active credentials such as CPC or COC. The position is remote, offering competitive salary ($70,000 - $80,000) and first-day benefits. Gainwell values work-life balance and supports continuous career development. #J-18808-Ljbffr

UCI Health is seeking an Outpatient Coding Auditor in California. This role involves conducting coding audits, ensuring adherence to federal and state regulations, and providing educational support. Candidates should have a minimum of three years of outpatient coding experience, CCS certification, and familiarity with coding systems. Benefits include medical insurance and retirement plans. Join a team committed to high ethical standards and enhancing coding practices. #J-18808-Ljbffr

Outpatient Coding Auditor Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Identify trends, risks, and educational opportunities based on audit findings Provide written audit feedback and coding education to support quality improvement Collaborate with coding leadership and quality teams to...

The University of California, Irvine is seeking an Outpatient Coding Auditor responsible for conducting audits and ensuring compliance with Federal and State regulations. The role requires a minimum of three years’ experience in outpatient coding/auditing, CCS certification, and strong analytical and communication skills. Responsibilities include reviewing records, providing feedback to coding staff, and assisting in policy development. The position offers various benefits, including medical insurance and retirement savings plans. #J-18808-Ljbffr

UnitedHealth Group is seeking an Outpatient Facility Auditor (Senior Recovery Resolution Analyst) to perform medical record audits remotely. This role demands expertise in CPT and HCPCS coding, requiring a high school diploma and a coding certification. Candidates should have 2+ years of auditing experience in outpatient facilities. The position offers full-time hours, flexible scheduling, and a competitive hourly pay range of $28.94 - $51.63. Join UnitedHealth Group to contribute to a more connected health care system. #J-18808-Ljbffr

A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced knowledge of outpatient coding and payment methodologies, along with at least 3 years of relevant experience. The position offers competitive salary options and comprehensive benefits including health insurance and a 401(k) plan. #J-18808-Ljbffr

Description Position at Nuvance Health Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, OK, PA, SC, TN, TX, and VA Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees - including members of Northwell Health Physician Partners - who are working to change health care for the better. Summary: Purpose: Provides clinician practice coding, billing, and documentation auditing for professional coding at Nuvance Health. Conducts routine quality assurance (QA)...

Description Must reside in the following states:  AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA   Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better.  Summary: Purpose: Provides clinician practice coding, billing, and documentation auditing for professional coding at Nuvance Health. Conducts routine quality assurance (QA) audits on Professional Coding team...

A healthcare services provider is seeking an experienced coding auditor to perform quality audits and reviews on outpatient records. The role involves providing feedback to coding staff, extracting clinical information, and assisting in educational training. Candidates should have AHIMA or AAPC certification and 2–3 years of experience in facility outpatient audits. This position allows remote work on a PRN basis, offering full benefits and opportunities for professional growth. #J-18808-Ljbffr

Position at Nuvance Health Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better. Summary Purpose: Provides clinician practice coding, billing, and documentation auditing for professional coding at Nuvance Health. Conducts routine quality assurance (QA) audits on Professional Coding...

Overview Join Our Award-Winning Team and Work with the Best! UASI has been recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023, and 2024. With over 40 years of experience, we pride ourselves on stability and long-term success. Responsibilities Perform coding quality audits and reviews on a variety of facility outpatient records, including but not limited to Same Day Surgery, Observations, ED, and Infusions/Injections. Provide feedback and education to coding staff. Extract clinical information from a variety of medical records and assign appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Assist in developing educational training content and materials for coding staff. Present educational seminars to clients and staff. Work remotely from a home office on a PRN basis. Qualifications AHIMA or AAPC certification. 2–3 years minimum experience performing facility outpatient audits. Experience in ICD-10-CM, CPT, HCC, and...

Nuvance Health is seeking a coding auditor to provide documentation auditing for professional coding. The role involves conducting QA audits, educating coding staff, and ensuring compliance with coding regulations. Candidates must hold CPC and CPMA certifications. Responsibilities include researching CMS guidelines, identifying documentation trends, and maintaining Nuvance's values. The position offers a salary range of $26.48 – $50.49 per hour, with pleasant working conditions. #J-18808-Ljbffr

A prominent academic health system is seeking a remote Outpatient Second Level Reviewer. This role involves auditing and reviewing compliant coding, training staff, and maintaining data integrity. Candidates should have a Bachelor’s degree or equivalent experience in auditing within a large hospital system, and possess strong interpersonal and communication skills. The position offers a competitive salary range of $79,200 to $143,400 annually, depending on experience and other factors. #J-18808-Ljbffr

A leading health information management services company seeks a Medical Coding Consultant specializing in outpatient coding. The role involves auditing diagnostic and procedural codes to ensure compliance with coding guidelines. Candidates should possess relevant credentials and have at least three years of auditing experience. The position offers a competitive salary range of $76,000 - $90,000 and benefits. Ideal for detail-oriented individuals with strong analytical skills and a background in medical documentation. #J-18808-Ljbffr

At TREND Health Partners, a tech-enabled payment integrity company, our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows. Joining TREND Health Partners means becoming a part of a dynamic growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more. The Outpatient Coding Auditor’s responsibility is to review medical records, clinical documentation, and claims to ensure accurate ICD-10, CPT, and HCPCs coding and compliance with CMS and coding guidelines. The role will be to apply coding principles based on industry standards and...

A company is looking for an Outpatient Coding Auditor - Surgical Specialty. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Required Qualifications 3+ years of outpatient coding audit experience with a focus on surgical specialties Strong knowledge of CPT (Surgery section), ICD-10-CM, and modifier usage Experience auditing operative reports and post-operative documentation Familiarity with CMS guidelines, NCCI edits, and payer-specific rules Ability to clearly document audit findings and recommendations