563 outpatient coding auditor jobs found

Emory Healthcare in Atlanta, GA seeks an Outpatient Coding Auditor to implement and maintain compliance for outpatient coding and reimbursement. You will support the Coding Manager and develop policies, educating staff on ICD-10-CM, CPT/HCPCS guidelines and APC methodologies. You will review and educate on documentation, perform quality audits, and coordinate with the PFS department to resolve coding questions. Strong CCS, ICD-10 and APC audit experience are required. #J-18808-Ljbffr

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Description JOB DESCRIPTION: Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency Coding Services, and the development of policies and procedures. Develops education and Supervises programs regarding elements of the HIM Compliance program,...

Experience Required 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. Minimum Education Required HS_DIPLOMA License(s) Required No Expected Start Date 07/30/2026 Compensation $33.99 - $42.49 / Hourly Hours Per Week 40 Number Of Positions 1 Shift First Shift (Day) Job Description Position SummaryThe 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...

Outpatient Coding Auditor Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency Coding Services, and the development of policies and procedures. Develops education and supervises programs regarding elements of the HIM Compliance program, such as appropriate documentation and accurate coding, to all appropriate personnel, including HIM coding staff, physicians, billing personnel and ancillary departments. Coordinates and conducts continual reviews, tracking and trending following the outpatient coding audits. Educates new outpatient coders on documentation requirements including how to read an outpatient medical record and extrapolate the required documentation with regards to outpatient surgery coding. Educate outpatient coders on ICD-10-CM guidelines, coding conventions and Coding Clinics pertinent to outpatient surgery coding. Educate...

Outpatient Coding Auditor 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. 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 records, accurately document...

Gainwell Technologies is seeking an Outpatient Coding Auditor, Senior Associate to perform coding reviews of medical records and documentation to determine correct coding per contract-specific methodologies. The role requires extensive outpatient coding knowledge and proficiency with EAPG, ASC and APC reimbursement systems. You will audit records for accuracy of diagnosis and procedure codes, train peers, and stay current with guidelines. #J-18808-Ljbffr

Gainwell Technologies is seeking a Senior Associate for the Outpatient Coding Auditor position, responsible for conducting coding reviews of medical records to ensure compliance with guidelines. The ideal candidate will have at least 2 years of experience in coding or auditing, as well as the necessary professional credentials. This position offers a remote work environment with benefits starting on the first day. The pay range is between $70,000 to $80,000 annually, with multiple additional perks including flexible vacation, a 401(k) match, and various development opportunities. #J-18808-Ljbffr

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...

To ensure compliance with coding standards, the full-time Outpatient Coding Auditor will conduct quality reviews and audits, provide educational feedback to coding staff, and identify documentation issues impacting coding accuracy. Key responsibilities Perform audits and quality reviews of coding to ensure adherence to departmental standards and policies Create clear and accurate audit findings and deliver educational feedback to coders and management Identify and communicate documentation issues that affect coding accuracy and guide staff in resolving these issues Required qualifications Completion of a formal coding program with AHIMA or AAPC credentials (CCS, RHIT, CIC) preferred 5+ years of progressive experience in professional medical coding and reimbursement Strong knowledge of ICD-10-CM, ICD-10-PCS, medical terminology, and health record content Experience with coding guidelines and resources to support audit findings Proficiency in Microsoft Office applications...

To ensure compliance with coding standards, the full-time Outpatient Coding Auditor will conduct quality reviews and audits, provide educational feedback to coding staff, and identify documentation issues impacting coding accuracy. Key responsibilities Perform audits and quality reviews of coding to ensure adherence to departmental standards and policies Create clear and accurate audit findings and deliver educational feedback to coders and management Identify and communicate documentation issues that affect coding accuracy and guide staff in resolving these issues Required qualifications Completion of a formal coding program with AHIMA or AAPC credentials (CCS, RHIT, CIC) preferred 5+ years of progressive experience in professional medical coding and reimbursement Strong knowledge of ICD-10-CM, ICD-10-PCS, medical terminology, and health record content Experience with coding guidelines and resources to support audit findings Proficiency in Microsoft Office applications and...

Gainwell Technologies is seeking an Outpatient Coding Auditor, Senior Associate to perform coding reviews of medical records and documentation to determine correct coding per contract-specific methodologies. The role requires extensive outpatient coding knowledge and proficiency with EAPG, ASC and APC reimbursement systems. You will audit records for accuracy of diagnosis and procedure codes, train peers, and stay current with guidelines. #J-18808-Ljbffr

Gainwell Technologies is seeking a Senior Associate for the Outpatient Coding Auditor position, responsible for conducting coding reviews of medical records to ensure compliance with guidelines. The ideal candidate will have at least 2 years of experience in coding or auditing, as well as the necessary professional credentials. This position offers a remote work environment with benefits starting on the first day. The pay range is between $70,000 to $80,000 annually, with multiple additional perks including flexible vacation, a 401(k) match, and various development opportunities. #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...

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...

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

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

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...

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

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

Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws, regulations, and billing standards while...

Hendrick Health in Abilene, Texas is seeking a Coding Auditor. The role involves conducting coding compliance audits for inpatient and outpatient encounters and validating coding assignments following established guidelines. Candidates should have an Associate's degree in a relevant field and five years of coding experience. The position requires a strong attention to detail, proficiency in MS Office, and excellent interpersonal skills. A coding certification is preferred. This is an opportunity to work in a supportive environment with a focus on accuracy and productivity. #J-18808-Ljbffr

Profee/Outpatient Medical Coding Auditor Remote Physician Based Outpatient Medical Coding Auditor Full Time Remote Virtual, USA Description At IKS Health, we are committed to revolutionizing healthcare through innovative technology that enhances patient communication and clinical efficiency. Our culture is rooted in collaboration, compassion, and innovation, empowering teams to make a tangible impact on the lives of patients and clinicians. The Auditor conducts clinical coding audits as defined by client contracts for audit service and internal quality assessment according to operational guidelines. The Audit staff will also contribute to the ongoing development and refinement of proprietary audit tools. The Auditor Position will serve as the primary mentor/trainer to internal coders as required by the deliverables of the contract and will be required to provide educational feedback and instruction to staff for coding guidelines as part of the internal quality review. Essential...

Profee/Outpatient Medical Coding Auditor Remote Physician Based Outpatient Medical Coding Auditor Full Time Remote Virtual, USA Description At IKS Health, we are committed to revolutionizing healthcare through innovative technology that enhances patient communication and clinical efficiency. Our culture is rooted in collaboration, compassion, and innovation, empowering teams to make a tangible impact on the lives of patients and clinicians. The Auditor conducts clinical coding audits as defined by client contracts for audit service and internal quality assessment according to operational guidelines. The Audit staff will also contribute to the ongoing development and refinement of proprietary audit tools. The Auditor Position will serve as the primary mentor/trainer to internal coders as required by the deliverables of the contract and will be required to provide educational feedback and instruction to staff for coding guidelines as part of the internal quality review....