63 outpatient coding auditor jobs found

Outpatient Coding AuditorCGI is one of the largest global IT and business consulting services firms, helping clients achieve meaningful outcomes through technology, expertise, and innovation. With a global presence and a collaborative, ownership-driven culture, CGI empowers its professionals to deliver impactful solutions that make a difference for clients and the communities they serve.CGI is seeking an experienced Outpatient Coding Auditor to join our Healthcare Compliance Audit Team. In this role, you will leverage your outpatient coding, clinical documentation, and reimbursement expertise to conduct comprehensive medical record audits and identify potential improper payments, including overpayments and underpayments. You will review claims across outpatient hospitals, ambulatory surgical centers, physician practices, and other healthcare settings, delivering accurate, well-supported, and thoroughly documented audit findings.This is a fully remote position open to candidates...

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote nationwide position. You will perform quality reviews, coordinate with managers, and deliver clear audit findings to educate staff. Strong coding credentials and experience in ICD-10-CM/PCS, CPT-4/HCPCS and reimbursement systems are required to guide improvement initiatives. You will mentor coders, identify documentation gaps, and provide continuing education on changes in coding and reimbursement. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2972 United States Apply X Facebook LinkedIn Email Copy Work Schedule 8 hours daily between 6:00a - 6:00p Eastern Time Monday - Friday Compensation Range $28.00 - $30.00/Hour Position Type Full Time Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you...

Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and...

Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects. No prior AI experience is required. Key Responsibilities Conduct detailed audits of outpatient professional fee coding records. Review coding accuracy, documentation, and compliance. Identify coding trends, gaps, risks, and improvement opportunities. Apply academic medical center standards and coding guidelines. Document audit findings and provide clear recommendations. Evaluate complex coding and documentation scenarios. Contribute to AI training through expert coding and audit feedback. Support audit program management and quality improvement initiatives. Required Qualifications...

Overview The US Oncology Network is looking for a Senior Medical Coding Auditor to join our team at Texas Oncology . This full-time position will support the Revenue Cycle Departmentat our 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday 8:00a - 5:00p. This position will be a Sr level position. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology , we use leading-edge technology and research to deliver...

Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations. Key Responsibilities Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes Validate E/M level selection for emergency department visits Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA) Identify under coding, over coding, and documentation deficiencies Prepare detailed audit reports with corrective recommendations Provide education and feedback to coders and providers Train and mentor offshore coding teams on ER coding guidelines and audit findings Conduct regular quality review sessions and calibration meetings with offshore staff Develop and update...

Location: Dallas, Texas, United States Company: Health Care Service Corporation Posted: Location: Dallas, Texas, United StatesCompany: Health Care Service CorporationPosted: Job Summary (Par time-Potential for Fulltime)The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations.Key ResponsibilitiesAudit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codesValidate E/M level selection for emergency department visitsEnsure compliance with payer guidelines and regulatory standards (CMS, HIPAA)Identify under coding, over coding, and documentation deficienciesPrepare detailed audit reports with corrective recommendationsProvide education and feedback to coders and providersTrain and mentor offshore coding...

The University of Texas Medical Branch in Texas seeks an experienced Healthcare Auditor to verify documentation, coding, and reimbursement across professional and inpatient/outpatient services. You will apply CPT/ ICD-10 guidelines and support education for auditing staff. Responsibilities include selecting audits with auditing software, ensuring CMS/compliance standards are met, and presenting findings to leadership while staying current with regulatory updates. #J-18808-Ljbffr

Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects. No prior AI experience is required. Key Responsibilities Conduct detailed audits of outpatient professional fee coding records. Review coding accuracy, documentation, and compliance. Identify coding trends, gaps, risks, and improvement opportunities. Apply academic medical center standards and coding guidelines. Document audit findings and provide clear recommendations. Evaluate complex coding and documentation scenarios. Contribute to AI training through expert coding and audit feedback. Support audit program management and quality improvement initiatives. Required Qualifications...

Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects. No prior AI experience is required. Key Responsibilities Conduct detailed audits of outpatient professional fee coding records. Review coding accuracy, documentation, and compliance. Identify coding trends, gaps, risks, and improvement opportunities. Apply academic medical center standards and coding guidelines. Document audit findings and provide clear recommendations. Evaluate complex coding and documentation scenarios. Contribute to AI training through expert coding and audit feedback. Support audit program management and quality improvement initiatives. Required Qualifications...

Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and...

Job Details: Job Location: Guidehouse CODER - REMOTE, TX 78223, Position Type: Full Time, Education Level: Not Specified, Job Shift: Day, Bestica is seeking Certified Medical Coder II’s to provide remote work for our government customers. Objective: The team will follow the Centers for Medicare and Medicaid Services (CMS) / Medicare Administrative Contractor (MAC) guidelines, payer policies, the 10th version of the International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), and other official source guidance to support compliant and accurate coding/billing. During the initial startup, the team will arrange daily and weekly huddle calls to support a smooth go-live; the team will then set the cadence for ongoing project implementation meetings and collaboration with the Government. The physician coding teams will coordinate with practices and/or providers, when needed, to discuss opportunities for improving coding documentation, as well as to address...

HCC Coding Auditor Senior - Health Plan NetworkUS:TX:Irving | Revenue Cycle Audit | Full TimeHCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option.Responsibilities:Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion,...

Select how often (in days) to receive an alert: Coding Auditor, Senior Associate Date: Oct 24, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) 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 Inpatient 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...

Duties of this position include, but are not limited to, the following: Position purpose The Compliance Auditor will be responsible for researching and analyzing the medical records where there is a discrepancy in coding, validating the coding, and preparing reports that summarize audit findings and provide recommendations for corrective actions, if warranted. Responsibilities/Duties/Functions/Tasks Conducts physician chart audits to identify incorrect coding, prepares reports of findings and any compliance issues. Examine claims for compliance with relevant billing and processing guidelines and identify opportunities for fraud and abuse prevention and control. Reports coding patterns identified within the audit process to the Manager and identifies corrective measures for compliance problems. Responsible for researching errors or missing documentation from medical records to provide accurate coding processes. Provides second-level review of billing performance to ensure...

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 a Lead Associate, Itemized Bill Review Quality Auditor to perform reviews of medical records, healthcare claims, itemized medical bill, and UB-04 forms to ensure accuracy, compliance, and proper billing practices. This role is responsible for conducting quality assurance audits and oversight of itemized bill review activities to ensure accuracy, consistency, regulatory compliance,...

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Coding Quality Audit Reviewer Schedule: Monday-Friday Day Shift Hours Candidate must have Inpatient Facility Coding and DRG Validation experience Job Summary And Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy,...

Medical Coding Supervisor Centralized Coding Lbk Lubbock Nationally recognized as a Great College to Work For, TTUHSC provides much more than just a job! Enjoy excellent benefits, including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care. Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas...

Location: Dallas, Texas, United StatesSalary: $32.00 - $37.00/hrCompany: TEKsystemsPosted: DescriptionRisk Adjustment Coding AuditorThe Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise.Your ResponsibilitiesEvaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practicesProtects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirementsPerforms Retrospective and Prospective chart reviews to ensure accurate risk adjustment...

Medical Coding Specialist Key Responsibilities: Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing...

Medical Coding SpecialistKey Responsibilities:Analyze patient charts, physician notes and discharge summariesEnsure documentation is complete and accurate before codingTranslate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses)CPT (procedures)HCPCS (supplies/services)Make sure codes correctly represent services providedFollow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company PoliciesPrevent coding errors that could lead to claim denials or auditsStay updated on coding changes and updatesWork with billing teams to submit coded claims to insurance companiesVerify claim accuracy to ensure proper reimbursementFix rejected or denied claims by reviewing and correcting codesCommunicate with healthcare providers and insurance companiesProtect sensitive patient informationFollow strict privacy and data security standardsClarify documentation with physicians when neededCollaborate with billing and administrative teamsRegularly update...

We've learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. **Join UMC Physicians: Where Employee Satisfaction Soars at 96%!** Summary Title: Coder, UMCP Department: UMCP Centralized Billing and Coding Description: UMC Physicians is seeking an experienced full-time Family/Internal Medicine Professional Coder to join our team of multi-specialty coders. Under general supervision, the coder reviews and analyzes provider documentation to ensure final diagnoses and procedures are complete, valid, and accurately documented. The Coder assigns ICD-10-CM, CPT, and HCPCS Level II codes for clinic and hospital professional services, ensuring compliance with federal regulations, payer guidelines, and organizational policies. This role is responsible for accurate coding and timely claim submission to support appropriate reimbursement while maintaining the highest standards of coding quality,...

Join UMC Physicians: Where Employee Satisfaction Soars at 96%UMC Physicians is seeking an experienced full-time Family/Internal Medicine Professional Coder to join our team of multi-specialty coders. Under general supervision, the coder reviews and analyzes provider documentation to ensure final diagnoses and procedures are complete, valid, and accurately documented. The Coder assigns ICD-10-CM, CPT, and HCPCS Level II codes for clinic and hospital professional services, ensuring compliance with federal regulations, payer guidelines, and organizational policies.This role is responsible for accurate coding and timely claim submission to support appropriate reimbursement while maintaining the highest standards of coding quality, compliance, and integrity. The coder collaborates with providers, clinic staff, coworkers, and revenue cycle teams to promote complete documentation, resolve coding and billing issues, and support accurate and timely insurance claim processing. The ideal...