472 outpatient coding auditor jobs found

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,...

Job Description Job Description Description: Position Summary 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...

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

A leading health data exchange company is seeking an Outpatient Auditing Specialist to conduct coding audits and provide education. This fully remote role offers a supportive environment with a strong focus on professional development. Candidates should have over 5 years of outpatient coding experience and exhibit strong organizational and leadership skills. The position provides competitive pay and comprehensive benefits including medical, dental, and paid time off. #J-18808-Ljbffr

A health data exchange company seeks an Outpatient Auditing Specialist to perform coding audits and education, maintain regulatory compliance, and improve coding workflows. Ideal candidates will have at least 5 years of coding experience, relevant certifications, and a strong commitment to customer service. This fully remote role offers flexibility and a benefits package including medical, dental, and vision coverage, along with paid time off. Pay ranges from $35 to $45 per hour depending on experience. #J-18808-Ljbffr

Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful: To provide exceptional and compassionate care to all we serve. AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here. Performs coding compliance audits of outpatient accounts according to coding rules and guidelines. Duties & Responsibilities Reviews outpatient medical records and validates the appropriate ICD-10 codes and CPT codes. Maintains documentation of audits performed. Review accounts returned for medical necessity regarding diagnosis issues. Conducts a...

A leading health data exchange company is seeking an Outpatient Auditing Specialist to perform coding audits and provide education on coding practices. This fully remote role offers a competitive pay range of $35 - $45 per hour. The ideal candidate will possess over 5 years of outpatient coding experience, strong attention to detail, and customer-service orientation. Benefits include comprehensive training, medical, dental, vision, and 401k with match. #J-18808-Ljbffr

A leading health data platform is seeking an Outpatient Auditing Specialist to perform coding audits and provide educational support. The role requires at least 5 years of outpatient coding experience and knowledge of ICD-10-CM, CPT, and HCPCS. This fully remote position allows you to work flexibly while tackling healthcare challenges. The company offers competitive pay and benefits including medical, dental, vision, and paid time off. #J-18808-Ljbffr

A leading data platform company is seeking an Outpatient Auditing Specialist. In this fully remote role, you will conduct facility coding audits, ensuring compliance and quality while providing educational support. Candidates should have at least 5 years of outpatient coding experience, preferably with certifications like CCS. The position offers competitive pay ranging from $35 to $45 per hour, alongside a comprehensive benefits package including medical, dental, and 401k plans. #J-18808-Ljbffr

A leading health data exchange company is seeking an Outpatient Auditing Specialist to conduct coding audits and provide education. This remote position requires 5+ years of experience in outpatient facility coding, with competitive pay ranging from $35 to $45 per hour. Ideal candidates will have certifications and experience with EMRs like Epic and Cerner, and a commitment to quality and customer service. #J-18808-Ljbffr

A leading data platform company is seeking an Outpatient Auditing Specialist to perform coding audits and provide education. This fully remote role requires 5 or more years of experience in outpatient facility coding and auditing. The ideal candidate will be skilled in coding regulations and have experience with various EMR systems. The position offers competitive pay, benefits including medical and dental, and a supportive work environment focused on professional development. #J-18808-Ljbffr

A healthcare data platform company in Oklahoma City is seeking an Outpatient Auditing Specialist. This fully remote role involves conducting coding audits, providing education on coding practices, and maintaining high accuracy rates. Suitable candidates should have at least 5 years of experience in outpatient facility coding, preferably with certifications in coding. The company offers competitive pay ranging from $35 to $45 per hour and a comprehensive benefits package including medical, dental, and tuition stipends. #J-18808-Ljbffr

A leading healthcare data company seeks an Outpatient Auditing Specialist to perform coding audits and provide education on coding quality. This fully remote role requires 5+ years of outpatient facility coding experience and a CCS certification, along with skills in using software like Epic and Cerner. Join our team to help shape the future of healthcare with a customer service focus and a commitment to excellence. #J-18808-Ljbffr

A leading health data exchange company is seeking an Outpatient Auditing Specialist to perform coding audits and provide education on coding quality. Ideal candidates will have over 5 years of experience and relevant certifications. This remote role offers flexibility and a supportive work environment with comprehensive benefits including medical, dental, and vision. Join the team to contribute to solving complex healthcare problems through innovative solutions. #J-18808-Ljbffr

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range:$61,300 - $71,000 The Medical Coding Auditor-Outpatient - (OIG Focus) is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the organization, with a primary focus on Outpatient services. This role involves auditing medical records, coding data, and billing information to verify...

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range:$61,300.00 - $71,000.00 The Medical Coding Auditor-Outpatient is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the organization, with a primary focus on Outpatient services. This role involves auditing medical records, coding data, and billing information to verify adherence to...

Company Description The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you'll enjoy as a member of our team. Job Description I. General Summary Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification...

A health information management provider is seeking Remote Outpatient & Surgery Coding Auditors. Candidates must have at least 3 years of medical coding auditing experience, preferably with VA, and should be able to communicate effectively. The role offers flexibility within a Monday–Sunday work week and requires applicants to be U.S. citizens. Those with an active VA Contractor’s Citrix Access Account, or relevant coding credentials from recognized associations, may have a chance at our Signing Bonus Program. #J-18808-Ljbffr

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...