825 outpatient coding compliance auditor jobs found

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance. At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare. Remote (United States) | Part-Time (20 hours/week) Work Hours: Weekdays between 6:00 AM-6:00 PM PT Compensation: $36.00/hour during production Position Overview GeBBS...

Optum, a UnitedHealth Group company, seeks an Outpatient Coding Compliance Auditor to audit OPPS coding, ICD-10-CM, CPT/HCPCS, and E/M levels, ensuring documentation aligns with guidelines. This role supports the Compliance Program and communicates findings to stakeholders. You can work remotely from anywhere in the U.S. The position requires CPC/CCS/COC and 5+ years of outpatient coding and audit experience, with RHIA/RHIT/CPMA a plus. #J-18808-Ljbffr

Optum is seeking an experienced Outpatient Coding Compliance Auditor to conduct audits of outpatient facility coding, verify ICD-10-CM and CPT accuracy, and support the Compliance Program. The role involves root-cause analysis, QA oversight, and communicating findings to stakeholders. You'll work remotely from anywhere in the United States, participating in ongoing education and ensuring adherence to evolving industry guidelines and regulatory requirements. #J-18808-Ljbffr

UnitedHealth Group is seeking an Outpatient Coding Compliance Auditor to perform audits of outpatient facility coding (OPPS) to ensure accurate ICD-10-CM, CPT/HCPCS, modifiers, and E/M levels. The role analyzes documentation, identifies trends, and communicates findings to stakeholders. Remote work from anywhere in the U.S. is supported. The role requires CPC/CCS/COC certification and 5+ years of outpatient facility coding and audit experience, with Medicare OPPS knowledge. #J-18808-Ljbffr

University of Michigan's Michigan Medicine is seeking an experienced Coding Quality Auditor to perform outpatient coding audits for CPT/ICD-10-CM, ensuring accuracy and CMS guideline compliance. You will develop and deliver educational programs, and act as a subject matter expert for the outpatient coding department. The role requires coordinating training, providing feedback to improve code accuracy, and contributing to departmental policies and process improvements within Revenue Cycle #J-18808-Ljbffr

Outpatient Coding Compliance AuditorOptum 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,...

Outpatient Coding Compliance AuditorOptum 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,...

Requisition number: 2366610 Job category: Regulatory & Compliance 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,...

Outpatient Coding Compliance AuditorOptum 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,...

Ensemble Health Partners, a leader in revenue cycle management solutions for health systems, is seeking an Outpatient Facility Coding Auditor. This remote role requires 3+ years of outpatient coding and auditing experience, with expertise in ICD10CM, CPT, HCPCS, NCCI, and CMS guidelines. Travel to client sites may be required. The position emphasizes accuracy, regulatory compliance, and client education, supported by robust benefits, tuition reimbursement, and certification incentives. #J-18808-Ljbffr

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognise that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving...

The Valley Health System in Ridgewood, NJ is seeking an Outpatient Coding Auditor to review outpatient records for compliance with coding guidelines and regulatory requirements. You will identify trends, educate staff, and collaborate with external vendors to implement industry best practices and improve overall audit results. Requires 5+ years in hospital auditing with ICD-10-CM, outpatient CPT-4, HCPCS coding experience; 3M Encoder experience and EPIC/Meditech/CERNER familiarity are preferred. #J-18808-Ljbffr

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognise that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving...

Signature Performance, Inc. is seeking an experienced Outpatient Coding Auditor to ensure accuracy in medical coding and documentation. You will conduct quality reviews, generate actionable audit findings, and guide coders and managers toward improved compliance with policies and standards. Ideal candidates have 5+ years in professional medical coding, AHIMA/AAPC credentials, and familiarity with ICD-10-CM/PCS, CPT-4, HCPCS, and reimbursement systems. #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote, nationwide role. You will perform quality reviews, audits, and educational feedback to coders and managers to ensure compliance with ICD-10-CM/PCS, CPT-4/HCPCS, and reimbursement guidelines. The ideal candidate has 5+ years in professional medical coding/reimbursement, credentials such as CCS/AHIMA or CPC/APAC, and experience with Cerner, EPIC, or 3M 360 Encompass. U.S. citizenship preferred. #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor capable of ensuring coding accuracy and driving documentation improvements across a nationwide remote team. You will review audits, deliver clear findings, and educate coders and managers on best practices. The role demands strong organizational skills, professionalism, and the ability to coach others, with a focus on compliance and reimbursement systems across CPT/ICD-10-CM/PCS and related guidelines. #J-18808-Ljbffr

Signature Performance, Inc. seeks an Outpatient Coding Auditor who excels at ensuring coding accuracy and resolving documentation challenges. You will conduct quality reviews, coordinate with managers, and deliver actionable audit findings to drive compliance and staff education. The position emphasizes coaching, documentation improvement, and adherence to ICD-10-CM/PCS, CPT-4, HCPCS, and reimbursement guidelines across multiple outpatient settings. #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor to ensure coding accuracy and compliance across departments. You will conduct quality reviews and audits, coordinate with managers, and deliver education to coders and staff on findings and improvements. Ideal candidates hold AHIMA/AAPC credentials with 5+ years in professional medical coding and auditing. Remote nationwide work with a focus on improving documentation and reimbursement processes. #J-18808-Ljbffr

Signature Performance, Inc. is seeking an experienced Outpatient Coding Auditor for a remote nationwide role. You will conduct quality reviews, identify documentation issues, and provide guidance to coders and managers to ensure coding accuracy and compliance. You will need advanced ICD-10-CM/PCS, CPT-4/HCPCS, and reimbursement system knowledge, plus experience with Cerner/EPIC and multi-site environments. Strong education and coaching skills are essential. #J-18808-Ljbffr

The Marwood Group, a healthcare advisory services firm based in New York, is seeking an outpatient Certified Coding Auditor. The role can be performed in New York or remotely, focusing on auditing and ensuring compliance with government and commercial payor regulations. Candidates must have CPC/CCS-P with at least 5 years of experience, strong knowledge of E/M/CPT/HCPCS/ICD-10, and familiarity with UB-04 and CMS 1500 data. AAPC/AHIMA certification is required. #J-18808-Ljbffr

University of Michigan Michigan Medicine is seeking a Coding Compliance Auditor to perform outpatient coding quality audits ensuring CPT/HCPCS, ICD-10-CM code assignments and modifiers align with CMS guidelines. You will provide ongoing feedback to the coding staff and develop educational programs for the outpatient coding department. The ideal candidate holds CPC/COC/RHIT/RHIA/CCS/CCS-P credentials, an associate degree in healthcare, and at least three years of coding/auditing experience, with #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor to ensure coding accuracy and support compliant documentation. You will perform quality reviews, coordinate with department managers, and deliver actionable audit findings to education coders, auditors, and leadership. The role emphasizes knowledge of ICD-CM, CPT-4, HCPCS, DRGs, PPS, and APC, with a track record in outpatient auditing. Candidates should have AHIMA/AAPC credentials or be able to obtain within 12 months, plus 5+ #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor to ensure accurate medical coding and compliant documentation across multiple client systems. You will lead quality reviews, perform audits, and collaborate with department managers to uphold policies and standards. Ideal candidate has advanced ICD-10-CM/PCS, CPT-4/HCPCS knowledge, and 5+ years in professional coding. You will provide education to coders and identify documentation gaps, driving ongoing improvement and payer #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote, nationwide role. You will ensure coding accuracy through audits and collaborate with department managers to maintain standards. You will deliver education on audit findings, identify documentation gaps, and guide staff on corrective actions, while staying current with coding guidelines and payer requirements. #J-18808-Ljbffr