Outpatient Coding Auditor
Core
Audit outpatient medical coding for accuracy and compliance with regulatory guidelines to support billing and quality.
Role type
Outpatient Coding Auditor
Builds
Audit reports, client education materials, and compliance recommendations
Domain
Healthcare Revenue Cycle Management
Required skills
ICD-10-CM, CPT, HCPCS, NCCI, CMS guidelines, medical coding principles, regulatory compliance, data analysis, client education, Microsoft Office
Preferred skills
AI process improvement, training staff, adapting billing protocols
Technologies
Microsoft Office (Word, Excel, PowerPoint), medical coding systems
Responsibilities
Audit outpatient coding for diagnoses, CPT, HCPCS, and modifier assignment; Participate in client system education; Maintain documentation and root cause analysis; Develop executive summary reports; Attend coding conferences and workshops; Meet productivity standards
Seniority
Mid-level, hands-on IC
