Outpatient Coding Auditor

  • Analyze and verify accuracy of coding and abstracting of clinical data from medical records against billed procedures to ensure compliance with national coding guidelines and payer-specific requirements
  • Provide feedback and education to coding staff based on audit findings to improve accuracy and compliance
  • Assist in the development and implementation of auditing tools and processes to identify areas for improvement
  • Collaborate with the coding team and management to implement best practices and continuous quality improvement initiatives in outpatient coding
  • Stay abreast of changes in coding guidelines, regulations and technologies

Outpatient Coding Auditor Requirements:

  • Current certification as a CCS (Certified Coding Specialist), CPC (Certified Professional Coder), RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) required
  • 3+ years of experience in outpatient coding or auditing
  • Thorough knowledge of medical terminology, anatomy, physiology and pharmacology
  • Proficient in ICD-10-CM and CPT coding systems and guidelines
  • Strong analytical skills and attention to detail