If you’re a certified outpatient coding pro who loves precision, this role is all about protecting revenue integrity by catching coding issues before they become compliance problems. You’ll audit outpatient records, validate CPT/HCPCS and ICD-10-CM coding, and turn findings into clear reports and targeted training.
About Firstsource
Firstsource is a global business process management partner supporting healthcare operations and other industries at scale. This role supports outpatient coding accuracy and compliance, helping ensure coding practices align with payer rules and regulatory guidelines. Your work helps protect revenue integrity through audit-driven improvement.
Schedule
- Remote, work from home
- 8:00 AM–5:00 PM ET
What You’ll Do
- Audit coded outpatient medical records across ED, day surgery, observation, ancillary services, and outpatient clinics
- Validate CPT, HCPCS, and ICD-10-CM codes, including E/M levels, sequencing, and modifier usage
- Confirm documentation supports services billed and aligns with OPPS rules, NCCI edits, and payer policies
- Identify coding issues such as overcoding, undercoding, missed codes, incorrect sequencing, and modifier errors
- Assess documentation clarity and completeness and provide feedback to improve documentation quality
- Identify and escalate compliance risks like unbundling, modifier misuse, and billing conflicts
- Prepare audit reports with results, trends, and recommendations
- Deliver education and training based on audit findings and coach coders to improve performance
- Collaborate with supervisors, trainers, and HIM leadership to implement corrective actions
What You Need
- Required certification: CPC or CCS (AHIMA or AAPC credential)
- 3+ years of hands-on outpatient coding experience in a U.S. hospital setting
- Prior coding audit or quality assurance experience (preferred)
- Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers (including -25, -59, LT/RT), and outpatient reimbursement (APCs/OPPS)
- Knowledge of CCI edits and MUEs
- Familiarity with encoder/EHR tools (example platforms include 3M, Epic, Cerner, TruCode)
- Strong analytical skills and the ability to write and explain findings clearly
Benefits
- Remote schedule (8:00 AM–5:00 PM ET)
- Audit-focused role with education/coaching responsibilities
- Clear performance standards (accuracy, timeliness, reporting, education contribution)
- Equal Opportunity Employer
This is a specialist seat. If someone doesn’t already have CPC/CCS plus 3+ years outpatient hospital coding, they’re not getting through the door. If they do, this is a strong “level up” role with real authority.
Be the standard everyone has to meet.
Happy Hunting,
~Two Chicks…