Outpatient Coding Auditor – ED-FP/OBS/SDC

This is a fully remote position, open to applicants in Florida.

📋 Description

• Assist with specialized healthcare coding consulting and auditing initiatives.

• Conduct outpatient coding audits independently.

• Audit Emergency Department, Observation, and Same-Day Surgery services across both facility and professional coding.

• Detect coding trends, errors, missed opportunities, and areas for documentation improvement.

• Confirm code assignments, sequencing, units, modifiers, and documentation support.

• Investigate coding guidelines and policies using CPT, ICD-10-CM, AHA Coding Clinic, AMA CPT Assistant, NCCI edits, and CMS guidelines.

• Relay audit findings to coding leadership and client teams.

• Deliver coder education.

• Adjust to various client EHRs, encoders, coding policies, and workflows.

⛳️ Requirements

• Active CCS credential is mandatory.

• At least 3 years of experience in outpatient coding auditing.

• Strong background in both facility and professional coding and auditing.

• Emergency Department experience is essential in both facility and professional services.

• Experience auditing in Emergency Department (ED), Facility and Professional Observation (OBS), Facility Same-Day Surgery (SDC), and Facility.

• High proficiency in injection and infusion coding, including hierarchy, administration types, and time-based requirements.

• Expert understanding of CPT, ICD-10-CM Official Guidelines, AHA Coding Clinic, AMA CPT Assistant, NCCI edits, and CMS guidance.

• Advanced skills in surgical CPT coding, modifiers, and professional E/M coding.

• Capability to validate code assignments, sequencing, units, modifiers, and documentation support.

• Strong research and analytical abilities, including the identification of coding errors, missed opportunities, and areas for documentation improvement.

• Excellent written communication skills, with the ability to independently convey audit findings and provide coder education.

• Ability to adapt to various client EHRs, encoders, coding policies, and workflows.

• Must be authorized to work and reside in the United States.

🏝️ Benefits

• 100% remote work environment.

• Direct W-2 employment with a family-owned, U.S.-based company.

• Opportunity to engage in specialized consulting and auditing projects.