Senior Outpatient Coding Auditor – Provider Education Specialist

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

📋 Description

• Facilitate individual and group educational sessions with providers to clarify observed billing trends, coding standards, and best practices.

• Emphasize the importance of proper documentation standards to ensure accurate code selection and reimbursement.

• Simplify intricate coding and reimbursement guidelines into straightforward, actionable advice suited to provider workflows.

• Conduct thorough audits of outpatient medical records to evaluate the accuracy of CPT, HCPCS, and ICD-10 coding, as well as adherence to payer policies and regulatory standards.

• Detect trends in coding discrepancies, documentation inadequacies, and possible compliance risks.

⛳️ Requirements

• Bachelor’s degree in Health Information Management, Healthcare Administration, or a related discipline (or equivalent experience).

• At least 5 years of experience in outpatient coding, auditing, or compliance.

• Current certification from AAPC (e.g., CPC, CPMA) or AHIMA (e.g., CCS, CCS-P, RHIT, RHIA).

• In-depth knowledge of CPT, HCPCS, and ICD-10 coding systems, along with CMS and payer reimbursement processes.

• Proven experience in auditing E/M services and various outpatient procedures.

• Preferred Qualifications: Experience in provider education or clinical documentation improvement (CDI).

• Experience collaborating directly with physicians, advanced practice providers, and behavioral health clinicians.

• Background in healthcare analytics or initiatives aimed at performance enhancement.

🏝️ Benefits

• Health insurance

• Vision

• Dental

• 401(k) options

• Mentorship and career development programs

• Fast-paced, innovative environment