Job Summary

• Conduct detailed reviews of coded outpatient medical records to ensure coding accuracy, documentation compliance, and regulatory alignment.
• Validate CPT/HCPCS and ICD-10-CM codes assigned for various outpatient services and ensure alignment with payer rules and coding guidelines.
• Prepare detailed audit findings reports, deliver targeted education, and collaborate with leadership to implement corrective actions.

Matching Summary

Skills & Requirements

Key Requirements

• Certified Auditor (CPC, CCS)
• 3+ years outpatient coding experience
• Coding audits or QA experience
• Knowledge of CPT, HCPCS, ICD-10-CM
• Familiarity with encoder software and EHR

Work Rights