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US

  • Conduct detailed outpatient coding audits for ED, SDS, OBS, and I&I services.
  • Identify coding discrepancies, root causes, and compliance risks to support appropriate reimbursement.
  • Provide technical guidance and training to coding staff to improve accuracy and quality.

Medical Coding Auditing CPC EMR Excel

20 jobs similar to Facility Outpatient Auditor - ED, SDS, OBS, I&I

Jobs ranked by similarity.

US

  • Audit inpatient and outpatient records for coding accuracy, documentation support, and reimbursement impact.
  • Review ICD-10-CM, ICD-10-PCS, CPT, HCPCS, DRG, modifier, and bundling assignments across facilities.
  • Present findings and provide facility-specific coding education to leadership and stakeholders.

A large regional health network operates multiple medical facilities across the United States, focusing on accurate coding and compliance. The organization maintains a structured, regulated environment with an emphasis on quality improvement, education, and confidentiality.

US

  • Conduct independent coding audits of inpatient, outpatient, and professional fee services across multiple specialties.
  • Analyze sampled medical records to identify and substantiate coding, documentation, and compliance errors.
  • Provide targeted education and train-the-trainer sessions to strengthen coding practices.

This company provides medical coding auditing and validation services for Veterans Affairs medical centers, supporting healthcare data quality and compliance. It operates in a mission-driven environment focused on improving coding accuracy for veteran-serving facilities.

$38–$38/hr
US

  • Audit surgical and procedural coding for accuracy, documentation support, and compliance with ICD-10-CM, CPT, and HCPCS guidelines.
  • Document findings with authoritative guidance, assess financial impact, and recommend corrective actions.
  • Deliver facility-specific coding education and collaborate with health information management leadership and facility stakeholders.

A healthcare organization is seeking a Surgery Coding Auditor to ensure accurate surgical coding and compliance. The company operates across multiple healthcare facilities in the US and emphasizes quality assurance, education, and process improvement.

US

  • Independently audit professional-fee coding for accuracy, compliance, and reimbursement impact.
  • Evaluate ICD-10-CM, CPT, HCPCS Level II, E/M services, modifiers, and professional components.
  • Prepare reports, deliver coding education, and maintain 95% audit accuracy.

A large regional healthcare network providing medical services across multiple facilities. The culture emphasizes independent auditing, high accuracy, and collaborative compliance education.

US

  • Conduct routine and targeted coding audits for internal and outsourced vendors across ASC, hospital outpatient, and professional fee services.
  • Review ICD-10, CPT, HCPCS, and payer policies to ensure coding accuracy, compliance, and documentation support.
  • Prepare audit reports, identify trends, provide coder education, and support performance improvement initiatives.

Surgery Partners is a healthcare services company operating ambulatory surgery centers and related facilities across the United States. With more than 58 facilities, the company prioritizes compliance, quality, and a diverse, inclusive workplace.

US

  • Audit inpatient DRG, outpatient, and professional fee coding for accuracy and compliance.
  • Review up to 25 diagnoses and procedures per record, classify errors with references.
  • Deliver facility audit reports and lead training sessions for coding staff and clinicians.

Arrow ARC provides healthcare staffing and program support to Veterans Health Administration facilities across the U.S. It is a certified Service-Disabled, Veteran-Owned Small Business joint venture known for an agile, mission-focused, results-driven approach.

$25–$30/hr
US

  • Code a high volume of outpatient encounters, including clinic visits, ancillary services, diagnostic testing, and outpatient surgery.
  • Assign E/M levels, apply NCCI edits and modifiers, and review clinical documentation in VA systems like CPRS and VistA.
  • Maintain 95% coding accuracy, protect patient information, and complete federal background investigation requirements.

Our partner is a healthcare organization that provides medical coding services for Veterans Affairs facilities. The company emphasizes mission-driven work, accuracy, and confidentiality while supporting veteran healthcare services across the United States.

US

  • Conduct audits of medical records for compliance with federal coding regulations and guidelines.
  • Provide education and training to providers on CPT, ICD-10, and HCPCS codes.
  • Act as an internal expert to ensure coding compliance with state and federal regulations.

Privia Health is a technology-driven national physician enablement company collaborating with medical groups, health plans, and health systems. It aims to optimize physician practices and improve patient experiences through cloud-based technology and scalable operations.

US

  • Provide day-to-day leadership, technical support, and QA for Revenue Optimization Auditors.
  • Perform complex coding, billing, and revenue integrity audits and analyze data for opportunities.
  • Train and mentor new auditors, support process improvement, and escalate compliance concerns.

NAPA is a clinician-led leader in anesthesia and perioperative services, delivering exceptional patient experiences. They cultivate leaders, promote work-life balance, and celebrate diversity in a collegial environment.

US

  • Audit inpatient medical records to validate ICD-10-CM/PCS coding, DRG assignments, and compliance.
  • Identify documentation gaps and develop compliant physician queries while collaborating with physicians.
  • Maintain productivity of at least three chart reviews per hour and complete accurate audit workpapers.

The hiring company provides clinical documentation improvement consulting services to healthcare organizations, focusing on accurate coding, compliance, and reimbursement. It fosters a collaborative, people-first environment and has been recognized as a Great Place to Work for three consecutive years.

$34–$34/hr
US

  • Review inpatient and outpatient records and assign accurate ICD-10, CPT, and HCPCS codes.
  • Maintain a minimum coding accuracy of 95% while meeting turnaround and quality standards.
  • Work fully remotely within the US supporting multiple medical facilities.

This position is listed on behalf of a partner company within a large healthcare network. They focus on health information management and clinical coding accuracy, offering a fully remote environment.

US

  • Reviews and codes medical records for general surgical specialties using ICD-10, CPT, and HCPCS codes.
  • Abstracts demographic and coding data, audits orders and claims, and reviews documentation for medical necessity.
  • Provides technical guidance to physicians and staff and develops stakeholder relationships.

Piedmont Healthcare is a healthcare system providing medical services across Georgia. It fosters a shared purpose and recognition, with wellness programs and comprehensive benefits for employees.

US

  • Code outpatient encounters using ICD-10-CM, CPT-4, and HCPCS Level II.
  • Assign E/M levels, apply NCCI bundling edits, and ensure accurate diagnoses.
  • Maintain 95% accuracy and meet facility turnaround times.

Aptive Resources provides healthcare staffing and program support for federal agencies, including VA medical centers. Arrow ARC is a Service-Disabled, Veteran-Owned Small Business with a mission-focused culture.

US

  • Review inpatient medical records to validate DRG coding accuracy.
  • Apply clinical judgment to identify discrepancies, coding errors, and overpayments.
  • Document evidence-based audit findings and meet quality standards.

The company specializes in healthcare claims auditing and analytics, improving accuracy and consistency in payments. It is a collaborative, fully remote environment that values precision, teamwork, and continuous improvement.

US

  • Interpret clinical documentation to accurately assign diagnosis and procedure codes for outpatient encounters.
  • Maintain current knowledge of ICD-10 and CPT coding systems and ensure documentation supports assigned codes.
  • Manage daily work queues and perform data and charge entry within patient accounting systems.

This partner company operates within an academic medical environment, providing healthcare services and supporting accurate outpatient coding. Their culture is supportive and collaborative, with a focus on high-quality healthcare operations and continuous learning.

$82,717–$108,566/yr
US Unlimited PTO

  • Conduct internal and external quality audits for ICD-10 code abstraction and identify clinical documentation improvement opportunities.
  • Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data and reviewing Risk Adjustment coding performance.
  • Maintain compliance with national coding standards and support CMS and Risk Adjustment Data Validation audits.

Oscar is a health insurance company built around a full-stack technology platform and a relentless focus on serving its members. Founded in 2012, it cultivates an inclusive environment where employees can be their authentic selves.

  • Assigns ICD-10-CM, CPT/HCPCS codes and modifiers for outpatient encounters such as clinic, diagnostics, and EMS.
  • Ensures compliance with official coding guidelines, payer policies, and facility requirements while meeting quality benchmarks.
  • Collaborates with CDI, billing, and revenue integrity teams to improve documentation and optimize reimbursement.

Capital Health is a dynamic healthcare network that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. With more than 600 physicians and providers, the organization is accredited by DNV and emphasizes attracting top talent through competitive compensation and a collaborative culture.

US

  • Code inpatient professional and nursing home services using CPT, ICD-10-CM, and HCPCS.
  • Apply E/M categories, NCCI edits, and modifiers accurately for surgical and evaluation services.
  • Maintain 95% accuracy and meet productivity standards while working with clinical documentation.

This partner company provides medical coding and billing services for healthcare facilities, including Veterans Affairs medical centers. It is an equal opportunity employer with a remote team focused on accuracy and compliance.

US

  • Develop and implement education programs to improve coding and documentation practices.
  • Audit clinical documentation for compliance with AMA and CMS guidelines.
  • Provide training and guidance to providers, clinical staff, coders, and billing specialists.

UnityPoint Health is a healthcare system serving Iowa, Illinois, and Wisconsin. It is recognized as a top workplace in healthcare and promotes a culture of belonging, support, and professional development.

US

  • Code inpatient services with 95% or above accuracy following ICD-10 guidelines.
  • Abstract medical records and assign accurate diagnosis and procedure codes using Epic and 3M 360.
  • Collaborate with coding leadership and CDI reviewers to resolve coding issues and support compliance.

Oregon Health & Science University (OHSU) is Oregon's only public academic health center, providing patient care, leading research, and training healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance across hospitals and clinics in Oregon and Southwest Washington.