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Outpatient Auditor/Coder

Buffalo, NY 14215

Posted: 07/14/2025 Industry: Healthcare & Social Services Job Number: 7548 Pay Rate: 45.00

Job Description

Title: Outpatient Auditor/Coder
Position Type: Short-Term, temporary (less than 1 year)
Location: Remote
Hours: Flexible, Part-Time
Salary: $35-45 per hour
Work Authorization: Must be authorized to work in the U.S. without sponsorship.

Job Description
We are seeking an experienced and detail-oriented Outpatient Auditor/Coder to join our Audit and Compliance team. This role is ideal for professionals with a strong background in outpatient coding and auditing, particularly in high-volume clinical or hospital-based settings. While coding skills are essential, the position places a strong emphasis on audit expertise, compliance awareness, and the ability to identify and resolve documentation and coding discrepancies.

Key Responsibilities

  • Conduct detailed audits of outpatient medical records, including same-day surgeries, ED visits, diagnostic procedures, and clinic encounters

  • Review and validate ICD-10-CM, CPT, and HCPCS coding using 3M CAC/encoder tools

  • Identify coding inaccuracies, missed charges, and documentation deficiencies

  • Analyze audit results to identify trends and recommend improvements to enhance coding accuracy and documentation quality

  • Prepare and present audit findings and executive summaries to internal and external stakeholders

  • Collaborate with CDI, HIM, and clinical teams to ensure accurate, complete, and compliant documentation

  • Initiate and manage physician queries to clarify clinical documentation and support appropriate code assignment

  • Stay current with CMS, AHIMA, and payer-specific outpatient coding and audit guidelines

Required Qualifications

  • AHIMA Certification: Must hold a current CCS or RHIT credential (CCS-P strongly preferred)

  • Minimum 5 years of outpatient coding experience, with 3+ years in an outpatient audit role

  • Strong understanding of ICD-10-CM, CPT, HCPCS coding systems and OPPS/APC reimbursement methodologies

  • Proficient with 3M CAC/encoder systems

  • Experience conducting audits in high-volume settings such as hospital outpatient departments, ambulatory surgery centers, or EDs

  • Ability to analyze audit findings, identify root causes, and clearly communicate results

  • Skilled at initiating and resolving clinical documentation queries

  • Familiarity with EHR systems—Meditech preferred; experience with Epic or McKesson also a plus

Additional Requirements

  • Maintain a secure, HIPAA-compliant remote work environment

  • Successfully complete a pre-interview audit assessment

Submit your resume today!


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Jacqueline Ford
Talent Acquisition Specialist

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