Facility Outpatient Coding Auditor

Facility Outpatient Coding Auditor

Managed Resources / CodingAID

Location: Remote, United States –
Part Time

The primary responsibility of the Facility OP Auditor is to audit ICD-10-CM, CPT, HCPCS and Modifier assignment, and identify documentation improvement opportunities based on medical record documentation for various client projects.

• Meet client deadlines.
• Meet and exceed minimum productivity standards.
• Pass quality reviews.

• Abstract all ICD-10-CM, CPT, HCPCS and Modifier assignment from the medical record documentation.
• Enter data into audit software and/or audit detail report.
• Evaluate the overall quality of facility documentation to provide feedback to the client for education opportunities.
• Perform internal coder quality reviews.
• Coding recommendations to incorporate into the Executive Summary.
• Meet minimum productivity standards.
• Maintain a 95% or higher accuracy rate on quality reviews.
• Ensure accurate and timely completion of audit report.
• Enter time accurately and promptly into the time‑keeping system.
• Comply with policies regarding the use and disclosure of protected health information, accessing and using PHI only to the extent necessary to fulfill responsibilities.
• Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
• Perform other duties as assigned.

• Current credential of RHIT, RHIA, CPC, and/or CCS.
• AHIMA ICD‑10‑CM certification.
• Minimum five years’ experience abstracting ICD‑10‑CM, CPT, HCPCS and Modifier assignment.
• Advanced technical knowledge in specific specialties as assigned.
• Extensive knowledge of medical terminology and ability to research coding‑related questions.
• Experience with data entry of codes into a database and/or software tool.
• Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems.
• Excellent oral and written communication skills.

Please review your resume and application materials before submitting online.