HD - Medical Auditor
Listed on 2026-09-18
-
Healthcare
Medical Billing and Coding
Die Repair (3rd Shift)
Cephas Consultancy Services Private Limited Twinsburg, Ohio, United States
About this positionPositions:50 Contract
Experience
4 - 30 Years
Role
Title:
Medical Auditor
Role Type:Contractor
Location:Remote
Required SkillsOutpatient Professional Fee Coding
Coding Auditing
Academic Medical Center Experience
Audit Program Management
We are engaging Medical Auditors to contribute specialized expertise to a customer’s project within the academic medical center landscape. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters. This opportunity is ideal for experienced professionals with a proven track record in outpatient professional fee coding and audit program oversight, especially within academic medical centers.
Scopeof Work
- Review and audit outpatient professional fee coding for accuracy and compliance.
- Review other coders’ work and identify errors, gaps, or inconsistencies.
- Make clear and consistent decisions on complex coding cases.
- Apply expertise in E/M leveling, modifier
-25, time vs. MDM, and NCCI bundling. - Document findings and provide clear written feedback.
- Identify coding trends and recommend improvements.
- Help clarify difficult or ambiguous coding cases.
- Provide timely feedback and complete approximately 10 reviews per day.
- Support quality assurance and audit activities as needed.
- AAPC CPC certification; CPMA preferred.
- 10+ years of medical coding experience, or experience managing outpatient professional fee coding audits at an Academic Medical Center.
- Experience reviewing and auditing other coders’ work.
- Strong knowledge of outpatient professional fee coding and auditing.
- Strong understanding of E/M leveling, modifier
-25, time vs. MDM, and NCCI bundling. - Able to make clear, well-supported decisions and apply guidelines consistently.
- Strong written communication and attention to detail.
- Comfortable providing feedback and helping calibrate other reviewers.
- Experience with QA programs, gold-set reviews, or AI/ML data validation is a plus.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).