Outpatient Coding Auditor

Job Summary

A company is looking for a Medical Coder/Auditor.

Key Responsibilities

• Performing outpatient professional and facility audits across multiple specialties
• Identifying coding inaccuracies, missed revenue, and compliance risks
• Documenting defensible audit findings aligned with CMS guidance

Required Qualifications and Education

• Active audit-focused certifications, with CPMA highly preferred
• Experience in multi-specialty outpatient coding, such as cardiology and orthopedics
• Strong technical knowledge of modifier usage and documentation requirements
• Understanding of NCCI edits and CMS outpatient coding methodologies
• Experience in providing education and feedback based on audit results