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

• Active certifications, with priority given to audit-focused credentials (CPMA preferred)
• Experience in true outpatient audits, including comprehensive and focused audits
• Exposure to multi-specialty outpatient coding (e.g., cardiology, gastroenterology)
• Strong technical command of modifier usage and documentation requirements
• Experience providing education and feedback to providers and coding teams based on audit results