Surgical Coding Auditor

Job Summary

A company is looking for an Outpatient Coding Auditor - Surgical Specialty.

Key Responsibilities

• Perform audits of outpatient surgical encounters, including operative reports and related documentation
• Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs
• Ensure compliance with CMS, payer, and official coding guidelines

Required Qualifications

• 3+ years of outpatient coding audit experience with a focus on surgical specialties
• Strong knowledge of CPT (Surgery section), ICD-10-CM, and modifier usage
• Experience auditing operative reports and post-operative documentation
• Familiarity with CMS guidelines, NCCI edits, and payer-specific rules
• Ability to clearly document audit findings and recommendations