Inpatient/Outpatient Coding Auditor

📋 Description

• Independently audit inpatient and outpatient facility coding for accuracy, documentation support
• Review ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, evaluation and management, modifier, bundling
• Assess inpatient hospitalizations and outpatient encounters across clinics, urgent care, radiology
• Evaluate principal and secondary diagnoses, procedures, documentation sufficiency, billability, and
• Identify incorrect, missing, duplicate, unbundled, unsupported, upcoded, downcoded, or otherwise
• Review electronic health record documentation and approved audit tools according to established

🎯 Requirements

• Active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential from an accepted professional organization.
• At least two years of experience in the applicable inpatient and/or outpatient coding specialty.
• At least three years of consultant experience reviewing medical records in large tertiary-care
• At least three years of education and training experience, including the ability to present audit
• Strong working knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, DRGs, modifiers, bundling
• Demonstrated ability to identify coding discrepancies, assess documentation sufficiency, determine

🎁 Benefits

• Compensation: Estimated total compensation of $38.00 per hour.
• Work arrangement: Fully remote within the United States.
• Employment: Full-time or part-time opportunities may be available depending on assigned workload.
• Contract assignment: Performance period is expected to run from January 1, 2027 through December
• Professional impact: Opportunity to contribute to coding quality, compliance, reimbursement
• Structured environment: Work within established audit methodologies, quality standards, coding