Medical Auditor | $68/hr Remote

Crossing Hurdles; United States; On-site; USD 70,000 - 100,000; Full time

Job summary

Crossing Hurdles is seeking an experienced medical coding auditor focused on outpatient professional fee coding and audits at an academic medical center setting. You will review records, identify risks, and deliver actionable recommendations to improve quality and compliance.

The role emphasizes writing clear narratives to support AI model training and collaborating to resolve complex coding cases. Strong communication is essential.

Qualifications

• Strong experience in medical coding with a focus on outpatient professional fee coding and auditing.
• Direct experience auditing at academic medical centers.
• Proven accuracy and high performance in coding and audit reviews.

Responsibilities

• Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy and compliance.
• Identify trends, gaps, and potential risks in coding practices with actionable recommendations.
• Apply knowledge of academic medical center protocols to evaluate audit findings and ensure best practices.
• Document findings clearly and provide written narratives to enhance AI training data.
• Provide high-quality feedback on complex coding scenarios to support AI learning objectives.
• Engage in collaborative discussions to clarify ambiguous coding and documentation cases.

Skills

Medical coding

Outpatient coding

Auditing

Communication

Job description

• Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy and compliance.
• Identify trends, gaps, and potential risks in coding practices, providing actionable recommendations for quality improvement.
• Apply comprehensive knowledge of academic medical center protocols to evaluate audit findings and ensure adherence to best practices.
• Document findings clearly and provide written narratives that enhance model training data for AI development.
• Contribute high-quality feedback on complex coding and auditing scenarios to support AI learning objectives.
• Engage in collaborative discussions to clarify ambiguous or nuanced coding and documentation cases.

Requirements

• Have strong relevant experience in medical coding, with a focus on outpatient professional fee coding and auditing.
• Direct experience managing or conducting audits at academic medical centers.
• Demonstrated history of consistent high performance and accuracy in coding and audit review assignments.
• In-depth understanding of medical coding guidelines, compliance regulations, and audit methodologies.
• Exceptional written and verbal communication skills, with the ability to convey complex findings clearly.