Outpatient Coding Auditor

RCM Healthcare Services; United States; On-site; USD 73,000 - 94,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

Company-paid life insurance and long‑/

Job summary

RCM Healthcare Services is seeking an Outpatient Coding Auditor to ensure accurate, compliant outpatient coding through chart audits and coding reviews. This remotely located role supports coders and providers to uphold regulatory standards and improve coding accuracy.

Requirements include 5+ years in outpatient auditing, AHIMA or AAPC certification, and proficiency with Excel and multiple EMR systems. You will review ICD-10-CM/PCS and CPT/HCPCS, provide education, and support payer compliance.

Qualifications

• Active AHIMA or AAPC Coding Certification (RHIA, RHIT, CCS, CCS-P, CPC, or equivalent) is required.
• Minimum five years of outpatient facility auditing experience.
• Experience auditing highly complex outpatient charts in large health systems preferred.
• Experience coding for large academic medical centers or Level I Trauma Centers preferred.
• Experience working remotely in a production and quality-driven environment.

Responsibilities

• Perform quality reviews of outpatient coders to ensure compliance with coding guidelines, payer regulations, and company policies.
• Assign and sequence ICD-10-CM, ICD-10-PCS, MS-DRG, APR-DRG (when applicable), and CPT/HCPCS codes through review of medical documentation and results.
• Review physician documentation for coding accuracy, completeness, and compliance with coding guidelines.
• Provide coding education and feedback to coders and providers as requested.
• Utilize EMR, encoder software, and CAC technology to perform coding audits.

Skills

Outpatient auditing

ICD-10-CM/ICD-10-PCS coding

CPT/HCPCS coding

Remote work experience

Excel proficiency

Regulatory compliance

Education

Associate's or Bachelor's in Health Information Management

High School Diploma or equivalent

Tools

Encoder software

EMR systems

Microsoft Excel

Job description

Hourly Rate: $35.00 – $45.00 per hour

Location: Remote

Position Summary

As an Outpatient Coding Auditor, you will support healthcare organizations by ensuring accurate, compliant, and high-quality outpatient coding through detailed chart audits and coding reviews. This role works closely with coding professionals to maintain regulatory compliance, improve coding accuracy, and provide education on coding best practices. At RCM Healthcare Services, we connect experienced Health Information Management professionals with opportunities that support quality patient care and operational excellence.

Responsibilities

Schedule / Shift

• Shift Details: Flexible Schedule
• Hours per Week: 40
• Employment Type: Full-Time

Key Duties

• Perform quality reviews of outpatient coders to ensure compliance with coding guidelines, payer regulations, and company policies.
• Assign and sequence ICD-10-CM, ICD-10-PCS, MS-DRG, APR-DRG (when applicable), and CPT/HCPCS codes through review of medical documentation and diagnostic results.
• Review physician documentation for coding accuracy, completeness, and compliance with coding guidelines.
• Provide coding education and feedback to coders and providers as requested.
• Utilize electronic medical records (EMR), encoder software, and computer-assisted coding (CAC) technology to perform coding audits.

Requirements

Education

• Required: High School Diploma or equivalent
• Preferred: Associate's or Bachelor's degree in Health Information Management or a related field

Licenses & Certifications

• Required: Active AHIMA or AAPC Coding Certification (RHIA, RHIT, CCS, CCS-P, CPC, or equivalent)

Skills

• Minimum of five (5) years of outpatient facility auditing experience.
• Recent experience auditing highly complex outpatient charts within a large health system.
• Experience coding for large academic medical centers or Level I Trauma Centers strongly preferred.
• Experience working remotely in a production and quality-driven environment.
• U.S.-based coding and auditing experience required.
• Proficiency with Microsoft Excel.
• Experience using multiple electronic medical record (EMR) systems.
• Expert knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS coding guidelines, and regulatory requirements.

Benefits

Per Diem / Temporary (Hourly) Roles

• Comprehensive benefits that include medical, dental, and vision
• Company-paid Basic Life/AD&D and Long-Term Disability for employees working 30+ hours/week
• Paid sick leave may be available based on hours worked and state laws
• Benefit offerings are subject to legal requirements, eligibility status, and work location
• Employees 21+ can participate in the 401(k) Savings Plan

About Us

RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences.

With more than 50 years of staffing experience, our team understands the environments you're stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. We're committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being.

RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.

Equal Employment Opportunity & Reasonable Accommodation

RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.

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