Outpatient Coding Auditor- Remote

Gainwell Technologies; Town of Texas, Northern (WI, KY); Hybrid; USD 70,000 - 80,000; Full time

Benefits offered by this job

Benefits on first day

401(k) match

Health benefits

Educational assistance

Flexible vacation policy

Job summary

Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance.

The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported.

Qualifications

• Active professional credentials through AHIMA or AAPC: CPC, COC, CCS, RHIA, RHIT; required
• 2+ years experience in outpatient medical record coding and/or auditing; required
• Proficient in ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodologies

Responsibilities

• Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis and procedure codes, including MCC & CC; adheres to coding guidelines and regulatory mandates
• Utilizes advanced ICD-10 coding expertise and proprietary auditing systems to document determinations and rationale
• Maintains productivity and quality standards and participates in training and mentoring of new auditors
• Keeps current with coding guidelines and completes CEUs to maintain certification
• Attends training and meetings to enhance skills and knowledge of clinical policies and regulations

Job description

Date: Aug 21, 2026

Location: Any city, TX, US, 99999

Work Mode: Virtual (Exception only)

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

We are seeking a talented individual for anOutpatient Coding Auditor, Senior Associatewho is responsible for performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing proprietary systems to audit medical records, accurately document findings and providing policy/regulatory support for determination. The candidate must have an extensive background in outpatient coding edits and has a high level of understanding in reimbursement guidelines specifically an understanding of the EAPG, ASC and APC payment systems.

Your role in our mission

• Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates.Draws on advanced ICD-10 coding expertise to substantiate conclusions.Utilizes proprietary auditing systems with a high level of proficiency to document audit determinations and rationale.
• Consistently achieves productivity and quality performance standards established by management.
• Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs
• Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education.
• Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification.
• Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.

What we're looking for

• One or more active professional credentials through AHIMA or AAPC: CPC, COC, CCS, RHIA, RHIT; required
• 2+ years experience of outpatient medical record coding and/or auditing; required
• Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology.

What you should expect in this role

• Remote (work from home) environment within the United States
• Benefits on first day of employment
• Clear path to advancement with training and leadership

This posting is intended for pipelining purposes and will remain open to accept applications on an ongoing basis.

The pay range for this position is $70,000.00 - $80,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy,a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.