Outpatient Coding Compliance Specialist

DaMar Staffing; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Memorial Healthcare System in Miramar, Florida, is seeking an experienced Medical Records Auditor to review inpatient and outpatient records, applying ICD-10-CM/PCS and CPT-4 coding. You will audit APC, MSDRG, and APR-DRG groupings, and query coding staff to improve accuracy and compliance.

The role requires AHIMA guideline knowledge, strong communication skills, and the ability to train staff on coding standards and regulatory changes.

Qualifications

• Accredited Health Information Management program required.
• CCS, RHIA or RHIT certification preferred.
• Experience with AHIMA guidelines and coding audits.

Responsibilities

• Audit coded inpatient or outpatient medical records using ICD-10-CM/PCS and CPT-4.
• Review APC, MSDRG, APR-DRG assignments and query processes.
• Provide education based on audit results and regulatory changes.
• Coordinate with coding managers to resolve denials and ensure compliance.
• Prepare and present audit reports to management.

Skills

Accountability

Accuracy

Customer Service

Effective Communication

Human Anatomy

Medical Coding

Medical Terminology

Responding to Change

Standards of Behavior

Education

Health Information Management

Certified Coding Specialist (CCS)

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Tools

Electronic Medical Records (EMR)

Encoder Software

Microsoft Office

Job description

Memorial Healthcare System in Miramar, Florida, is seeking an experienced Medical Records Auditor to review inpatient and outpatient records, applying ICD-10-CM/PCS and CPT-4 coding. You will audit APC, MSDRG, and APR-DRG groupings, and query coding staff to improve accuracy and compliance.

The role requires AHIMA guideline knowledge, strong communication skills, and the ability to train staff on coding standards and regulatory changes.