Outpatient Surgical Coding Auditor & Quality Reviews

MedicalVirtual; Los Angeles (CA); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Paid vacation

403(b)

Job summary

Cedars-Sinai in Los Angeles seeks a Coding Auditor to review encounters and validate coding profiles in prebill or retrospective workflows. You will assess adherence to coding references, local, state, and federal guidelines, and provide actionable summaries.

Responsibilities include quality audits, post-audit corrections, and 1:1 or small group feedback sessions to improve accuracy, data quality, and billing outcomes across departments.

Qualifications

• Requires 3+ years of Coding Audit experience with billing/coding accuracy.
• Experience with internal coding policies and external guidelines helpful.
• CCS, CPC, RHIA or RHIT certification required upon hire.

Responsibilities

• Review encounters in prebill or retrospective workflow to validate coding profiles.
• Evaluate compliance with AHA/AMA coding references and state/federal guidelines.
• Produce written summary reports and lead feedback sessions.
• Assist in improving data quality for reporting and reimbursement.
• Support paging and rounding out with career-wide education sessions.

Skills

Auditing

Coding accuracy

Data quality

Communication

Education

Health Information Management degree

High school diploma or GED

CCS, CPC, RHIA or RHIT certification

Job description

Cedars-Sinai in Los Angeles seeks a Coding Auditor to review encounters and validate coding profiles in prebill or retrospective workflows. You will assess adherence to coding references, local, state, and federal guidelines, and provide actionable summaries.

Responsibilities include quality audits, post-audit corrections, and 1:1 or small group feedback sessions to improve accuracy, data quality, and billing outcomes across departments.