Remote Facility Coding Auditor & Revenue Integrity Pro

Sacbar; Northern (KY); Hybrid; USD 75,000 - 110,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Disability insurance

Life insurance

401K with company match

Tuition reimbursement

Holidays & flexible time off

Job summary

Sacbar seeks an experienced outpatient facility coding auditor to support the Director of Health Information Management. You will conduct comprehensive audits of hospital outpatient and ProFee claims for coding accuracy, revenue integrity, and billing compliance, using proprietary software to generate client reports and recommendations.

The ideal candidate has 5+ years of hospital outpatient coding audit experience, strong communication skills, and deep revenue cycle knowledge.

Qualifications

• AHIMA or AAPC CPC certification required (CPC-A not accepted).
• Minimum 5 years of hospital outpatient facility coding audit experience.
• Advanced knowledge of: Emergency Department (ED), Same Day Surgery (SDS), Observation (OBS), Injection & Infusion (I&I), Facility Evaluation & Management (E/M), Ancillary outpatient services.

Responsibilities

• Perform detailed audits of hospital outpatient and ProFee claims to identify coding, billing, charging, and revenue cycle improvement opportunities.
• Review and recommend coding, charge capture, revenue integrity, and claim optimization strategies.
• Utilize proprietary software to analyze audit findings and develop standardized client reports.
• Present audit results and recommendations to clients in a clear, professional manner.
• Respond to coding and compliance-related inquiries with concise, grammatically correct written and verbal communication.
• Collaborate with revenue cycle consultants, coding professionals, and client stakeholders to support project goals.
• Develop educational materials, FAQs, and client-facing guidance on coding and billing best practices.
• Assist with special projects and other duties as assigned.

Education

AHIMA or AAPC CPC

Job description

Sacbar seeks an experienced outpatient facility coding auditor to support the Director of Health Information Management. You will conduct comprehensive audits of hospital outpatient and ProFee claims for coding accuracy, revenue integrity, and billing compliance, using proprietary software to generate client reports and recommendations.

The ideal candidate has 5+ years of hospital outpatient coding audit experience, strong communication skills, and deep revenue cycle knowledge.