Remote Medical Audit Pro – Outpatient Coding & QA Expert

Cephas Consultancy Services Private Limited; California (MO); Hybrid; USD 83,000 - 131,000; Part time

Job summary

Cephas Consultancy Services Private Limited is seeking a Medical Auditor on a remote contract basis to review outpatient professional fee coding for accuracy and compliance. You will audit other coders’ work, identify gaps, and provide clear feedback.

The role emphasizes E/M leveling, -25 modifiers, time vs MDM, and NCCI bundling with strong documentation and communication skills. Ideal candidates have 10+ years in outpatient coding, AAPC CPC and CPMA preferred, and experience overseeing audit

Qualifications

• AAPC CPC certification; CPMA preferred.
• 10+ years of outpatient professional fee coding experience.
• Experience auditing other coders' work.
• Deep knowledge of outpatient professional fee coding and auditing.
• Strong knowledge of E/M leveling, -25, time vs MDM, and NCCI.
• Clear, well-supported decisions and documentation.
• Strong written communication and attention to detail.
• QA programs or AI/ML data validation experience is a plus.

Responsibilities

• Review and audit outpatient professional fee coding for accuracy and compliance.
• Review other coders’ work and identify errors, gaps, or inconsistencies.
• Make clear and consistent decisions on complex coding cases.
• Apply expertise in E/M leveling, modifier -25, time vs. MDM, and NCCI bundling.
• Document findings and provide clear written feedback.
• Identify coding trends and recommend improvements.
• Help clarify difficult or ambiguous coding cases.
• Provide timely feedback and complete approximately 10 reviews per day.
• Support quality assurance and audit activities as needed.

Skills

Outpatient Coding

Coding Auditing

Academic Medical Center

Audit Program Oversight

E/M Leveling

NCCI Bundling

Communication

Job description

Cephas Consultancy Services Private Limited is seeking a Medical Auditor on a remote contract basis to review outpatient professional fee coding for accuracy and compliance. You will audit other coders’ work, identify gaps, and provide clear feedback.

The role emphasizes E/M leveling, -25 modifiers, time vs MDM, and NCCI bundling with strong documentation and communication skills. Ideal candidates have 10+ years in outpatient coding, AAPC CPC and CPMA preferred, and experience overseeing audit