Remote Medical Coding Auditor

Omega; Oregon; Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Health coverage

Dental coverage

Vision coverage

401(k) plan with employer match

Paid time off

Holiday pay

Job summary

Omega Healthcare Management Services is seeking an External Auditor Outpatient to review inpatient, outpatient, and professional services records for coding accuracy. This role emphasizes ICD-10-CM/PCS, CPT-4/HCPCS coding, POA validity, APC assignments, and compliant physician queries from a remote home office.

You will maintain auditing productivity, prepare Quality Review reports, and ensure adherence to established guidelines and client requirements.

Qualifications

• Associate's Degree or equivalent training acquired through on-the-job experience.
• Must have at least two years of HIM experience, preferably as an Auditor.
• At least one year of auditing experience.
• Minimum of successful completion of an AHIMA approved Coding Certificate Program.
• CCS, CPC, CPC-P, CPC-H, RHIA or RHIT

Responsibilities

• Review inpatient, outpatient, or physician services medical records for accuracy of coding and data quality.
• Identify and document POA indicators, discharge disposition, and modifier/POA accuracy.
• Assess APC, CPT, and E/M leveling codes for appropriate payment.
• Complete Quality Review reports and submit to clients on schedule.
• Adhere to HIPAA, compliance policies and reference official coding guidelines.

Job description

Omega Healthcare Management Services is seeking an External Auditor Outpatient to review inpatient, outpatient, and professional services records for coding accuracy. This role emphasizes ICD-10-CM/PCS, CPT-4/HCPCS coding, POA validity, APC assignments, and compliant physician queries from a remote home office.

You will maintain auditing productivity, prepare Quality Review reports, and ensure adherence to established guidelines and client requirements.