Remote Outpatient AI Coding Auditor & QA Analyst

e4health; United States; Remote; USD 85,000 - 110,000; Full time

Job summary

e4health is seeking an Outpatient Innovations Auditor to perform QA reviews of facility-based outpatient records processed through Autonomous Coding solutions. The role evaluates AI-generated coding results against human-coded results, documents variances, trends, root causes, and collaborates with customers and teams to improve coding quality and technology performance.

The Auditor maintains an audit accuracy rate of 95% or better while meeting productivity, turnaround time, and documentation

Qualifications

• AHIMA or AAPC credential required.
• Minimum 5 years of coding experience; specialty experience may be preferred.
• Experience with outpatient charts such as SDS, ED, Ancillary, Observations, and IVR.
• Minimum 2 years of auditing experience.
• Experience auditing technology-assisted or autonomous coding is preferred.
• Ability to interpret audit findings and communicate recommendations.
• 2 years of remote working experience preferred.
• Proficiency with EHRs, encoder/coding platforms, audit tools, and spreadsheets.

Responsibilities

• Complete regularly scheduled QA reviews for clients.
• Review AI-generated ICD-10-CM, CPT, and HCPCS code assignments for accuracy.
• Compare AI results with human-coded results and source documentation.
• Document variances and rationale for final determinations.
• Collaborate with customers to review findings and recommend improvements.
• Support validation, UAT, release readiness, and post-implementation monitoring.
• Maintain clear audit documentation and summarize results for reporting.
• Communicate quality issues to management as appropriate.
• Respond to client QA needs as directed by management.
• Maintain HIPAA privacy and security compliance in handling data.

Skills

Coding proficiency

Auditing

Attention to detail

Education

AHIMA or AAPC credential

Tools

EHR systems

Encoder/Coding platforms

Audit tools

Spreadsheet software

Job description

e4health is seeking an Outpatient Innovations Auditor to perform QA reviews of facility-based outpatient records processed through Autonomous Coding solutions. The role evaluates AI-generated coding results against human-coded results, documents variances, trends, root causes, and collaborates with customers and teams to improve coding quality and technology performance.

The Auditor maintains an audit accuracy rate of 95% or better while meeting productivity, turnaround time, and documentation