Remote Outpatient Auditor, Coding & Compliance Lead

Omega Healthcare Management Services; Boca Raton (FL); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health, dental, and vision benefits

401(k) with employer match

Paid time off and holidays

Professional development opportunities

Job summary

Omega Healthcare Management Services seeks a Lead Compliance and Quality Audit Manager to oversee reviews of inpatient and outpatient medical records for coding accuracy and data quality. You will identify physician query opportunities, assess POA, discharge disposition, and modifier assignments, and report results to clients.

The role emphasizes leadership, mentoring, and adherence to HIPAA. Strong analytical skills and familiarity with ICD-9/10-CM, CPT/HCPCS are essential for success in a

Qualifications

• Associate’s degree or AHIMA coding certificate is required.
• At least two years of HIM experience, preferably as an auditor.
• At least one year of auditing experience.
• AHIMA approved Coding Certificate Program completion preferred.

Responsibilities

• Review inpatient, outpatient, or physician services medical records for coding accuracy and data quality.
• Ensure correct ICD-10-CM/ICD-10-PCS, POA indicators, and CPT/HCPCS codes.
• Maintain auditing productivity and timely quality review reports.
• Identify deficiencies and initiate corrective actions per policies and HIPAA rules.

Skills

Auditor

Microsoft Excel

Microsoft Office

Microsoft Teams

Education

Associate’s Degree or AHIMA Coding Certificate

Tools

Microsoft Excel

Microsoft Office

Microsoft Teams

Job description

Omega Healthcare Management Services seeks a Lead Compliance and Quality Audit Manager to oversee reviews of inpatient and outpatient medical records for coding accuracy and data quality. You will identify physician query opportunities, assess POA, discharge disposition, and modifier assignments, and report results to clients.

The role emphasizes leadership, mentoring, and adherence to HIPAA. Strong analytical skills and familiarity with ICD-9/10-CM, CPT/HCPCS are essential for success in a