Remote Outpatient Coding Auditor - Audit Excellence

Ensemble RCM LLC; United States; Remote; USD 57,000 - 99,000; Full time

Benefits offered by this job

Comprehensive benefits package

Tuition reimbursement

Professional certifications support

Incentive programs

Job summary

Ensemble Health Partners is seeking an Outpatient Facility Coding Auditor to join our team in the United States. You will apply ICD10-CM, CPT, and CMS guidelines to audit outpatient coding accuracy, ensuring compliant and precise diagnoses, procedures, and modifier use across client accounts.

With 3+ years in outpatient coding and auditing, you will contribute to high-quality billing that supports patient care and reimbursement.

Qualifications

• 3+ years of outpatient facility coding experience.
• 3+ years of auditing experience.
• Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements.
• Knowledge of regulatory and policy compliance issues related to medical coding and billing procedures.

Responsibilities

• Audit outpatient coding accuracy across diagnoses, CPT, HCPCS, and modifiers.
• Use ICD-10-CM, CPT, HCPCS, CPT Assistant, Coding Clinic, CMS, and NCCI guidelines to identify issues.
• Educate client systems to ensure coding aligns with clinical documentation and regulatory standards.
• Maintain meticulous documentation and provide root-cause analyses.
• Research payor rules and literature to identify coding requirements and provide recommendations.
• Support development and coordination of executive summaries and training materials.

Skills

Outpatient coding

Auditing

ICD10-CM

CPT/CMS knowledge

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Ensemble Health Partners is seeking an Outpatient Facility Coding Auditor to join our team in the United States. You will apply ICD10-CM, CPT, and CMS guidelines to audit outpatient coding accuracy, ensuring compliant and precise diagnoses, procedures, and modifier use across client accounts.

With 3+ years in outpatient coding and auditing, you will contribute to high-quality billing that supports patient care and reimbursement.