Remote Outpatient Coding Auditor & Compliance Educator

RCM Healthcare Services; United States; On-site; USD 73,000 - 94,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

Company-paid life insurance and long‑/

Job summary

RCM Healthcare Services is seeking an Outpatient Coding Auditor to ensure accurate, compliant outpatient coding through chart audits and coding reviews. This remotely located role supports coders and providers to uphold regulatory standards and improve coding accuracy.

Requirements include 5+ years in outpatient auditing, AHIMA or AAPC certification, and proficiency with Excel and multiple EMR systems. You will review ICD-10-CM/PCS and CPT/HCPCS, provide education, and support payer compliance.

Qualifications

• Active AHIMA or AAPC Coding Certification (RHIA, RHIT, CCS, CCS-P, CPC, or equivalent) is required.
• Minimum five years of outpatient facility auditing experience.
• Experience auditing highly complex outpatient charts in large health systems preferred.
• Experience coding for large academic medical centers or Level I Trauma Centers preferred.
• Experience working remotely in a production and quality-driven environment.

Responsibilities

• Perform quality reviews of outpatient coders to ensure compliance with coding guidelines, payer regulations, and company policies.
• Assign and sequence ICD-10-CM, ICD-10-PCS, MS-DRG, APR-DRG (when applicable), and CPT/HCPCS codes through review of medical documentation and results.
• Review physician documentation for coding accuracy, completeness, and compliance with coding guidelines.
• Provide coding education and feedback to coders and providers as requested.
• Utilize EMR, encoder software, and CAC technology to perform coding audits.

Skills

Outpatient auditing

ICD-10-CM/ICD-10-PCS coding

CPT/HCPCS coding

Remote work experience

Excel proficiency

Regulatory compliance

Education

Associate's or Bachelor's in Health Information Management

High School Diploma or equivalent

Tools

Encoder software

EMR systems

Microsoft Excel

Job description

RCM Healthcare Services is seeking an Outpatient Coding Auditor to ensure accurate, compliant outpatient coding through chart audits and coding reviews. This remotely located role supports coders and providers to uphold regulatory standards and improve coding accuracy.

Requirements include 5+ years in outpatient auditing, AHIMA or AAPC certification, and proficiency with Excel and multiple EMR systems. You will review ICD-10-CM/PCS and CPT/HCPCS, provide education, and support payer compliance.