Remote Outpatient Coding Auditor | Compliance & Recovery

CGI Technologies and Solutions, Inc.; Dallas (TX); Remote; USD 71,000 - 124,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive insurance options

401(k) with matching contributions

Paid time off for vacation, holidays,

Paid parental leave

Tuition assistance

Wellness programs

Job summary

CGI Technologies and Solutions, Inc. is hiring an Outpatient Coding Auditor to join our Healthcare Compliance Audit Team. The role focuses on detailed medical record audits, ICD-10-CM/CPT/HCPCS coding, and reimbursement analysis across outpatient facilities and professionals.

This remote position requires availability during Eastern Time business hours. The ideal candidate will have AHIMA or AAPC certification, 5+ years outpatient coding, and strong analytical, written communication, and

Qualifications

• AHIMA or AAPC certification (RHIT, RHIA, CCS-P, CPC, or COC) is required.
• Minimum five years of outpatient surgical coding experience in a facility and/or professional setting.
• Extensive knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines and modifier usage.

Responsibilities

• Conduct detailed medical record reviews to identify coding discrepancies and reimbursement inaccuracies across outpatient settings.
• Evaluate clinical documentation, coding accuracy and reimbursement methodologies for compliance with coding standards and payer policies.
• Develop clear audit findings and rationales supported by references and guidelines.
• Apply ICD-10-CM, CPT, HCPCS, NCCI, and OCE edits to support accurate audit determinations.
• Interpret CPT Assistant, Coding Clinic, NCDs/LCDs, and client-specific reimbursement policies.
• Collaborate with Edit Development to provide feedback on criteria and trends.
• Maintain audit quality, productivity, accuracy, and documentation standards.
• Communicate audit findings and recommendations effectively to stakeholders and providers.
• Adapt to evolving priorities and regulatory changes while complying with CGI policies.
• Participate in ongoing training and occasional onsite reviews as needed.

Skills

Outpatient coding

Auditing/QA

Analytical thinking

Written communication

Microsoft Office

Education

RHIT/RHIA/CCS-P/CPC/COC certification

Five+ years outpatient coding experience

Tools

TruCode encoder

EMR systems

CMS OPPS knowledge

Job description

CGI Technologies and Solutions, Inc. is hiring an Outpatient Coding Auditor to join our Healthcare Compliance Audit Team. The role focuses on detailed medical record audits, ICD-10-CM/CPT/HCPCS coding, and reimbursement analysis across outpatient facilities and professionals.

This remote position requires availability during Eastern Time business hours. The ideal candidate will have AHIMA or AAPC certification, 5+ years outpatient coding, and strong analytical, written communication, and