Remote Outpatient Coding Auditor CPC/CCS Certified

Ensemble Health Partners; Virginia (MN); Hybrid; USD 57,000 - 99,000; Full time

Job summary

Ensemble Health Partners is seeking an Outpatient Facility Coding Auditor to join our team. You will apply ICD-10-CM, CPT and CMS guidelines to audit outpatient coding accuracy and ensure compliant billing practices.

This is a full-time on-site role offering bonuses, tuition reimbursement, and comprehensive benefits. Candidates should have 3+ years of outpatient coding and auditing experience, with certifications such as CPC, CCS, RHIA, or RHIT.

Qualifications

• 3+ years of outpatient facility coding experience.
• 3+ years of auditing experience.
• Advanced knowledge of medical coding, billing systems, documentation, and regulatory requirements.
• Knowledge of regulatory issues related to coding and billing procedures.
• Ability to clearly communicate medical information to professionals and the public.
• Familiarity with MS Office applications.
• Willingness to explore AI-enabled process improvements.

Responsibilities

• The audit professional integrates medical coding principles and objectivity in the performance of coding audit activities.
• Draws on ICD10CM, HCPCS, NCCI, and CMS coding expertise to identify potential billing and quality concerns.
• Participates in client system education to audit client accounts and ensure coding is supported by documentation and guidelines.
• Maintains meticulous documentation, spreadsheets, accounts, and claim examples of root cause issues.
• Performs searches of governmental and payer rules to identify coding and billing requirements and make recommendations.
• Assists in developing executive summary reports and training materials related to coding audit outcomes.
• Meets established productivity standards for coding audits and certifications.
• Attends coding conferences and internal sessions to stay updated on coding changes.
• Provides excellent customer service in an organized, efficient manner.

Skills

Outpatient coding

Auditing

Medical coding

Regulatory compliance

Communication skills

Microsoft Office

AI awareness

Education

High School Diploma or GED

Tools

ICD-10-CM

CPT

CMS guidelines

NCCI

HCPCS

Job description

Ensemble Health Partners is seeking an Outpatient Facility Coding Auditor to join our team. You will apply ICD-10-CM, CPT and CMS guidelines to audit outpatient coding accuracy and ensure compliant billing practices.

This is a full-time on-site role offering bonuses, tuition reimbursement, and comprehensive benefits. Candidates should have 3+ years of outpatient coding and auditing experience, with certifications such as CPC, CCS, RHIA, or RHIT.