Remote Outpatient Coding Auditor – Payment Integrity

MedReview Inc.; New York (NY); Remote; USD 100,000 - 102,500; Full time

Benefits offered by this job

Healthcare coverage options

401(k) with employer match

Generous paid time off

Wellness benefits

Learning and development opportunities

Job summary

A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced knowledge of outpatient coding and payment methodologies, along with at least 3 years of relevant experience. The position offers competitive salary options and comprehensive benefits including health insurance and a 401(k) plan.

Qualifications

• 3+ years of experience in outpatient facility coding, auditing, or payment integrity.
• Strong knowledge of CMS OPPS, APC, and EAPG payment methodologies.
• Proficiency in interpreting medical documentation and applying official coding guidelines.

Responsibilities

• Perform detailed coding audits on outpatient facility claims.
• Evaluate medical record documentation for accuracy of billing.
• Identify and analyze payment integrity issues.

Skills

CPT/HCPCS coding

Analytical skills

Organizational skills

Communication skills

Education

Certified Professional Coder (CPC)

Certified Outpatient Coder (COC)

AHIMA certification (CCS)

Job description

A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced knowledge of outpatient coding and payment methodologies, along with at least 3 years of relevant experience. The position offers competitive salary options and comprehensive benefits including health insurance and a 401(k) plan.