Remote Outpatient Coding Auditor - Quality & Compliance

Signature Performance, Inc.; Seattle (WA); Remote; USD 39,000 - 41,000; Full time

Benefits offered by this job

Health Insurance

Fully Paid Life Insurance

Fully Paid Short- & Long-Term Disabled

Paid Vacation

Paid Sick Leave

Paid Holidays

Professional Development and Tuition

401(k) Program with Employer Match

Job summary

Signature Performance, Inc. is seeking an experienced Outpatient Coding Auditor for a remote nationwide role. You will conduct quality reviews, identify documentation issues, and provide guidance to coders and managers to ensure coding accuracy and compliance.

You will need advanced ICD-10-CM/PCS, CPT-4/HCPCS, and reimbursement system knowledge, plus experience with Cerner/EPIC and multi-site environments. Strong education and coaching skills are essential.

Qualifications

• Completion of a formal coding program with preference given to AHIMA and AAPC credentials (CCS, RHIT, CIC, CPC). 5+ years of progressive experience in professional medical coding/reimbursement
• Currently holds national auditing credential with preference given to AAPC credential (CPMA), or be capable of attaining within 12 months from start date.
• Coding work experience encompassing a working knowledge of the ICD-10-CM and ICD-10-PCS; medical terminology; anatomy and physiology; and health record content.
• Comprehensive understanding of coding guidelines, Coding Clinics and appropriate coding references along with the ability to employ these coding resources to audit findings.
• Experience with Multi-Specialty Outpatient Clinic for Facility and Pro-fee services is preferred.
• Ability to work in multiple client systems and proficiency with Microsoft office applications.
• Cerner, EPIC and 3M 360 Encompass experience preferred
• Academic medical facility and professional services auditing experience preferred

Responsibilities

• Perform quality reviews and audits of outpatient coding and reimbursement
• Coordinate with department managers to ensure standards are met in accordance with policies
• Create clear audit findings and recommendations in written audit reports to educate Coders, Auditors, Managers, and Directors
• Deliver educational feedback to coding staff regarding audit findings
• Identify documentation issues affecting coding accuracy and communicate opportunities for documentation improvement
• Provide guidance to departmental staff in identifying and resolving coding issues and error trends
• Provide continuing education to coders on changes in coding and reimbursement systems

Skills

ICD-10-CM/ICD-10-PCS

CPT-4/HCPCS

Auditing/Quality reviews

Medical terminology

Microsoft Office

Cerner/EPIC

Healthcare reimbursement concepts

Education and coaching

Education

AHIMA or AAPC credentials (CCS, RHIT, CIC, CPC)

Tools

Cerner

EPIC

3M 360 Encompass

Job description

Signature Performance, Inc. is seeking an experienced Outpatient Coding Auditor for a remote nationwide role. You will conduct quality reviews, identify documentation issues, and provide guidance to coders and managers to ensure coding accuracy and compliance.

You will need advanced ICD-10-CM/PCS, CPT-4/HCPCS, and reimbursement system knowledge, plus experience with Cerner/EPIC and multi-site environments. Strong education and coaching skills are essential.