Remote Outpatient Coding Auditor – Senior Associate

Gainwell Technologies; Town of Texas, Northern (WI, KY); Hybrid; USD 70,000 - 80,000; Full time

Benefits offered by this job

Benefits on first day

401(k) match

Health benefits

Educational assistance

Flexible vacation policy

Job summary

Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance.

The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported.

Qualifications

• Active professional credentials through AHIMA or AAPC: CPC, COC, CCS, RHIA, RHIT; required
• 2+ years experience in outpatient medical record coding and/or auditing; required
• Proficient in ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodologies

Responsibilities

• Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis and procedure codes, including MCC & CC; adheres to coding guidelines and regulatory mandates
• Utilizes advanced ICD-10 coding expertise and proprietary auditing systems to document determinations and rationale
• Maintains productivity and quality standards and participates in training and mentoring of new auditors
• Keeps current with coding guidelines and completes CEUs to maintain certification
• Attends training and meetings to enhance skills and knowledge of clinical policies and regulations

Job description

Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance.

The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported.