Remote Outpatient Coding & Compliance Auditor

Omega Healthcare Management Services Pvt. Ltd.; Boca Raton (FL); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Omega Healthcare Management Services seeks a Lead Compliance and Quality Audit Manager to oversee coding accuracy reviews of inpatient, outpatient, and professional services across remote settings. You will identify physician query opportunities, assess POA accuracy, and drive improvements in data quality and compliance.

Responsibilities include reviewing ICD-10-CM/ICD-10-PCS, CPT-4/HCPCS codes, POA indicators, and APC assignments, while mentoring staff and ensuring HIPAA adherence.

Qualifications

• Associate’s Degree or AHIMA Coding Certificate Program required.
• At least two years of HIM experience, preferably as an Auditor.
• At least one year of auditing experience.
• Credentials: CCS, CPC, CPC-P, CPC-H, RHIA or RHIT.

Responsibilities

• Review inpatient, outpatient, or physician services medical records for coding accuracy and data quality.
• Verify POA indicators, diagnosis and procedure codes, and E/M leveling.
• Assign and audit CPT/HCPCS codes and APCs where applicable.
• Maintain auditing productivity per client and Omega requirements.
• Prepare timely Quality Review reports and share findings with clients.

Skills

Auditor

Microsoft Excel

Microsoft Office

Microsoft Teams

Education

Associate’s Degree or AHIMA Coding Certificate

Job description

Omega Healthcare Management Services seeks a Lead Compliance and Quality Audit Manager to oversee coding accuracy reviews of inpatient, outpatient, and professional services across remote settings. You will identify physician query opportunities, assess POA accuracy, and drive improvements in data quality and compliance.

Responsibilities include reviewing ICD-10-CM/ICD-10-PCS, CPT-4/HCPCS codes, POA indicators, and APC assignments, while mentoring staff and ensuring HIPAA adherence.