Remote Outpatient Coding Compliance Auditor

Genoa Telepsychiatry; États-Unis; À distance; USD 73 000 - 130 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits

Incentive and recognition programs

Equity stock purchase and 401k

Résumé du poste

Optum is seeking an experienced Outpatient Coding Compliance Auditor to conduct audits of outpatient facility coding, verify ICD-10-CM and CPT accuracy, and support the Compliance Program. The role involves root-cause analysis, QA oversight, and communicating findings to stakeholders.

You'll work remotely from anywhere in the United States, participating in ongoing education and ensuring adherence to evolving industry guidelines and regulatory requirements.

Qualifications

• Certified coder with knowledge of outpatient facility coding and auditing.
• Experience applying ICD-10-CM and CPT coding rules in audits.
• Strong understanding of Medicare OPPS and payer guidelines.

Responsabilités

• Perform coding compliance and quality audits for outpatient facility coding.
• Analyze clinical documentation from medical records to validate coding accuracy.
• Identify audit findings and calculate billing error rates with root-cause analysis.
• Document audit results and prepare written summaries for stakeholders.
• Stay current with coding, billing, and regulatory guidelines.

Connaissances

Auditing experience

Regulatory knowledge

Communication skills

Formation

CPC/CCS/COC certification

Outils

ACEP Facility E/M guidelines

ICD-10-CM & CPT knowledge

NCCI/OCE edits knowledge

Description du poste

Optum is seeking an experienced Outpatient Coding Compliance Auditor to conduct audits of outpatient facility coding, verify ICD-10-CM and CPT accuracy, and support the Compliance Program. The role involves root-cause analysis, QA oversight, and communicating findings to stakeholders.

You'll work remotely from anywhere in the United States, participating in ongoing education and ensuring adherence to evolving industry guidelines and regulatory requirements.