Senior Outpatient Coding Auditor & QA Lead

Signature Performance, Inc.

Alaska

On-site

USD 39,000 - 41,000

Full time

38 hours ago
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Benefits offered by this job

Health Insurance
Fully Paid Life Insurance
Fully Paid Short- & Long-Term_Disabil
Paid Vacation
Paid Holidays
Tuition Assistance
401(k) Employer Match

Job summary

Signature Performance, Inc. is seeking an Outpatient Coding Auditor to ensure coding accuracy through audits and quality reviews.

You will coordinate with department managers to enforce standards and drive compliant documentation across the organization. Ideal candidates have 5+ years in professional medical coding, AHIMA/AAPC credentials (CPMA preferred), and proficiency with ICD-10-CM/PCS, CPT-4, HCPCS, and major EHR systems.

Qualifications

  • Advanced knowledge of ICD-10-CM, ICD-10-PCS, CPT-4 and HCPCS.
  • Practical knowledge of PPS, DRGs, APCs and reimbursement systems.
  • Delivers clear audit findings and recommendations in reports.
  • Identifies documentation issues impacting coding accuracy and suggests improvements.
  • Provides continuing education on coding changes and weaknesses found.
  • 5+ years of progressive professional coding/reimbursement experience.
  • National auditing credential preferred (CPMA) or attainable within 12 months.
  • Knowledge of ICD-10-CM/ICD-PCS, medical terminology, anatomy and health records content.
  • Experience with multi-specialty outpatient clinic for facility and pro-fee services preferred.
  • Proficiency with Microsoft Office; Cerner, EPIC, 3M 360 Encompass preferred.

Responsibilities

  • Create clear, accurate audit findings and recommendations for coders, auditors and managers.
  • Provide education and feedback to coding staff on audit results.
  • Identify documentation gaps and communicate improvement opportunities clearly.
  • Guide staff in identifying and resolving coding issues and error trends.
  • Deliver continuing education on coding changes and reimbursement systems.

Skills

ICD-10-CM
ICD-10-PCS
CPT HCPCS
Auditing experience
Education delivery
Multitasking
Communication
Team player
Problem solving

Education

AHIMA credentials
AAPC credentials
CPMA / CPC / CIC / RHIT / CCS

Tools

Cerner
EPIC
3M 360 Encompass

Job description

Signature Performance, Inc. is seeking an Outpatient Coding Auditor to ensure coding accuracy through audits and quality reviews.

You will coordinate with department managers to enforce standards and drive compliant documentation across the organization. Ideal candidates have 5+ years in professional medical coding, AHIMA/AAPC credentials (CPMA preferred), and proficiency with ICD-10-CM/PCS, CPT-4, HCPCS, and major EHR systems.

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