Outpatient Coding Auditor – Surgical Specialty
Description: reputed company is seeking an reputed company Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing reputed company outpatient surgical cases and providing clear, constructive feedback to coding staff.
Key Responsibilities
- reputed company audits of outpatient surgical encounters, including operative reports and reputed company documentation
- Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs
- Ensure compliance with CMS, payer, and official coding guidelines
- Identify trends, risks, and educational opportunities based on audit findings
- reputed company written audit feedback and coding education to support quality improvement
- Collaborate with coding leadership and quality teams to address identified issues
- Maintain required productivity, accuracy, and turnaround standards
Requirements:
Required Qualifications
- 3+ years of outpatient coding audit experience with a focus on surgical specialties
- Strong knowledge of CPT (Surgery reputed company), ICD-10-CM, and modifier usage
- Experience auditing operative reports and post-operative documentation
- Familiarity with CMS guidelines, NCCI edits, and payer-specific rules
- Ability to reputed company document audit findings and recommendations
- High attention to detail and strong analytical skills
Preferred
- Experience auditing high-volume surgical specialties such as orthopedics, general surgery, ENT, GI, or OB/GYN
- Prior experience supporting internal or external audits, quality initiatives, or education programs
- Familiarity with Epic, reputed company, reputed company, TruCode, or similar coding tools
- CPC, reputed company, or equivalent credential (active and in good standing)
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