Outpatient Coding Auditor

Ensemble Health Partners

. Perform outpatient coding audit activities under indirect supervision .

Posted 10/2/2026full-timeUnited StatesMid-LevelSenior💰 $57,400 - $99,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates advanced knowledge of outpatient coding, billing systems, and regulatory requirements, with a strong ability to communicate medical information effectively. Proficient in auditing practices and capable of providing training and guidance to staff while maintaining compliance with coding standards.

Highest-signal resume keywords

Outpatient Facility Coding ExperienceAuditing ExperienceICD-10-CM KnowledgeCPC CertificationMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingBilling SystemsRegulatory ComplianceCPT CodingHCPCS CodingDocumentation StandardsData Management SystemsCoding AuditsRoot-Cause AnalysisCoding Guidelines Application

Soft Skills

Effective CommunicationCustomer ServiceAdaptabilityTraining and GuidanceOpenness to Innovation

Certifications & Qualifications

CPCCCSRHIARHIT

Industry Keywords

Outpatient CodingCoding ComplianceRegulatory StandardsCoding ConferencesClient EducationCoding Companion TrainingPayer-Specific RequirementsClinical Documentation ImprovementCoding ClinicNCCI Guidelines

About the role

Key responsibilities & impact

Perform outpatient coding audit activities under indirect supervision
Audit outpatient work types for accurate diagnoses, CPT, HCPCS, CCI edits, and modifier assignment
Apply ICD-10-CM, CPT, HCPCS, CPT Assistant, Coding Clinic, CMS, and NCCI guidelines
Participate in client system education to audit accounts against clinical documentation, coding/CDI guidelines, and regulatory standards
Maintain documentation, spreadsheets, account examples, and claim examples of root-cause issues
Research governmental, payer-specific, hospital-specific, regulatory, and literature requirements
Make recommendations to clients regarding coding and billing requirements
Assist with executive summary reports, education, and client coding companion training
Meet productivity standards and coding certification requirements
Attend coding conferences, workshops, and in-house sessions for coding and regulatory updates
Provide organized, efficient customer service
Travel to and work onsite at client, temporary, or corporate office locations as business needs require

Requirements

What you’ll need

3+ years of outpatient facility coding experience
3+ years of auditing experience
Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements
Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation
Knowledge of current and developing issues and trends in medical coding procedures requirements
Ability to clearly communicate medical information to professional practitioners and/or the general public
Ability to adapt and modify medical billing procedures, protocol, and data management systems
Ability to provide guidance and training to professional and technical staff
Competent with Microsoft Office applications, including Word, Excel, and PowerPoint
Must demonstrate openness to innovation, including AI
Must reside and be authorized to work within the United States
High School Diploma or GED
Must maintain at least one current professional certification: CPC, CCS, RHIA, or RHIT

Benefits

Comp & perks

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs
Career Advancement
Professional development opportunities
Quarterly and annual incentive programs
Remote work flexibility