Inpatient/Outpatient Coding Auditor

Fidelity Partners Services

. Independently audit inpatient and outpatient facility coding for accuracy, documentation support, compliance, and reimbursement impact .

Posted 9/28/2026full-timeRemote • United StatesMid-LevelSenior💰 $38 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in auditing inpatient and outpatient facility coding for accuracy, compliance, and reimbursement impact, with a strong focus on ICD-10-CM, CPT, and HCPCS coding standards. Proven ability to deliver facility-specific coding education and maintain high audit accuracy while adhering to VA privacy and security requirements.

Highest-signal resume keywords

ICD-10-CM ProficiencyCPT Coding ExpertiseRHIA CredentialAudit Accuracy of 95 PercentConsultant Experience in Tertiary-Care Hospitals

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

ICD-10-PCSCPTHCPCS Level IIModifierBundlingDocumentation ComplianceReimbursement AnalysisCoding GuidanceData Element EvaluationAudit Documentation

Soft Skills

CommunicationTrainingCollaborationAttention to DetailProblem-Solving

Tools & Technologies

Electronic Health Record DocumentationAudit ToolsSampling Requirements

Certifications & Qualifications

RHIARHITCCSCCS-PCPCCPC-H

Industry Keywords

Inpatient CodingOutpatient CodingDRG AssignmentsCompliance StandardsVA Privacy RequirementsOIG Exclusion SearchTertiary-Care HospitalsSubspecialty ServicesEducation and Training ExperienceAudit Work Plans

About the role

Key responsibilities & impact

Independently audit inpatient and outpatient facility coding for accuracy, documentation support, compliance, and reimbursement impact
Evaluate ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, evaluation and management, modifier, bundling, present-on-admission, procedure, and DRG assignments
Review inpatient hospitalizations and outpatient clinic, urgent-care, radiology, laboratory, ancillary, observation, and ambulatory surgical encounters
Assess diagnoses, procedure coding, documentation sufficiency, billability, and coding guidance
Identify incorrect, missing, duplicate, unbundled, unsupported, upcoded, downcoded, or noncompliant codes, modifiers, and data elements
Review electronic health record documentation and approved audit tools using established sampling requirements
Document findings with supporting authority, financial impact, risk, and recommended corrective action
Maintain audit accuracy of at least 95 percent and participate in calibration processes
Contribute to audit work plans, collection tools, facility reports, consolidated reports, and progress updates
Review preliminary findings with HIMS leadership, the COR, management, and facility personnel
Prepare or support final reports on accuracy, documentation issues, financial impact, process improvement, and educational needs
Develop and deliver facility-specific coding education, support exit conferences, and explain findings using authoritative guidance
Protect VA information and meet audit schedules, reporting deadlines, training, credential, and access requirements

Requirements

What you’ll need

U.S. citizenship and English-language proficiency
Active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential
At least two years of coding experience in the applicable coding area
At least three years of consultant experience reviewing records in large tertiary-care hospitals and outpatient organizations with primary care and subspecialty services
At least three years of education and training experience
Proficiency with ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, DRG, modifier, bundling, reimbursement, documentation, and compliance requirements
Successful completion of the Low Risk NACI background process and required VA privacy, information-security, and mandatory training
Ability to work securely within the United States
Minimum audit accuracy of 95 percent
Ability to meet reporting and turnaround requirements
Current resume, signed Letter of Intent, completed candidate cover page, proof of active accepted AHIMA or AAPC credential, and two current client references
OIG exclusion search results and any requested background, security, identification, privacy, training, or onboarding documents

Benefits

Comp & perks

Competitive salaries and benefits packages