Role will conduct comprehensive quality audits across various medical coding specialties. This role is responsible for assessing coding accuracy, ensuring compliance with official coding guidelines, and providing clear, evidence-based audit findings to support continuous quality improvement in outpatient and specialty coding environments.

Key Responsibilities

• Conduct detailed audits of professional billing (PB) medical coding across multiple specialties.

• Evaluate coding accuracy, documentation integrity, and compliance with official coding guidelines.

• Provide clear audit findings with detailed rationale and supporting references.

• Utilize industry-recognized coding resources, including:
  

• Identify trends, knowledge gaps, and opportunities for coding accuracy improvement.

Qualifications

• Minimum 5 years of outpatient coding experience, with exposure to multiple specialties.

• At least 1 year of coding experience in each specialty in SDS, ED, Oncology

• Strong knowledge of ICD-10-CM, CPT, HCPCS, and official coding guidelines.

• Excellent analytical skills with the ability to provide detailed documentation and references for audit findings.

• Strong written and verbal communication skills.

• High attention to detail and strong ethical standards.