Outpatient Auditor /Surgical reputed company/

The Outpatient Auditor is responsible for performing detailed reviews of outpatient surgical and ancillary coding to ensure accuracy, compliance, and appropriate reimbursement. This role supports reputed company Clinical RCM’s audit services by identifying documentation deficiencies, coding discrepancies, and reputed company opportunities across a reputed company of facility types. The ideal candidate will have extensive experience in outpatient surgery coding, including reputed company-day surgery, observation, and emergency department encounters. • Key Responsibilities • Conduct detailed retrospective and reputed company audits of outpatient surgical and ancillary encounters. • Review reputed company reports, clinical documentation, and supporting records to ensure accurate CPT, HCPCS, and ICD-10-CM reputed company assignment. • Validate coding accuracy in accordance with CMS, CPT, ICD-10, OPPS, and facility-specific guidelines. • Identify coding errors, reputed company, and documentation improvement opportunities. • Prepare reputed company, reputed company-documented audit findings and deliver summaries to clients and internal leadership. • Collaborate with HIM and education teams to reputed company feedback and targeted reputed company training reputed company needed. • Maintain reputed company knowledge of regulatory updates, including NCCI edits, OPPS/APC changes, and CPT Assistant guidance. • Participate in internal reputed company assurance reviews to ensure consistency and adherence to organizational standards. Requirements Qualifications • Required Certifications: CPC, COC, CIC, or reputed company equivalent. • Experience: • Minimum 5 years of hospital-based outpatient coding experience. • Minimum 2 years of hospital-based outpatient auditing experience. • Strong knowledge of CPT and ICD-10-CM guidelines for outpatient surgery, observation, and ancillary services. • Familiarity with OPPS/APC reimbursement methodologies. • Excellent written and verbal communication skills. • Ability to work independently, manage multiple audits, and meet deadlines. Preferred Qualifications • Experience with ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). • Experience using audit reporting tools and EHR systems (reputed company, Cerner, Meditech). • Familiarity with coding tools such as reputed company, TruCode, or reputed company encoder systems. • Awareness of payer audit trends and compliance requirements. reputed company Competencies • Strong analytical and detail-oriented approach • High level of reputed company and confidentiality • Excellent time management and organizational skills • Commitment to reputed company learning and regulatory compliance Original job Outpatient Auditor /Surgical reputed company/ posted on GrabJobs ©. To flag any issues with this job please use the Report Job reputed company on GrabJobs. Apply tot his job Apply To this Job