Lead Facility Outpatient, Profee Internal Coding Auditor

🔥 23 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔎 Auditor

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of e4health

e4health

501 - 1000 employees

💼 Consulting

⚖️ Legal

📦 Logistics

Consulting • Legal • Logistics

e4health is a healthcare-focused services and technology firm that helps hospitals and health systems improve clinical data quality, coding accuracy, revenue integrity, and IT systems. They provide Health IT consulting, health information management (HIM), clinical documentation improvement (CDI), coding and auditing (including risk adjustment/HCC), legacy data migration and validation, interim staffing, and software and AI automation solutions. e4health serves more than 400 health systems with a mix of professional services, advisory engagements, and technology to optimize workflows, protect IT investments, and drive measurable outcomes.

📋 Description

• Complete regularly scheduled quality assurance reviews for clients • Complete onboarding quality assurance reviews for newly hired consultants • Provide training for newly hired coding consultants • Communicate quality issues to management • Assist with drafting, implementing, and monitoring quality improvement action plans • Maintain reports and accuracy rates for coding consultants and clients • Respond to client quality assurance needs • Provide educational sessions on coding error trends • Notify management of compliance concerns or incidents • Handle patient information appropriately under HIPAA privacy and security requirements • Attend educational conference calls • Provide coding support to the business as needed • Perform other project-related duties • Maintain required productivity and quality requirements • Conduct full chart audits for facility outpatient and professional fee coding • Support monthly onboarding, ongoing, and focused reviews • Provide administrative support for outpatient/professional billing audits

🎯 Requirements

• Approved AHIMA or AAPC coding credential • Minimum 4 years’ coding experience required • Minimum 4 years of full chart auditing experience preferred • Experience in both Outpatient Facility and Professional Fee coding and auditing • Level 1 Trauma experience • At least 2 years of remote experience • Minimum 4 years auditing experience for highly skilled outpatient and professional fee auditors • Ability to shift between projects, work autonomously, and meet productivity and quality expectations • Knowledge of HIPAA Privacy and Security Regulations • Ability to maintain coding credential requirements • Strong collaboration, analytic, problem-solving, written, verbal, and presentation skills • Ability to self-motivate and self-direct • Strong time management and organizational skills • Commitment and adherence to company Core Values • Legally authorized to work in the United States; visa sponsorship is not available

🏖️ Benefits

• Full benefits package • 401(k) with company match • Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability insurance • Long-term disability insurance • PTO policy • Remote work performed in a home office environment

Apply Now

Similar Jobs

🕒 Yesterday

Endurance

1001 - 5000

🛡️ Insurance

💸 Finance

🤝 B2B

Senior Crop Insurance Claims Auditor reviewing complex crop insurance claims for AgriSompo, a U.S. agricultural risk insurer. Ensuring accurate audits, compliance, and resolution of claim issues.

🕒 Yesterday

Cardinal Health

10,000+ employees

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

Compliance Auditor auditing coding, documentation, and reimbursement for Cardinal Health’s healthcare services. Reviewing oncology, radiation oncology, and urology claims while guiding compliance improvements.

🕒 Yesterday

Medica

1001 - 5000

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Delegate Improvement Analyst III advancing analytics, audits, and regulatory compliance for Medica’s nonprofit health plan. Supporting DHS/CMS readiness and performance improvement across delegated healthcare programs.

🕒 Yesterday

American Cancer Society

5001 - 10000

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

Senior Auditor leading internal and financial audits for the American Cancer Society. Evaluating controls, reporting findings, and driving process improvements in a fully remote U.S. role.

🕒 4 days ago

Sedgwick

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Attorney Auditor reviewing legal and non-legal invoices for Sedgwick, an insurance services company. Applying billing guidelines, auditing discrepancies, and escalating complex litigation billing issues.