Outpatient Innovations Auditor

🔥 14 hours ago

🇺🇸 United States – Remote

⏱ Part Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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e4health

WebsiteLinkedInAll Job Openings

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 scheduled quality assurance reviews for clients • Review Autonomous Coding records for accuracy, completeness, and appropriateness of AI-generated ICD-10-CM, CPT, and HCPCS code assignments • Compare AI-generated results with human-coded results and source documentation • Document coding variances and rationale for final determinations • Analyze variance patterns, false positives, false negatives, and workflow exceptions • Escalate compliance, configuration, or performance concerns • Collaborate with customers, the Innovations team, Coding Operations, and other stakeholders • Clarify requirements, review findings, resolve discrepancies, and recommend coding logic, workflow, and quality-control improvements • Support solution validation, user acceptance testing, release readiness, and post-implementation monitoring • Maintain reproducible audit documentation and summarize accuracy, variance, and trend results • Communicate quality issues to management and respond to client QA needs • Handle patient information appropriately under HIPAA requirements • Attend educational conference calls • Maintain required productivity, quality, turnaround-time, and documentation standards • Maintain an audit accuracy rate of 95% or better • Perform other duties within the project scope

🎯 Requirements

• Approved AHIMA or AAPC coding credential • Minimum 5 years of coding experience • Experience with all aspects of outpatient charts, including SDS, ED, Ancillary, Observations, and IVR • Minimum 2 years of auditing experience • Experience auditing technology-assisted, computer-assisted, or autonomous coding results preferred • Ability to interpret audit findings, analyze coding variances, and communicate evidence-based recommendations • 2 years of remote working experience preferred • Proficiency with electronic health records, encoder or coding platforms, audit tools, and spreadsheet-based data review preferred • Knowledge of HIPAA Privacy and Security Regulations • Coding credential requirements must be maintained • Strong collaboration, analytical, problem-solving, communication, presentation, time-management, and organizational skills • Ability to self-motivate and self-direct • Commitment to a team environment and company Core Values

🏖️ Benefits

• Part-time employment • Fully remote work • Home office environment • Equal opportunity employment