Outpatient Coding Auditor – ED-FP/OBS/SDC

🔥 4 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

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• No salary listed.

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HCCS - Healthcare Coding & Consulting Services

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2006

💼 Consulting

🏥 Healthcare

📋 Compliance

Consulting • Healthcare • Compliance

HCCS - Healthcare Coding & Consulting Services is a US-based provider of remote medical coding, documentation auditing, clinical documentation improvement (CDI), DRG clinical validation, HIM services, and interface/EHR support for healthcare providers. They employ only US-based, W-2 coders and auditors and emphasize coding accuracy, regulatory/compliance-focused audits, and integration with common EHR systems (EPIC, Meditech, CPSI). HCCS serves hospitals and healthcare partners with B2B services and also hires and trains coding professionals.

📋 Description

• Support specialized healthcare coding consulting and auditing projects • Independently perform outpatient coding audits • Audit Emergency Department, Observation, and Same-Day Surgery services across facility and professional coding • Identify coding trends, errors, missed opportunities, and documentation improvement opportunities • Validate code assignments, sequencing, units, modifiers, and documentation support • Research coding guidance and policies using CPT, ICD-10-CM, AHA Coding Clinic, AMA CPT Assistant, NCCI edits, and CMS guidance • Communicate audit findings to coding leadership and client teams • Provide coder education • Adapt to different client EHRs, encoders, coding policies, and workflows

🎯 Requirements

• Active CCS credential required • Minimum of 3 years of outpatient coding auditing experience • Strong facility and professional coding and auditing background • ED experience required in both facility and professional services • Auditing experience in Emergency Department (ED), Facility and Professional Observation (OBS), Facility Same-Day Surgery (SDC), and Facility • Strong injection and infusion coding proficiency, including hierarchy, administration types, and time-based requirements • Expert knowledge of CPT, ICD-10-CM Official Guidelines, AHA Coding Clinic, AMA CPT Assistant, NCCI edits, and CMS guidance • Advanced proficiency in surgical CPT coding, modifiers, and professional E/M coding • Ability to validate code assignments, sequencing, units, modifiers, and documentation support • Strong research and analytical skills, including identifying coding errors, missed opportunities, and documentation improvement opportunities • Excellent written communication skills and ability to independently communicate audit findings and provide coder education • Ability to adapt to different client EHRs, encoders, coding policies, and workflows • Must be authorized to work in and reside in the United States

🏖️ Benefits

• 100% remote work environment • Direct W-2 employment with a family-owned, U.S.-based company • Opportunity to work on specialized consulting and auditing projects

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