Outpatient Coding Auditor jobs in United States
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Gainwell Technologies · 2 days ago

Outpatient Coding Auditor

Gainwell Technologies is seeking a talented individual for an Outpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of medical records to determine correct coding. The role involves auditing medical records, documenting findings, and providing support for policy and regulatory determinations, requiring extensive knowledge in outpatient coding and reimbursement guidelines.

Health CareInformation Technology
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H1B Sponsor Likelynote

Responsibilities

Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates. Draws on advanced ICD-10 coding expertise to substantiate conclusions. Utilizes HMS proprietary auditing systems with a high level of proficiency to document audit determinations and rationale
Consistently achieves productivity and quality performance standards established by management
Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs
Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education
Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification
Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations

Qualification

Outpatient coding expertiseICD-10 codingMedical record auditingAHIMAAAPC certificationAPC payment systemsASC payment systemsMicrosoft Office proficiencyTyping skillsVirtual meeting tools

Required

One or more active professional credentials through AHIMA or AAPC: CPC, COC, CCS, RHIA, RHIT; required
2+ years of experience of outpatient medical record coding and/or auditing; required
Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology
Demonstrated proficiency in computer skills and typing, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers and virtual meeting tools i.e., Microsoft Teams, Zoom, etc

Benefits

Benefits on first day of employment
Generous, flexible vacation policy
A 401(k) employer match
Comprehensive health benefits
Educational assistance
Variety of leadership and technical development academies to help build your skills and capabilities

Company

Gainwell Technologies

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Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.

H1B Sponsorship

Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (90)
2024 (78)
2023 (56)
2022 (96)
2021 (33)

Funding

Current Stage
Late Stage
Total Funding
$1M
2023-06-06Grant· $1M

Leadership Team

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Paul N. Saleh
President and Chief Executive Officer
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Gary Call
Chief Medical Officer
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Company data provided by crunchbase