Sage Clinical RCM, LLC · 20 hours ago
Outpatient Coding Auditor – Surgical Specialty
United States
Full-time
Remote
Mid Level
3+ years expSage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements.
Hospital & Health Care
Responsibilities
Perform audits of outpatient surgical encounters, including operative reports and related documentation
Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs
Ensure compliance with CMS, payer, and official coding guidelines
Identify trends, risks, and educational opportunities based on audit findings
Provide written audit feedback and coding education to support quality improvement
Collaborate with coding leadership and quality teams to address identified issues
Maintain required productivity, accuracy, and turnaround standards
Qualification
Required
3+ years of outpatient coding audit experience with a focus on surgical specialties
Strong knowledge of CPT (Surgery section), ICD-10-CM, and modifier usage
Experience auditing operative reports and post-operative documentation
Familiarity with CMS guidelines, NCCI edits, and payer-specific rules
Ability to clearly document audit findings and recommendations
High attention to detail and strong analytical skills
Preferred
Experience auditing high-volume surgical specialties such as orthopedics, general surgery, ENT, GI, or OB/GYN
Prior experience supporting internal or external audits, quality initiatives, or education programs
Familiarity with Epic, 3M, Optum, TruCode, or similar coding tools
CPC, CCS, or equivalent credential (active and in good standing)
Company
Sage Clinical RCM, LLC
Sage Clinical RCM is a tech-enabled clinical revenue cycle firm transforming how healthcare organizations achieve clarity, accuracy, and performance across the revenue cycle.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase