Medical Auditor - Remote

Job Description

Job Description

Medical Auditor

Job Type: Contractor
Location: Remote

Job Overview

We are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects.

No prior AI experience is required.

Key Responsibilities

• Conduct detailed audits of outpatient professional fee coding records.
• Review coding accuracy, documentation, and compliance.
• Identify coding trends, gaps, risks, and improvement opportunities.
• Apply academic medical center standards and coding guidelines.
• Document audit findings and provide clear recommendations.
• Evaluate complex coding and documentation scenarios.
• Contribute to AI training through expert coding and audit feedback.
• Support audit program management and quality improvement initiatives.

Required Qualifications

• 10+ years of medical coding experience , with a focus on outpatient professional fee coding and auditing.
• Direct experience conducting or managing audits in academic medical centers .
• Strong knowledge of medical coding guidelines, compliance requirements, and audit methodologies.
• Proven ability to identify coding errors and provide actionable recommendations.
• Excellent written and verbal communication skills.
• Strong analytical skills and attention to detail.
• Experience with audit program management preferred.