Medical Auditor - Remote

Job Description

Job Description

Job Title: Medical Auditor

Job Type: Contractor
Location: Remote

Job Overview

We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most.

Key Responsibilities

• Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality.

• Identify coding trends, gaps, risks, and opportunities for improvement.

• Evaluate audit findings using knowledge of academic medical center protocols and industry best practices.

• Document audit results and provide clear written explanations to support AI training and development.

• Provide expert feedback on complex coding, documentation, and auditing scenarios.

• Collaborate with project teams to analyze ambiguous coding and compliance cases.

• Support audit program management initiatives using healthcare coding and compliance expertise.

Required Skills

• Outpatient Professional Fee Coding

• Coding Auditing

• Academic Medical Center Experience

• Audit Program Management

• Medical Coding Guidelines

• Compliance Review

• Documentation Analysis

• Quality Assurance

• Written & Verbal Communication

Preferred Qualifications

• 10+ years of experience in medical coding, with a focus on outpatient professional fee coding and auditing.

• Direct experience conducting or managing audits within academic medical centers.

• Strong understanding of medical coding guidelines, compliance regulations, and audit methodologies.

• Proven ability to identify issues and provide actionable recommendations.

• Excellent written and verbal communication skills with the ability to explain complex findings clearly.

• Experience managing audit programs and navigating the unique challenges of academic healthcare environments.