Conduct enterprise-wide and ad-hoc spot audits of outpatient encounters to assess coding accuracy, completeness, and compliance with regulatory requirements and organizational policies.
Identify and correct coding errors in Epic and ensure appropriate follow-through on audit findings.
Submit clear, concise, and compliant queries to clinicians for clarification of documentation as needed.
Accurately code outpatient encounters in accordance with ICD-10-CM, CPT, HCPCS, and applicable payer guidelines.
Provide one-on-one and group coding education to clinicians and clinical support teams, based on audit findings and identified learning opportunities.
Collaborate with clinical, compliance, and revenue cycle departments to support accurate and complete documentation and coding.
Track and trend audit results to support continuous improvement initiatives and report out to leadership as needed.
Stay current with coding updates, CMS guidelines, payer policies, and industry best practices.

Certified Professional Coder (CPC)
Certified Professional Medical Auditor (CPMA) credential
Three years of experience with outpatient coding
Strong knowledge of ICD-10-CM, CPT, HCPCS, and outpatient documentation and coding guidelines
Experience auditing in Epic or similar EHR system
Meticulous attention to detail with a high standard of coding accuracy
Collaborative mindset with a proactive approach to problem-solving
Comfortable delivering constructive feedback to clinicians and peers
Understands the role of coding in supporting both clinical care and revenue integrity
Adaptable and open to evolving audit needs and process improvements
Experience coding for primary care or family/internal medicine (Preferred)
Certified Risk Adjustment Coder (CRC) (Preferred)
Prior experience conducting provider education or training (Preferred)

Certified Professional Medical Auditor

Key skills