Medical Auditor, Outpatient Professional Fee Coding
Overview
Medical Auditors will contribute expertise to a healthcare AI project, reviewing and refining medical coding and audit content for next-generation systems. The work covers outpatient professional fee coding and auditing within academic medical center settings. You will document findings and provide expert feedback to support AI training. No prior AI experience is required, only deep healthcare coding and audit expertise.
What You'll Do7
- 1Review outpatient professional fee coding records for accuracy, compliance, and quality.
- 2Identify coding trends, gaps, risks, and opportunities for improvement.
- 3Evaluate audit findings using academic medical center protocols and industry best practices.
- 4Document audit results and provide clear written explanations to support AI training.
- 5Provide expert feedback on complex coding, documentation, and auditing scenarios.
- 6Collaborate with project teams to analyze ambiguous coding and compliance cases.
- 7Support audit program management initiatives using healthcare coding and compliance expertise.
Requirements5
- 110+ years in medical coding, with focus on outpatient professional fee coding and auditing.
- 2Direct experience conducting or managing audits within academic medical centers.
- 3Strong understanding of medical coding guidelines, compliance regulations, and audit methodologies.
- 4Proven ability to identify issues and provide actionable recommendations.
- 5Excellent written and verbal communication skills to explain complex findings clearly.
Salary Insight
$104 - $146k per year
Location
Required Skills
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