Surgical Coding Auditor

A company is looking for an Outpatient Coding Auditor - Surgical Specialty.

Key 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

Required Qualifications

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