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Outpatient Coding Compliance Auditor Jobs (NOW HIRING)

Outpatient Coding Auditor

Atlanta, GA

$26 - $29.50/hr

Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency ...

Outpatient Coding Auditor

Atlanta, GA · On-site

$26 - $29.50/hr

Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency ...

* Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency ...

Outpatient Coding Auditor

Atlanta, GA

$26 - $29.50/hr

Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency ...

Outpatient Coding Auditor

Atlanta, GA

$26 - $29.50/hr

Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency ...

Outpatient Coding Auditor

Atlanta, GA

$26 - $29.50/hr

Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency ...

Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency ...

Outpatient Coding Auditor

Atlanta, GA · On-site

$26 - $29.50/hr

Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency ...

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Medical Coding Compliance Auditor Location: Remote USA Position: 6-Month + Contract ⭐️ Join a Top Rank Healthcare System! Overview TalentFish is casting a line for a Medical Coding Compliance ...

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Outpatient Coding Compliance Auditor information

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$31.5K

$68.7K

$112K

How much do outpatient coding compliance auditor jobs pay per year?

As of Aug 7, 2026, the average yearly pay for outpatient coding compliance auditor in the United States is $68,732.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,000.00 and $86,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in an outpatient coding compliance auditor position?

To excel as an Outpatient Coding Compliance Auditor, you need strong knowledge of medical coding standards (such as ICD-10-CM, CPT, and HCPCS), healthcare regulations, and auditing procedures, often backed by a relevant certification like CCS, CPC, or RHIA. Familiarity with electronic health record systems (EHRs), coding audit software, and compliance databases is typically required. Attention to detail, analytical thinking, and effective communication skills set top performers apart in this role. These skills ensure accurate audits, minimize compliance risks, and support healthcare organizations in maintaining regulatory standards.

What is an outpatient coding compliance auditor?

An Outpatient Coding Compliance Auditor is responsible for reviewing medical records and coding practices to ensure accuracy, compliance with regulations, and adherence to coding guidelines. They conduct audits to identify errors or discrepancies in outpatient medical coding, provide education to coding staff, and recommend process improvements. Their role helps healthcare organizations maintain compliance with federal regulations such as HIPAA and CMS guidelines, reducing the risk of billing errors and potential penalties. They may also collaborate with coding teams, physicians, and management to enhance documentation accuracy. This position requires expertise in CPT, ICD-10-CM, and HCPCS coding, as well as a strong understanding of healthcare compliance standards.

What are the typical daily responsibilities of an outpatient coding compliance auditor?

As an Outpatient Coding Compliance Auditor, your day-to-day tasks generally include reviewing patient medical records and coding to ensure compliance with federal regulations and payer requirements. You will perform detailed audits, identify discrepancies or potential areas of risk, and prepare reports documenting your findings. Collaboration with coding teams, physicians, and compliance officers is common, as you may offer feedback, recommend corrective action, and help train staff on best practices. The role often involves staying updated on changing regulations to ensure ongoing compliance and accuracy in medical billing.

More about Outpatient Coding Compliance Auditor jobs
What states have the most Outpatient Coding Compliance Auditor jobs? States with the most job openings for Outpatient Coding Compliance Auditor jobs include:
Infographic showing various Outpatient Coding Compliance Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $68,732 per year, or $33 per hour.

Coding and Compliance Auditor

South Shore Health

Weymouth, MA • On-site, Remote

$73K - $104K/yr

Full-time

Re-posted 23 days ago


South Shore Health rating

7.7

Company rating: 7.7 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

161st of 887 rated healthcare providers


Job description

If you are an existing employee of South Shore Health then please apply through the internal career site.

Requisition Number:

R-22463

Facility:

LOC0006 - 780 Main Street780 Main Street Weymouth, MA 02190

Department Name:

SHS Compliance

Status:

Full time

Budgeted Hours:

40

Shift:

Day (United States of America)The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements.
This is a hybrid position: 2 days onsite; 3 days remote option.

Compensation Pay Range:

$73,000.00 - $104,400.00

Job Responsibilities:

Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.

  • Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC's, PCS and ICD-10-CM codes.

  • Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection.

  • Analyzes data to identify deficiencies, prepare reports to deliver provider education specific to training needs identified during audit.

  • Develop and monitor follow-up audits and education as determined necessary to improve documentation quality.

Support all departments of the Health System with coding guidance:

  • Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.

  • Designs training programs around compliant coding and billing from a regulatory standpoint for any new initiatives or programs affecting the Health System.

  • Evaluates vendor-training materials for its application or recommendation for use in educational programs.

Maintains:

  • Knowledge of all State and Federal regulatory changes that impact the Health System

  • Revises/modifies any instructional tools as necessary based on any changes to State and Federal regulatory changes to ensure guidance and training are accurate.

  • Assists in the development of follow-up mechanisms to ensure that knowledge and/or skills learned in the training are being applied on the job and have an impact on staff performance in meeting organizational goals.

  • Reports on program effectiveness and documents necessary changes.

Self Development:

  • Participates in professional societies or organizations relevant to ICD-9-CM, ICD-10-CM, PCS and CPT.

  • Maintains necessary licensure required for employment.

Administrative Duties:

  • Assists with administering programs as assigned.

  • Attends and participates in organization-wide committees as assigned.

  • Performs additional related duties as required.

  • Designs, develops and delivers education and training programs that meet the staff's needs for compliant coding and billing.

  • Plans and develops curriculum in accordance with the organization's strategic goals, mission and business strategies to improve employee performance leading to quality data and accuracy.

JOB REQUIREMENTS

Minimum Education - Preferred

Associates or Bachelor's degree in Health Information Management.

Minimum Work Experience

Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
Experience, preferred, in adult and continuing education, organizational development and training.

Required Certifications

CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or

CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or

CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc) or

CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or

CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or

RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Association)

Required additional Knowledge and Abilities:

Interact with constituents who have competing priorities and effectively communicate the importance of compliance in a respectful yet authoritative manner.

Monday thru Friday 8am - 5pm

Responsibilities if Required:

Education if Required:

License/Registration/Certification Requirements:

Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician Based - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator - American Health Information Management Association (AHIMA)

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About South Shore Health

Sourced by ZipRecruiter

South Shore Health is a leading provider of health services in South Weymouth, Massachusetts, US. As an integrated health system, the company has a broad offering ranging from primary and specialty care, home health and hospice services, to preventive and emergency care. Founded over a century ago, South Shore Health initially operated as a single hospital but has since morphed into a health network of providers and facilities for comprehensive care. The company's mission is to benefit the community by providing easily accessible, top-quality health services with an emphasis on wellness and prevention.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

South Weymouth, MA, US

Year founded

1922

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