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Outpatient Coding Integrity Specialist Jobs (NOW HIRING)

R1

Coding Integrity Specialist

$28.24 - $40.21/hr

As our Coding Integrity Specialist , you will works with theCodingIntegrityManager and Director of CodingOperationstoestablishopen lines of communicationregardingpotential coding quality concerns.

R1

Coding Integrity Specialist

$28.24 - $40.21/hr

As our Coding Integrity Specialist , you will works with the Coding Integrity Manager and Director of Coding Operations to establish open lines of communication regarding potential coding quality ...

R1 RCM

Coding Integrity Specialist

Chicago, IL · On-site

$28.24 - $40.21/hr

As our Coding Integrity Specialist , you will works with the Coding Integrity Manager and Director of Coding Operations to establish open lines of communication regarding potential coding quality ...

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Outpatient Coding Integrity Specialist information

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$22K

$53.5K

$85.5K

How much do outpatient coding integrity specialist jobs pay per year?

As of Sep 9, 2026, the average yearly pay for outpatient coding integrity specialist in the United States is $53,538.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $67,000.00 per year, depending on experience, location, and employer.

What is an outpatient coding integrity specialist?

An Outpatient Coding Integrity Specialist is a healthcare professional responsible for ensuring the accuracy and compliance of medical coding for outpatient services. They review medical records, assign the appropriate codes for diagnoses and procedures, and verify that documentation meets regulatory and billing standards. Their work helps healthcare organizations receive proper reimbursement and avoid compliance issues related to coding errors. These specialists often collaborate with clinical staff and coding teams to improve documentation quality and coding accuracy.

What are the key skills and qualifications needed to thrive as an outpatient coding integrity specialist?

To thrive as an Outpatient Coding Integrity Specialist, you need in-depth knowledge of medical coding systems (such as CPT, ICD-10-CM, and HCPCS), healthcare regulations, and typically a certification like CPC or CCS. Familiarity with electronic health record (EHR) systems, coding software, and auditing tools is essential. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and effective collaboration with healthcare providers. These skills are vital for maintaining compliance, optimizing reimbursement, and reducing errors in outpatient clinical documentation and coding.

What are some typical challenges faced by outpatient coding integrity specialists, and how can they be addressed?

Outpatient Coding Integrity Specialists often encounter challenges such as staying current with frequent changes in coding guidelines, ensuring the accuracy of documentation, and resolving discrepancies with clinical staff. These challenges can be addressed by participating in ongoing training, collaborating closely with physicians and other healthcare team members, and utilizing robust audit tools to catch errors before claims submission. Maintaining open communication and a proactive approach to compliance also play key roles in overcoming these hurdles and ensuring coding accuracy.

What is the difference between Outpatient Coding Integrity Specialist vs Outpatient Coder?

AspectOutpatient Coding Integrity SpecialistOutpatient Coder
CertificationsAHIMA or AAPC coding certifications, coding auditsAHIMA or AAPC coding certifications, coding documentation
Work EnvironmentHealthcare facilities, auditing teams, compliance departmentsHospitals, clinics, physician offices, coding departments
Job FocusEnsuring coding accuracy, compliance, and integrityAssigning accurate medical codes based on documentation

The Outpatient Coding Integrity Specialist primarily focuses on auditing and maintaining coding accuracy and compliance, often working in quality assurance or compliance teams. In contrast, an Outpatient Coder directly assigns codes based on medical documentation. Both roles require similar certifications and work in healthcare settings, but their core responsibilities differ: one emphasizes integrity and audit processes, while the other emphasizes coding execution.

What cities are hiring for Outpatient Coding Integrity Specialist jobs?

Cities with the most Outpatient Coding Integrity Specialist job openings:

What states have the most Outpatient Coding Integrity Specialist jobs?

States with the most job openings for Outpatient Coding Integrity Specialist jobs include:

What are popular job titles related to Outpatient Coding Integrity Specialist jobs?

For Outpatient Coding Integrity Specialist jobs, the most frequently searched job titles are:

Outpatient Coding Integrity Specialist jobs near you

Outpatient Coding Integrity Specialist

Horizon City, TX • On-site

HCA Healthcare
Hospitals • 10K+ employees
Learn more about HCA Healthcareexternal

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Key responsibilities

  • Perform internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with coding guidelines and policies.

  • Communicate review outcomes to the HSC team to improve coding accuracy, data integrity, and physician documentation.

  • Lead and perform all functions of quality reviews for inpatient and/or outpatient coding across multiple HSCs.

HCA Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 2,312 frontline employees who took The Breakroom Quiz

614th of 898 rated healthcare providers

Job description

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back!

Job Summary and Qualifications

As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.  

What you will do in this role:  

  • Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs 
  • Assists in ensuring HSC coding staff adherence with coding guidelines and policy 
  • Demonstrates and applies expert level knowledge of medical coding practices and concepts 
  • Participates on special reviews or projects 
  • Maintains or exceeds 95% productivity standards 
  • Maintains or exceeds 95% accuracy 
  • Meets all educational requirements as stated in current Company policy 
  • Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current  

What qualifications you will need: 

  • High school diploma and/or GED preferred 
  • Undergraduate degree in HIM/HIT preferred 
  • Minimum of 3 years acute care inpatient/outpatient coding experience preferred 
  • Minimum of 3 years coding auditing/monitoring experience strongly preferred 
  • RHIA, RHIT and/or CCS preferred 

 Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities.  

 CLICK HERE for more information on Parallon HCA Coding  

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

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"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Inpatient Coding Auditor opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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