Remote Certified Outpatient Auditor POST NUMBER: 468692
- Required areas of specialty, one of: Infusion, Surgery, Radiology, Hospital Services
- Perform detailed audits of outpatient and professional fee claims across infusion, surgical, interventional radiology, and hospital outpatient services.
- Review CPT/HCPCS, APC, and revenue codes to confirm accurate reporting and reimbursement.
- Apply Medicare, NCCI, CPT, and AHA Coding Clinic guidelines to ensure coding compliance.
- Identify and document overpayments, discrepancies, or missed billing opportunities.
- Utilize encoder tools (3M, Webstrat, Optum Encoder) and proprietary systems to review, validate, and process claims efficiently.
- Produce clear, concise audit findings and rationales that align with official coding guidelines.
- Stay current on regulatory updates, outpatient reimbursement changes, and clinical practice trends in infusion, surgery, and radiology.
- Meet and exceed Company productivity and quality benchmarks while maintaining accuracy and compliance.
- One or more of the following credentials:
- Certified Coding Specialist (CCS)
- Registered Health Information Administrator (RHIA)
- Registered Health Information Technician (RHIT)
- Certified Professional Coder (CPC)
- Preference for multiple credentials
- 3 years of professional and hospital outpatient coding/auditing experience, including infusion, surgical, and interventional radiology cases.
- Strong knowledge of CPT/HCPCS, APC reimbursement methodologies, and official coding guidelines.
- Familiarity with payer contract language and claim adjudication processes.
- Hands-on experience auditing complex outpatient surgical and interventional cases.
- Advanced knowledge of infusion and injection billing guidelines.
- Experience with retrospective overpayment identification in hospital and professional outpatient claims.
- Encoder experience (3M, Webstrat, Optum Encoder).
- Ability to work independently in a remote environment and manage competing priorities.
- Strong written, verbal, and analytical communication skills.
- Proficiency in Microsoft Excel, Word, and OneNote with general computer literacy.
Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan. Additional disclaimer: Unless otherwise noted in the job description, the position Vaco/Highspring is filing for is occupied. Please note, however, that Vaco/Highspring is regularly asked to provide talent to other organizations. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. Submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. Further assessment of candidates beyond this initial phase within Vaco/Highspring will be otherwise assessed by recruiters and hiring managers. Vaco/Highspring does not have knowledge of the tools used by its clients in making final hiring decisions and cannot opine on their use of AI products.
Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
EEO Notice
Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.
Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .
Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.
By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.
Privacy Notice
Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies.
- California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.
- Virginia residents may access our state specific policies here.
- Residents of all other states may access our policies here.
- Canadian residents may access our policies in English here and in French here.
- Residents of countries governed by GDPR may access our policies here.
Pay Transparency Notice
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:
- the individual’s skill sets, experience and training;
- licensure and certification requirements;
- office location and other geographic considerations;
- other business and organizational needs.
With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.