Certified Outpatient Coder Manager

Job Summary

A company is looking for an Outpatient Coder Program Manager.

Key Responsibilities

• Support the execution of inpatient and outpatient audit reviews by providing clinical and coding expertise
• Assist with provider escalations and appeals by reviewing documentation and contributing to high-quality responses
• Participate in quality review activities to ensure audit findings meet clinical, coding, and regulatory standards

Required Qualifications

• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required
• Minimum of 5 years of experience in outpatient coding, auditing, and payment integrity compliance
• Strong experience in coding audits
• Proven ability to support audit processes, including provider escalations and appeals
• Operational Discipline