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Added 59 mins ago
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Risk Adjustment Coding Auditor
TEKsystems
Chicago, IL
- $32 to $37 USD / hour
This position is 100% remoteJob DescriptionThe Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate…
Added 1 hour ago
GT
Coding Auditor, Senior Associate
Gainwell Technologies LLC
Any city, MS
- $50,500 to $72,200 USD / year
We are seeking a talented individual for an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of medical records and/or other documentation to…
Added 2 hours ago
Medical Auditor
ExactCare Pharmacy, LLC
Remote, United States
This Remote position performs highly technical and specialized functions. The primary function of the Medical Auditor is to perform a review of patient encounters to assess for completeness…
Added 3 hours ago
CM
Risk Adjustment Auditor Educator
Centene Management Company LLC
Remote, United States
- $56,200 to $101,000 USD / year
Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care.…
Added 4 hours ago
Senior Workforce IAM Engineer
College Board
Remote, United States
Location: This is a remote role. Candidates who live near CB offices have the option of being fully remote or hybrid (Tuesday and Wednesday in office). All CB employees are required to…
Added 6 hours ago
Senior Auditor Appeals - OPSP
COTIVITI, INC.
SOUTH JORDAN, UT
Added 7 hours ago
Outpatient Coding Auditor
CGI Technologies and Solutions, Inc.
Atlanta, GA
CGI is seeking an experienced Outpatient Coding Auditor to join our Healthcare Compliance Audit Team. In this role, you will leverage your outpatient coding, clinical documentation, and…
Added 8 hours ago
GH
Facility Inpatient Coding Audit Team Lead
GeBBS Healthcare Solutions, Inc.
Remote, United States
- $36 to $38 USD / hour
Foster collaboration across remote and global audit teams while promoting coding excellence.
Added 8 hours ago
VH
Medical Records Technician (Coder) Auditor
Veterans Health Administration
Remote, United States
- $69,905 to $90,882 USD / year
This remote option for this position will be assessed continuously, and if selected as a VA employee you may need to return to work to the nearest VA Office in the future, as determined by…
Added 9 hours ago
College Intern - Summer 2027 - Internal Auditing
Excellus BlueCross BlueShield
Rochester, NY
Attend Operational Audit Planning Meetings, Support Auditor in Charge with Operational Audit Controls and Substantive Testing, Participate in Entrance and Exit Meetings
Added 13 hours ago
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DRG / Inpatient Auditor
Jobgether
Remote, United States
- $73,000 to $98,700 USD / year
We are looking for an experienced DRG / Inpatient Auditor to join a dynamic healthcare auditing environment in a fully remote capacity. In this role, you will leverage your expertise in…
Added 23 hours ago
Accounting and Finance Specialist
Brazos Valley Food Bank, Inc.
Bryan, TX
Preparation, processing, and recording of remote deposits.
Added 1 day ago
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Inpatient Auditor - Full Time
e4health
Remote, United States
- Full-time
…clinical, financial, and health information workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver…
Added 1 day ago
SO
BARS Assistant - Assistant State Auditor 1, 2, or 3 - Local Government Support
State of Washington
Tumwater, WA
- $4,406 to $8,583 USD / month
The Office of the Washington State Auditor is seeking a qualified Assistant State Auditor to fill our Budgeting, Accounting and Reporting Specialist position. Qualified candidates may be…
Added 1 day ago
Coding Inpatient Auditor
AdventHealth
Maitland, FL
Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently.
Added 1 day ago
Clinical Validation Auditor (CVA) Auditor III
EXL Talent Acquisition Team
Pittsburgh, PA
…getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you’ll use your…
Added 1 day ago
C
Auditor Technical Trainer (Outpatient/Specialty Audits)
Cotiviti
Remote, United States
- $107,000 to $119,000 USD / year
This work is focused on Training for our Outpatient & Specialty Clinical & Coding Validation Audits.
Added 1 day ago
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Senior Auditor Quality - OPSP
Cotiviti
Remote, United States
- $47 to $56 USD / hour
The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit…
Added 1 day ago
Senior Manager of Accounting
Quetzal Therapeutics
Remote, United States
This is a remote position with the possibility of being hybrid, depending on location. We welcome qualified candidates across the United States with a preference for candidates located in…
Added 1 day ago
Revenue Integrity Charge Auditor
Revenue Cycle Organization
Remote, United States
The Revenue Integrity RN Charge/Coding Auditor is responsible for consulting on clinical charge Audits for Intermountain Health. The RN Charge Auditor will execute clinical charge audits of…
Added 1 day ago
RU
Certified Medical Coder
Randstad USA
Remote, United States
- $24 to $24.04 USD / hour
The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with the…
Added 1 day ago
Revenue Integrity Auditor, Revenue Integrity/Coding Administration, Flexible Hours, Days, Fully Remote
Norton Healthcare
Louisville, KY
The Revenue Integrity Auditor is responsible for performing both concurrent and retrospective audits to ensure compliance with federal/state laws and managed care contract provisions. This…
Added 1 day ago
DRG / Inpatient Auditor III
EXL Talent Acquisition Team
Jacksonville, FL
Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team!…
Added 2 days ago
Inpatient Coding Auditor
BEACON HILL SOLUTIONS GROUP, LLC
MILWAUKEE, WI
Added 3 days ago
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Risk Adjustment Coding Auditor
TEKsystems
Minneapolis, MN
- $32 to $37 USD / hour
We are seeking an experienced Risk Adjustment Coding Auditor to join our team. This role is responsible for ensuring the accuracy, completeness, and compliance of risk adjustment coding and…

CGI Technologies and Solutions, Inc.

Outpatient Coding Auditor

Atlanta, GA, United States

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Job details

Posting language: English
Posted: Oct 14, 2026

Original job description

Outpatient Coding Auditor

Position Description

CGI is one of the largest global IT and business consulting services firms, helping clients achieve meaningful outcomes through technology, expertise, and innovation. With a global presence and a collaborative, ownership-driven culture, CGI empowers its professionals to deliver impactful solutions that make a difference for clients and the communities they serve.

CGI is seeking an experienced Outpatient Coding Auditor to join our Healthcare Compliance Audit Team. In this role, you will leverage your outpatient coding, clinical documentation, and reimbursement expertise to conduct comprehensive medical record audits and identify potential improper payments, including overpayments and underpayments. You will review claims across outpatient hospitals, ambulatory surgical centers, physician practices, and other healthcare settings, delivering accurate, well-supported, and thoroughly documented audit findings.

This is a fully remote position open to candidates located anywhere in the United States. Candidates must be available to work Eastern Time Zone business hours. The ideal candidate is a self-motivated, detail-oriented professional with strong analytical, critical thinking, and written communication skills who thrives in an independent, collaborative environment. CGI provides ongoing training and professional development to support evolving audit methodologies, regulatory requirements, and industry standards.

Your future duties and responsibilities

Conduct detailed medical record reviews to identify coding discrepancies, reimbursement inaccuracies, and potential payment recovery opportunities across outpatient facility, professional, and allied health claims
Evaluate clinical documentation, coding accuracy, and reimbursement methodologies to determine compliance with applicable coding standards, payer policies, and regulatory requirements
Develop clear, comprehensive audit findings and written rationales supported by authoritative coding references, clinical documentation, and reimbursement guidelines
Apply ICD-10-CM, CPT, HCPCS, National Correct Coding Initiative (NCCI) edits, Outpatient Code Editor (OCE) edits, and other applicable coding and payment methodologies to support accurate audit determinations
Interpret and apply CPT Assistant, Coding Clinic for HCPCS, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and client-specific reimbursement and medical policies
Collaborate with the Edit Development team to provide feedback on claims selection criteria, emerging coding trends, and new payment recovery concepts
Maintain established audit quality, productivity, accuracy, and documentation standards while meeting client requirements and contractual deliverables
Communicate audit findings, coding interpretations, and recommendations effectively with team leads, internal stakeholders, and healthcare providers when applicable
Adapt to evolving audit priorities, regulatory changes, and client requirements while maintaining compliance with CGI policies, procedures, and operational expectations
Participate in ongoing training, professional development, and occasional onsite provider reviews or other business-related travel as required

Required qualifications to be successful in this role

Current professional coding certification through AHIMA or AAPC, such as RHIT, RHIA, CCS-P, CPC, or COC (formerly CPC-H)
Minimum of five years of outpatient surgical coding experience in a facility and/or professional healthcare setting
Extensive knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines, including appropriate modifier usage, coding conventions, and documentation requirements
Working knowledge of the Centers for Medicare & Medicaid Services (CMS) Outpatient Prospective Payment System (OPPS), Ambulatory Payment Classifications (APCs), NCCI edits, and OCE edits
Demonstrated ability to analyze complex medical records, interpret clinical documentation, and identify coding or reimbursement discrepancies
Strong critical thinking, analytical, and problem-solving skills with the ability to make independent, evidence-based audit determinations
Excellent written communication skills, including the ability to develop clear, accurate, and well-reasoned audit narratives with appropriate supporting references
Experience using coding encoders, electronic medical records, and remote medical record review systems
Proficiency with Microsoft Office applications, including Outlook, Word, and Excel, and familiarity with Windows-based operating systems
Strong organizational and time-management skills, with the ability to work independently, adapt to changing priorities, and consistently meet established quality and productivity standards

Desired qualifications / Strongly Preferred

Outpatient surgical coding experience in specialty areas such as orthopedics, cardiology, spine and back procedures, and interventional radiology
Previous experience conducting coding audits, peer reviews, payment integrity reviews, or healthcare reimbursement compliance assessments
Experience training, mentoring, or providing quality feedback to junior-level coders or coding professionals
Familiarity with Charge Description Master (CDM) structures, maintenance, and reimbursement implications
Experience using TruCode encoder software and other advanced coding or audit applications
Experience supporting healthcare payer audits, recovery initiatives, or complex outpatient claims reviews

Other Information:

CGI is required by law in some jurisdictions to include a reasonable estimate of the compensation range for this role. The determination of this range includes various factors not limited to skill set, level, experience, relevant training, and licensure and certifications. To support the ability to reward for merit based performance, CGI typically does not hire individuals at or near the top of the range for their role. Compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range for this role in the U.S. is $70,800.00 $123,800.00.

CGI's benefits are offered to eligible professionals on their first day of employment to include:

. Competitive compensation

. Comprehensive insurance options

. Matching contributions through the 401(k) plan and the share purchase plan

. Paid time off for vacation, holidays, and sick time

. Paid parental leave

.Learning opportunities and tuition assistance

. Wellness and Well being programs

CGI Federal anticipates accepting applications for this position through 2026 12 31.

Together, as owners, let’s turn meaningful insights into action.

Life at CGI is rooted in ownership, teamwork, respect and belonging. Here, you’ll reach your full potential because…

You are invited to be an owner from day 1 as we work together to bring our Dream to life. That’s why we call ourselves CGI Partners rather than employees. We benefit from our collective success and actively shape our company’s strategy and direction.

Your work creates value. You’ll develop innovative solutions and build relationships with teammates and clients while accessing global capabilities to scale your ideas, embrace new opportunities, and benefit from expansive industry and technology expertise.

You’ll shape your career by joining a company built to grow and last. You’ll be supported by leaders who care about your health and well-being and provide you with opportunities to deepen your skills and broaden your horizons.

Come join our team - one of the largest IT and business consulting services firms in the world.

Qualified applicants will receive consideration for employment without regard to their race, ethnicity, ancestry, color, sex, religion, creed, age, national origin, citizenship status, disability, pregnancy, medical condition, military and veteran status, marital status, sexual orientation or perceived sexual orientation, gender, gender identity, and gender expression, familial status or responsibilities, reproductive health decisions, political affiliation, genetic information, height, weight, or any other legally protected status or characteristics to the extent required by applicable federal, state, and/or local laws where we do business.

CGI provides reasonable accommodations to qualified individuals with disabilities. If you need an accommodation to apply for a job in the U.S., please email the CGI U.S. Employment Compliance mailbox at US_Employment_Compliance@cgi.com . You will need to reference the Position ID of the position in which you are interested. Your message will be routed to the appropriate recruiter who will assist you. Please note, this email address is only to be used for those individuals who need an accommodation to apply for a job. Emails for any other reason or those that do not include a Position ID will not be returned.

We make it easy to translate military experience and skills! Click here (https://cgi-veterans.jobs/) to be directed to our site that is dedicated to veterans and transitioning service members.

All CGI offers of employment in the U.S. are contingent upon the ability to successfully complete a background investigation. Background investigation components can vary dependent upon specific assignment and/or level of US government security clearance held. Dependent upon role and/or federal government security clearance requirements, and in accordance with applicable laws, some background investigations may include a credit check. CGI will consider for employment qualified applicants with arrests and conviction records in accordance with all local regulations and ordinances.

CGI will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGI’s legal duty to furnish information.

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