Certified Professional Medical Auditor

The Certified Professional Medical Auditor (CPMA) plays a critical role in ensuring the accuracy, compliance, and integrity of outpatient coding across the enterprise. This position conducts both routine enterprise-wide audits and targeted spot checks to evaluate coding quality, identify trends, and mitigate risk. In addition to auditing, the auditor is responsible for correcting coding errors, submitting clarifying queries to clinicians, coding outpatient encounters, and delivering targeted coding education.

This role supports both revenue cycle optimization and clinical documentation excellence by partnering closely with coding teams, compliance, and primary care providers. The ideal candidate demonstrates strong attention to detail, sound knowledge of outpatient coding guidelines, and the ability to communicate effectively across teams.

While this is a remote position, the Certified Professional Medical Auditor willbe requiredto live in Washington state or Texas by time of hire.

Whatyou’lldo:

• Conduct enterprise-wide and ad-hoc spot audits of outpatient encounters to assess coding accuracy, completeness, and compliance with regulatory requirements and organizational policies.

• Identify and correct coding errors in Epic and ensure appropriate follow-through on audit findings.

• Submit clear, concise, and compliant queries to clinicians for clarification of documentation as needed.

• Accurately code outpatient encounters in accordance with ICD-10-CM, CPT, HCPCS, and applicable payer guidelines.

• Provide one-on-one and group coding education to clinicians and clinical support teams, based on audit findings and identified learning opportunities.

• Collaborate with clinical, compliance, and revenue cycle departments to support accurate and complete documentation and coding.

• Track and trend audit results to support continuous improvement initiatives and report out to leadership as needed.

• Stay current with coding updates, CMS guidelines, payer policies, and industry best practices.

Whatyou’llbring:

• Certified Professional Coder (CPC).

• Certified Professional Medical Auditor (CPMA) credential.

• Three years of experience with outpatient coding.

• Strong knowledge of ICD-10-CM, CPT, HCPCS, and outpatient documentation and coding guidelines.

• Experience auditing in Epic or similar EHR system.

• Meticulous attention to detail with a high standard of coding accuracy.

• Collaborative mindset with a proactive approach to problem-solving.

• Comfortable delivering constructive feedback to clinicians and peers.

• Understands the role of coding in supporting both clinical care and revenue integrity.

• Adaptable and open to evolving audit needs and process improvements.

• Experience coding for primary care or family/internal medicine. (Preferred)

• Certified Risk Adjustment Coder (CRC). (Preferred)

• Prior experience conducting provider education or training. (Preferred)

Working Environment

• Work is primarily performed in an office setting within a healthcare organization, which may include proximity to patient care areas.

• The work environment is generally quiet, but may involve some interruptions, high-paced demands and interactions with various departments.

• This role requires the ability to navigate within clinical or administrative areas of a healthcare organization.

PhysicalRequirements

The following have been identified as essential physical requirements of this job and must be performed with or without an accommodation:

• This is primarily a sedentary role with prolonged periods of sitting at a desk and working on a computer.

• Ability to lift or carry items weighing up to 25 pounds; occasionally may need to bend, stoop, or reach to retrieve items.

• This role requires the ability to use a keyboard and computer for extended periods of time and to communicate clearly and understandably in person, and over the telephone.

• Manual dexterity for data entry and use of office equipment.