Outpatient Coding Auditor at AnMed – Anderson, South Carolina

Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful:

To provide exceptional and compassionate care to all we serve.

AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here.

Performs coding compliance audits of outpatient accounts according to coding rules and guidelines.

Duties & Responsibilities

• Reviews outpatient medical records and validates the appropriate ICD-10 codes and CPT codes.
• Maintains documentation of audits performed.
• Review accounts returned for medical necessity regarding diagnosis issues.
• Conducts a quarterly compliance audit of outpatient accounts.
• Performs concurrent reviews on new employees.
• Assists in reviewing RAC denials and all coding changes submitted by payers.
• Assists in reviewing Emergency Room denials for Evaluation and Management (E/M).
• Conduct education sessions as needed.
• Performs other duties as assigned.

Qualifications

• High school diploma or GED required • RHIA, RHIT and/or CCS.
• CPC with minimum of 3 years’ experience.
• Strong Background in Anatomy, Physiology and Medical Terminology.
• RHIA or RHIT and/or CCS.
• Minimum of five years of experience in outpatient coding in an acute care hospital setting.

Benefits*

• Medical Insurance & Wellness Offerings.
• Compensation, Retirement & Financial Planning.
• Free Financial Counseling.
• Work-Life Balance & Paid Time Off (PTO).
• Professional Development.
• For more information, please visit: anmed.org/careers/benefits

*Varied benefits packages are available for positions with a 0.6 FTE or higher.