Outpatient Quality Reviewer
R1 RCM · United States · US
Other
Remote
Not yet analysed
Demand75
Career growth55
Healthcare fit35
Remote potential95
Salary band
USD 28 – 40
5-year outlook
Stable hourly range with limited upside unless moving into coding management or revenue integrity leadership. Automation may pressure routine coding review roles, but compliance and audit expertise remains valued.
Clinical license
Not required
Applicant reach
narrow
Seniority
senior
Employment type
full-time
Date found
2026-10-03
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- Rate period
- Hourly
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Only worth applying if you already hold a coding certification and have extensive hospital outpatient coding experience. Clinicians without coding/HIM credentials will likely be screened out.
Who should apply
Experienced outpatient coders, HIM professionals, and nurses or allied health professionals with active coding certifications and 7+ years of outpatient coding audit/review experience.
CV angle
Highlight hands-on outpatient coding audits across ED, same-day surgery, observation, ancillary, and interventional specialties. Emphasize CPT/HCPCS/ICD-10-CM/APC accuracy, modifier validation, CMS/AHA/AMA compliance, audit trend analysis, coding education, and cross-functional collaboration with denials and revenue integrity teams.
Skills to highlight
- Outpatient coding
- CPT/HCPCS/ICD-10-CM
- APC assignment
- Modifier validation
- Coding audits
- Compliance (CMS/AHA/AMA)
- Revenue integrity
- Coding education
- Denials resolution
Role summary
Reviews outpatient coded records for accuracy and compliance, validates CPT/HCPCS/ICD-10-CM/modifier/APC assignments, provides coding audit feedback, and supports revenue integrity in a remote environment.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.