Medical Auditor

Role Title: Medical Auditor

Role Type: Contractor

Location: Remote

micro1 is engaging Medical Auditors to contribute specialized expertise to a customer’s project within the academic medical center landscape. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required, your domain knowledge is what matters. This opportunity is ideal for experienced professionals with a proven track record in outpatient professional fee coding and audit program oversight, especially within academic medical centers.

Scope of Work

• Review and audit outpatient professional fee coding for accuracy and compliance.
• Review other coders’ work and identify errors, gaps, or inconsistencies.
• Make clear and consistent decisions on complex coding cases.
• Apply expertise in E/M leveling, modifier -25, time vs. MDM, and NCCI bundling.
• Document findings and provide clear written feedback.
• Identify coding trends and recommend improvements.
• Help clarify difficult or ambiguous coding cases.
• Provide timely feedback and complete approximately 10 reviews per day.
• Support quality assurance and audit activities as needed.

Preferred Qualifications

• AAPC CPC certification; CPMA preferred.
• 10+ years of medical coding experience, or experience managing outpatient professional fee coding audits at an Academic Medical Center.
• Experience reviewing and auditing other coders’ work.
• Strong knowledge of outpatient professional fee coding and auditing.
• Strong understanding of E/M leveling, modifier -25, time vs. MDM, and NCCI bundling.
• Able to make clear, well-supported decisions and apply guidelines consistently.
• Strong written communication and attention to detail.
• Comfortable providing feedback and helping calibrate other reviewers.
• Experience with QA programs, gold-set reviews, or AI/ML data validation is a plus.