• Performs secondary reviews of completed outpatient coding validation audits to verify coding accuracy, supporting rationale, and compliance with official coding guidelines, payer policies, reimbursement methodologies, and internal audit standards. • Evaluates auditor performance against established quality and accuracy benchmarks, identifying trends, educational opportunities, and areas requiring corrective action. • Provides detailed, constructive feedback and coaching to auditors to promote consistency, accuracy, and appropriate interpretation and application of coding and billing guidelines. • Develops, maintains, and enhances quality assurance tools, scorecards, audit tracking mechanisms, and documentation standards to support objective and consistent review processes. • Collaborates with leadership and operational teams to improve audit methodologies, clarify coding guidance, standardize processes, and support continuous quality improvement initiatives. • Validates accurate assignment and review of CPT, HCPCS Level II, and ICD-10-CM codes, including appropriate use of modifiers and supporting references such as Official Coding Guidelines, CMS regulations, AMA guidance, LCDs, and NCDs. • Develops and maintains QA tools, scorecards, and documentation standards to support objective review processes. • Monitors and reports QA metrics, audit findings, quality trends, and corrective action plans to leadership for performance oversight and operational improvement. • Maintains current knowledge of outpatient reimbursement methodologies, regulatory updates, coding changes, and industry standards related to Medicare OPPS, APCs, and EAPGs. • Ensures adherence to ethical coding and auditing standards established by AHIMA, AAPC, CMS, and organizational compliance policies. • Performs secondary reviews across multiple audit and coding platforms while maintaining established productivity and quality expectations. • Assists with development and delivery of training materials and educational resources related to identified trends, coding updates, policy changes, and performance improvement opportunities. • Participates in calibration sessions and quality consistency initiatives to ensure standardized audit interpretation and scoring methodologies. • Performs other duties as assigned.