Outpatient Coding Auditor

Insight Global is seeking an experienced Outpatient Coding Auditor to support the accuracy, consistency, and compliance of outpatient coding operations. This role is responsible for reviewing outpatient medical records to validate appropriate ICD-10-CM and CPT coding while ensuring adherence to official coding guidelines, regulatory requirements, and payer policies. The Outpatient Coding Auditor performs routine and quarterly compliance audits; reviews accounts returned for medical necessity and diagnosis-related issues and maintains detailed documentation of audit findings.

This position supports concurrent reviews for newly hired coders and partners with revenue cycle and billing teams to assist with RAC denials, emergency department E/M denials, and payer-requested coding changes. The auditor also identifies education opportunities and conducts training sessions as needed to promote coding accuracy and continuous improvement. The ideal candidate is a detail-oriented coding professional with strong outpatient and emergency department coding knowledge who can serve as a trusted compliance resource while upholding high standards of quality and performance.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.

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Required Skills & Experience
- High school diploma or GED
- RHIA or RHIT and/or CCS
- Minimum of 3+ years outpatient coding experience on the facilities side

- Experience with performing outpatient audits
- Strong Background in Anatomy, Physiology and Medical Terminology.

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.