Job Information
Insight Global Outpatient Coding Auditor in Anderson, South Carolina
Job Description
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. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Skills and Requirements
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.