Job Description
Insight Global is seeking a fully remote Medical Coding Specialist (Outpatient / Profee) to support a Healthcare AI client. This is a part-time, fully remote opportunity where candidates will leverage their outpatient coding expertise to evaluate and improve AI-driven coding recommendations. This role is highly analytical and requires a strong understanding of outpatient coding guidelines, reimbursement logic, and payer rules across specialties. Laptop and equipment will be provided.
Responsibilities:
• Review outpatient encounters and evaluate AI-generated coding recommendations across settings such as same-day surgery, observation, ED, clinic, and ancillary services
• Assess the accuracy and reasoning behind assigned CPT/HCPCS codes, modifiers, APC groupings, and LCD/NCD compliance
• Identify discrepancies where AI-selected codes, modifiers, or APC assignments differ from correct coding practices and explain the rationale
• Provide insight into coding decision-making, including modifier sequencing, bundling rules, and payer-specific nuances
• Share outpatient coding expertise with internal product teams to improve AI logic and recommendations
• Partner with GTM teams to critique coding-related presentations and provide subject matter expertise
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/.
Required Skills & Experience
• 3+ year of outpatient coding experience
• Strong experience with APC assignment, NCCI edits, and modifier application
• Experience coding across outpatient settings (ED, clinic, same-day surgery, observation, etc.)
• Ability to interpret medical documentation and apply correct coding guidelines
• Strong understanding of payer rules, bundling logic, and claim accuracy
• Ability to think critically and clearly explain coding decisions
Nice to Have Skills & Experience
• CPC certification or equivalent medical coding certification
• Multi-specialty coding experience
• Experience with coding audits, denial resolution, or quality review
• Comfort working in a tech-enabled or AI-supported healthcare environment
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.