Job Description
Insight Global is seeking a Medical Coding Auditor for a large healthcare client in Houston, TX. This role is responsible for performing second-level reviews of surgical cases submitted by coders through a designated work queue, with a primary focus on validating the accuracy of surgical procedure codes. The auditor will review cases across multiple surgical specialties, including cardiology and urology, on a daily basis, pulling claims by individual coder to conduct detailed audits. The position requires strong surgical coding experience to determine coding accuracy and compliance, audit coder performance, and ensure quality standards are met. When coders fall below a 95% accuracy threshold, the auditor will provide targeted education, including setting up training sessions and developing PowerPoint presentations to educate coders on new or updated codes. Additionally, this role is responsible for staying current on coding changes related to surgical procedures and distributing updated guidance to the coding team as needed.
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
2-5+ years of cardiology coding experience
Surgical coding experience
CPC or CCS Certified through AHIMA or AAPC
HS Diploma or GED
Live in one of the following states: TX, OK, LA, GA, TN
Nice to Have Skills & Experience
Preferred areas of specialty would be cardiology, OBGyn, bariatrics, neurosurgery, urology, general surgery and gastroenterology
BS Degree
Experience with Epic
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.