REMOTE - Coding Auditor

Job Description
Insight Global is seeking an Auditor to accurately audit hospital inpatient, ambulatory surgery, observation, and outpatient encounters to ensure appropriate reimbursement, research accuracy, and compliance with federal and state regulations using ICD-10-CM/PCS and CPT-4 coding systems.

Responsibilities include, but are not limited to:
 • Audit ICD-10 diagnostic codes and CPT-4 procedure codes for outpatient, ambulatory surgery, and observation encounters
 • Audit complex inpatient cases including trauma, rehab, neurology, and critical care
 • Ensure accurate APR-DRG, SOI/ROM, and POA assignment
 • Serve as a clinical coding subject matter expert and resource to coding specialists
 • Provide education, training, and guidance to coding staff
 • Monitor coding quality accuracy and productivity rates
 • Conduct specialized and focused audits as needed
 • Collaborate with CDI, medical staff, and clinical documentation specialists
 • As...