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 ...