Behavioral Health Outpatient Medical Coding Auditor

Location: Remote nationwide within the United States; occasional travel to hirify.global offices for training or meetings may be required.

Salary: $59,300–$80,900 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and health insurance company serving Medicare, Medicaid, individual, military, and community members through insurance and healthcare services.

What you will do

• Review outpatient behavioral health coding disputes and determine appropriate outcomes.
• Audit CPT and HCPCS code assignments for accuracy, compliance, and quality.
• Apply industry coding guidelines and best practices to resolve disputes.
• Communicate dispute outcomes to providers professionally and concisely.
• Manage multiple priorities and collaborate with coding professionals across departments.
• Track timely completion and trending results for coding disputes.

Requirements

• CPC or CCS certification.
• Experience auditing CPT and HCPCS codes.
• At least 1 year of experience reading and interpreting behavioral health claims.
• At least 3 years of experience performing behavioral health coding audits in health insurance or hospital settings and handling coding-related disputes.
• Working knowledge of Microsoft Word, PowerPoint, and Excel.
• Ability to work independently, determine appropriate actions, and communicate effectively in writing and verbally.

Nice to have

• Associate degree or higher in Health Information Management.
• Financial recovery experience.
• Experience in a fast-paced, metrics-driven operational environment.

Culture & Benefits

• Health benefits effective from day one.
• Paid time off, holidays, volunteer time, and jury duty pay.
• 401(k) retirement savings plan with employer match.
• Tuition assistance, eligible dependent scholarships, and career development opportunities.
• Parental and caregiver leave, disability and life insurance, and employee charity matching.
• Dedicated home workspace required to protect member PHI and HIPAA information; internet service must provide at least 25 Mbps download and 10 Mbps upload.

Hiring process

• Selected candidates complete a HireVue assessment with recorded responses.
• The assessment takes approximately 10–15 minutes and is followed by a decision about progression to the next round.