Medical Coding Auditor (Outpatient)

Location: Remote nationwide within the United States; occasional travel to hirify.global offices for training or meetings may be required. Workdays start between 6AM and 9AM EST.

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 hirify.global and CenterWell services.

What you will do

• Extract clinical information from outpatient medical records.
• Assign appropriate procedural terminology and medical codes, including ICD-10-CM and CPT.
• Audit outpatient coding and interpret coding conventions, standards, and clinical documentation.
• Review claims and apply NCDs, LCDs, CMS Manual guidance, NCCI Edits, and coding guidelines.
• Exercise independent judgment while managing multiple priorities in a production-based environment.
• Handle protected health information in accordance with HIPAA requirements.

Requirements

• CPC, COC, CCS, RHIA, or RHIT certification with at least three years of post-certification experience.
• At least two years of outpatient medical record auditing experience.
• Strong knowledge of outpatient coding conventions, NCDs, LCDs, the CMS Manual, NCCI Edits, and coding guidelines.
• Strong judgment, discretion, attention to detail, communication, analytical, organizational, and time-management skills.
• Ability to work independently, manage workload, and handle multiple priorities.
• Working knowledge of Microsoft Word and Excel.

Nice to have

• Five or more years of coding experience and at least three years of claims interpretation experience.
• Outpatient facility auditing experience.
• Experience with 3M Coder, CRM/SRO, Pareo, or MOAT.
• Appeals or disputes auditing, financial recovery, or metric-driven operational experience.
• Advanced or specialty coding certifications.

Culture & Benefits

• Full-time schedule of 40 hours per week, generally Monday through Friday.
• Remote work from home with possible schedule flexibility after training and according to business needs.
• Dedicated interruption-free workspace and internet service with at least 25 Mbps download and 10 Mbps upload speeds are required.
• Benefits include medical, dental and vision coverage, 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
• Internet expense payments may be available to home-based associates in California, Illinois, Montana, and South Dakota.

Hiring process

• Initial application prescreen followed by a prerecorded voice interview or SMS text interview through HireVue.
• Voice interviews take approximately 10–15 minutes; SMS interviews take approximately 5–10 minutes.
• Selected candidates proceed to subsequent interview rounds.