Senior Profee Coding Auditor

Job Description

Insight Global is seeking a Senior Profee Coding Auditor to support a healthcare consulting organization that partners with providers nationwide to improve coding accuracy, compliance, and revenue integrity through auditing and education services. This individual will perform physician-side (profee) coding audits within EMR systems, ensuring compliance with CMS, OIG, and industry standards. This is a high-level, production-driven consulting role requiring strong critical thinking, independent decision-making, and the ability to clearly explain audit findings and rationale to clients. The ideal candidate has extensive experience across multi-specialty profee coding and auditing and can confidently operate in a fast-paced, autonomous environment. The annual salary for this role ranges from 85k-93k depending on the candidates years of experience.

KEY RESPONSIBILITIES:

Perform profee coding audits (CPT, ICD-10, HCPCS) in EMR systems to ensure accuracy and compliance

Evaluate documentation and identify coding errors, compliance risks, and documentation gaps

Develop detailed audit reports with clear rationale and supporting references

Apply CMS, OIG, and coding guidelines to make independent compliance decisions

Respond to client inquiries and provide subject matter expertise on coding and compliance issues

Research coding scenarios and draft responses to complex client questions

Collaborate with internal team members and participate in biweekly team meeting

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 View email address on click.appcast.io learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

5+ years of profee (professional fee) coding and/or auditing experience

Strong expertise in:

-CPT coding and E/M leveling

-Modifiers and CCI edits

-Multi-specialty physician coding (beyond E&M only)

Deep understanding of documentation and compliance standards (CMS, OIG, AMA)

Active certification required:

CPC or CCS (non-negotiable)