Medical Coding Specialist (Outpatient / Profee)

Medical Coding Specialist (Outpatient / Profee)

Insight Global is seeking a fully remote Medical Coding Specialist to support a Healthcare AI client. This is a part-time, fully remote opportunity where candidates will leverage their outpatient coding expertise to evaluate and improve AI-driven coding recommendations. This role is highly analytical and requires a strong understanding of outpatient coding guidelines, reimbursement logic, and payer rules across specialties. Laptop and equipment will be provided.

Responsibilities:

• Review outpatient encounters and evaluate AI-generated coding recommendations across settings such as same-day surgery, observation, ED, clinic, and ancillary services
• Assess the accuracy and reasoning behind assigned CPT/HCPCS codes, modifiers, APC groupings, and LCD/NCD compliance
• Identify discrepancies where AI-selected codes, modifiers, or APC assignments differ from correct coding practices and explain the rationale
• Provide insight into coding decision-making, including modifier sequencing, bundling rules, and payer-specific nuances
• Share outpatient coding expertise with internal product teams to improve AI logic and recommendations
• Partner with GTM teams to critique coding-related presentations and provide subject matter expertise

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.