Inpatient Coding Auditor

This is a fully remote position, open to applicants in Kansas, +3 more states.

📋 Description

• Ensure precise, high-quality, and compliant inpatient facility coding through pre-bill and retrospective audits.

• Deliver targeted training to enhance consistency and the quality of documentation.

• Conduct routine monthly, focused pre-bill, CDI reconciliation, and second-level review queue coding quality assessments across OUH.

• Execute peer-to-peer auditor evaluations.

• Liaise with teams and departments to address account review and code/DRG validation concerns.

• Address coding-related inquiries from both internal and external coding personnel.

• Initiate rebilling processes as mandated by policy for special projects.

• Test auditing-team tip sheets and training materials and offer constructive feedback.

• Sustain or surpass productivity and accuracy benchmarks.

• Review official data quality standards, coding guidelines, policies, procedures, and clinical/medical resources.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• Candidates must live and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas prior to their first day of employment.

• A High School diploma or GED is required for Level 1.

• A minimum of 1 year of experience in Inpatient Facility Coding Auditing or DRG Validation, along with at least 5 years of inpatient facility coding experience, is required for Level 1.

• A minimum of 3 years of experience in Inpatient Facility Coding Auditing or DRG Validation, including at least 2 years of coding at an Academic Health Center, is required for Level 2.

• An Associate's degree is required for Level 3.

• A minimum of 5 years of Inpatient Facility Coding Auditing experience at an Academic Health Center is required for Level 3.

• RHIA, RHIT, CCS, CPC, or CIC certification is mandatory.

• HFMA CRCR certification is required within 6 months of hire for Level 3.

• All educational requirements specified in current Company policy must be met.

• Candidates must keep current knowledge of official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources.

🏝️ Benefits

• Competitive wages and a comprehensive rewards package.

• Paid time off (PTO).

• 401(k) plan.

• Medical insurance plan.

• Dental insurance plan.

• Comprehensive benefits and compensation package.