Inpatient Coding Auditor

This is a fully remote position, open to applicants in United States.

📋 Description

• Accountable for assessing inpatient coding to ensure accuracy, adherence to regulations, and adequate documentation support.

• Recognize trends, potential risks, and areas for enhancement in coding practices.

• Deliver clear, constructive audit feedback and educational support to both clients and internal coding personnel.

• Uphold established quality metrics (e.g., maintaining a coding accuracy of at least 95%) while achieving productivity benchmarks.

⛳️ Requirements

• Credentials: CCS, RHIA, or RHIT (must be active).

• A minimum of 3+ years in inpatient coding and at least 2 years of experience in auditing.

• Alternatively, if lacking auditing experience, at least 7+ years of coding experience is necessary.

• Extensive knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG assignments, and Coding Clinic guidelines.

• Excellent analytical capabilities and written communication skills.

• Strong grasp of methodologies for validating documentation that affects severity, risk, and reimbursement.

• Experience in auditing complex, multi-diagnosis inpatient cases, along with familiarity with documentation requirements that influence DRG transitions.

🏝️ Benefits

• National exposure to a variety of high-acuity health systems and specialties.

• A quality-first culture with realistic expectations (not solely volume-driven).

• Flexible work arrangements (Full-Time, Part-Time, and PRN options).

• Opportunities to broaden involvement in other audit, education, and advisory services.