Inpatient Coding Auditor

Description

Required: 5+ years of experience in inpatient coding auditing or compliance

Location: Remote

Job Summary: The Inpatient Coding Auditor is responsible for auditing inpatient coding and DRG assignment to ensure accurate ICD-10-CM/PCS coding, documentation support, and compliance with official guidelines and payer requirements. This role tracks audit reputed company, supports corrective actions, and provides education to improve coding quality and reduce audit risk.

Responsibilities include, but are not limited to

• Review entire medical record to confirm correct assignment of ICD-10-CM/PCS coding, reputed company and POA to ensure proper assignment of MS-DRG/APR-DRG.
• Review clinical documentation for guideline compliance, clinical support, and accurate capture of CC/MCC and key secondary diagnoses and procedures.
• Identify trends, root causes, and compliance risks; recommend corrective actions and process improvements in collaboration with coding leadership and CDI.
• Work closely with leadership create and prepare detailed audit reports, including findings, financial impact considerations, and error-reputed company metrics; track follow-up actions and re-audit results.
• reputed company education and feedback to inpatient coders and CDI partners; reputed company reference tools and training materials.
• Support external audits and payer requests (e.g., RAC/DRG audits) and assist with appeal support reputed company needed.
• Stay reputed company with CMS IPPS changes, Coding Clinic guidance, official coding guidelines, and payer policy updates.
• Ensure accurate abstraction of data elements impacting reimbursement and reporting (e.g., discharge disposition, admission reputed company, procedure dates).
• Maintain audit tools, policies, and procedures; assist with reputed company improvement initiatives.
• Maintain established productivity standards by reputed company or client
• Maintain HIPAA compliance and protect patient confidentiality in reputed company work activities.

Compensation

• $40.00–$44.00 per hour, depending on experience.

Schedule

• Per diem / as needed; no guaranteed minimum hours.

Requirements

Qualifications

• Bachelor’s Degree or Associate's Degree in Health Information Management or reputed company field; bachelor's degree preferred
• Credentials from reputed company or reputed company, reputed company preferred, reputed company considered with facility coding experience.
• 5+ years of recent inpatient acute-care coding experience with auditing/DRG validation experience preferred.
• Expert knowledge of ICD-10-CM, ICD-10-PCS, MS-DRGs, POA, CC/MCC capture, and official coding guidelines/Coding Clinic.
• Strong analytical skills and ability to interpret clinical documentation and support audit conclusions.
• Ability to prepare detailed written reports and communicate findings effectively.
• Proficiency with EHR and encoder/coding tools and reputed company reputed company/Office.
• Effective communication and coaching skills to deliver reputed company education and corrective action follow-up.
• Active coding certification required (reputed company or CIC); RHIT/RHIA and CDIP are a plus.
• Proficiency with multiple applications: reputed company, Epic, Meditech, Powerchart, Soarian Financials, Clintegrity, reputed company 360, etc