Inpatient Coding Auditor – DRG Validation
Job Description:
• Review inpatient medical records to validate accurate DRG assignment and coding compliance
• Analyze patient charts to identify discrepancies in coding or clinical documentation
• Ensure coding accuracy according to CMS regulations and industry coding guidelines
• Conduct second-level reviews of DRGs, discharge dispositions, and Present on Admission (POA) indicators prior to billing
• Collaborate with coding teams and clinical staff to resolve documentation and coding questions
• Participate in coding audits and quality improvement initiatives
• Research and respond to coding or documentation denials related to DRG assignments
• Provide guidance and education to coding staff regarding documentation and coding best practices
• Support regulatory compliance and internal audit activities
Requirements:
• Minimum of 5 years of inpatient coding experience
• Experience with DRG validation, auditing, or coding quality review
• Strong understanding of clinical documentation and coding compliance standards
• Ability to work independently in a remote environment
• Strong analytical and communication skills
• Candidates must hold at least one of the following credentials: RHIA, RHIT, CCS, CPC, CCS-P
Benefits:
• Competitive hourly compensation
• Comprehensive medical, dental, and vision coverage
• Three weeks of paid vacation
• Fully remote work environment
• Opportunity to work in a specialized coding and compliance role within healthcare operations
Apply Now
Apply Now
• Review inpatient medical records to validate accurate DRG assignment and coding compliance
• Analyze patient charts to identify discrepancies in coding or clinical documentation
• Ensure coding accuracy according to CMS regulations and industry coding guidelines
• Conduct second-level reviews of DRGs, discharge dispositions, and Present on Admission (POA) indicators prior to billing
• Collaborate with coding teams and clinical staff to resolve documentation and coding questions
• Participate in coding audits and quality improvement initiatives
• Research and respond to coding or documentation denials related to DRG assignments
• Provide guidance and education to coding staff regarding documentation and coding best practices
• Support regulatory compliance and internal audit activities
Requirements:
• Minimum of 5 years of inpatient coding experience
• Experience with DRG validation, auditing, or coding quality review
• Strong understanding of clinical documentation and coding compliance standards
• Ability to work independently in a remote environment
• Strong analytical and communication skills
• Candidates must hold at least one of the following credentials: RHIA, RHIT, CCS, CPC, CCS-P
Benefits:
• Competitive hourly compensation
• Comprehensive medical, dental, and vision coverage
• Three weeks of paid vacation
• Fully remote work environment
• Opportunity to work in a specialized coding and compliance role within healthcare operations
Apply Now
Apply Now