Inpatient Coding Auditor

Key responsibilities

• Audit inpatient coders and offshore inpatient coding auditors to ensure coding accuracy and DRG accuracy of at least 95%
• Perform quality checks on coded visits according to client SOPs
• Conduct calibration audits and support improvement actions with offshore counterparts and leaders
• Prepare audit reports and provide feedback to coders and auditors
• Review inpatient documentation to support diagnosis and procedure coding, MS-DRG, APR DRG, POA, SOI, and ROM assignments
• Identify coding errors, compliance issues, HACs, PSIs, and other quality or reimbursement impacts
• Query physicians, CDS staff, and other providers when documentation is unclear or conflicting
• Maintain knowledge of coding guidelines, reimbursement rules, and applicable federal, state, and local regulations

Qualifications

• 2+ years of experience as an inpatient coding auditor
• 3+ years of experience coding inpatient hospital accounts
• Current permanent U.S. work authorization required
• Ability to work U.S. day shift hours
• Advanced proficiency with Microsoft Office Suite
• Strong analytical, organizational, and communication skills
• Attention to detail and ability to manage multiple priorities
• Independent judgment and decision-making ability
• Experience with revenue cycle systems and financial analysis preferred
• Encoder experience preferred
• Epic, Cerner, and Meditech experience preferred
• Required certification: CCS, CIC, or CDIP
• Preferred: AHIMA AIC microcredential and RHIA

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Other wellness programs
• Eligibility to participate in company benefit plans