We are seeking an experienced acute inpatient coding auditor with recent acute care hospital experience. This role is responsible for auditing facility-based inpatient coding, DRG assignment, ICD-10-CM/PCS coding accuracy, documentation review, and compliance.
The position focuses exclusively on facility (hospital) inpatient services and is not a professional fee/physician coding role.
Responsibilities include auditing medical record documentation and coding to determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, reporting, and compliance; educating physicians and clinical staff to improve documentation; training coders and developing training materials; and researching audit results, error reports, and denials to resolve discrepancies through appeals, education, and correction.
Required
- Bachelor's degree in Health Information Management or related medical degree
- Or an associate degree plus at least 4 additional years of relevant experience
- 4–5 years of experience with ICD-9, ICD-10, and HCPCS coding, including hospital inpatient medical records
- 4–5 years of experience with medical terminology, pathophysiology, and pharmacology
- 4–5 years of experience calculating and analyzing MS-DRG, DRG, APC, and other payer reimbursement methodologies
- Certified Coding Specialist (CCS)
Preferred
- Registered Health Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- AHIMA Approved ICD-10 Trainer
Location
Georgia, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago