The Coding Quality Auditor is responsible for monitoring compliance with clinical documentation and coding/billing regulations to support appropriate reimbursement, public reporting, and related network initiatives.
This role is 100% remote and follows an 11:00 AM to 7:30 PM schedule. The position requires working one weekend day each week, either Saturday or Sunday.
Key responsibilities include reviewing DRG assignments for selected inpatient cases, addressing coding edits, analyzing physician documentation for coding accuracy, querying physicians when documentation is unclear, providing feedback and education to coders and Clinical Documentation Specialists, performing monthly data analysis for DRG and public reporting compliance, applying POA indicators, assisting with DNFB goals, supporting special audits and projects, and creating spreadsheets and summaries of findings.
Qualifications
- Associate's degree or higher, or equivalent coding experience
- 2–4 years of equivalent coding experience
- Minimum 5 years of inpatient coding experience in a complex healthcare environment
- Minimum 2 years of quality improvement audit experience
- Strong knowledge of ICD-10 and DRG methodologies
- Knowledge of data reporting requirements
- Extensive experience with data collection and clinical coding reviews
- Excellent written, verbal, and interpersonal communication skills
- Proficiency with Microsoft Office and Google Suite
- Certified Coding Specialist credential required
Benefits
- Comprehensive health, dental, and vision coverage
- Paid leave
- Tuition reimbursement
- Retirement benefits
- Competitive pay transparency and potential eligibility for shift differentials, bonuses, or incentives
Location
New Jersey, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
From $97,011
Remote work allowed
Yes
Posted
1 month ago