Certified Coding Auditor

Job Summary

To enhance coding accuracy and compliance, the fully remote Inpatient Coding Auditor will review inpatient coding, validate ICD-10-CM/PCS code assignments, and provide actionable feedback to improve coding quality.

Key responsibilities

• Perform retrospective and concurrent audits of inpatient coding
• Validate accuracy of ICD-10-CM/PCS code assignments and MS-DRG/APR-DRG accuracy
• Identify trends and provide clear, actionable audit feedback and education to coding staff

Required qualifications

• Active CCS, RHIA, or RHIT credentials
• Minimum of 3 years of inpatient coding experience and 2 years of auditing experience, or 7+ years of coding experience in lieu of auditing
• Strong knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG assignment, and Coding Clinic guidance
• Experience auditing complex, multi-diagnosis inpatient cases
• Demonstrated performance at established productivity and quality benchmarks