Inpatient Coding Quality Auditor

Job Summary

To ensure coding accuracy and compliance, the full-time Inpatient Coding Quality Auditor will independently evaluate inpatient coding activities, conduct audits, and collaborate with various teams, all while working remotely.

Key responsibilities:

• Conduct routine and targeted pre-bill and retrospective coding audits to assess coding accuracy and compliance
• Perform independent validation reviews of complex coding and monitor compliance risk areas to support regulatory readiness
• Prepare audit findings and quality reports, providing recommendations for continuous improvement and coder competency development

Required qualifications:

• Graduate of an accredited Health Information Management (HIM), Health Information Technology (HIT), Healthcare Administration, Nursing, or related healthcare program (Associate's degree or higher) or a High School diploma/GED with anatomy and physiology coursework
• Seven (7) years of acute care inpatient coding experience in a hospital or integrated healthcare system
• Demonstrated experience in assigning ICD-10-CM and ICD-10-PCS codes for inpatient encounters
• Experience conducting coding audits and validation reviews, ensuring adherence to coding standards and regulations
• Proven ability to identify coding trends, risks, and compliance concerns through detailed coding reviews