RHIT/RHIA Certified Auditor

Job Summary

Leading audits of hospital billing and coding practices, the full-time remote Inpatient Hospital Auditor II will perform desk audits, develop audit protocols, and provide guidance on ICD10-CM, ICD10-PCS, and DRG assignment, while also training new staff and compiling audit statistics.

Key responsibilities

• Identifies billing discrepancies and coordinates referrals for improper claim payments
• Compiles and presents audit statistics to accounts and regulatory agencies
• Reviews and updates audit processes to align with clinical data innovations and cost containment initiatives

Required qualifications

• High School Diploma/GED required; Bachelor's degree in Health Information Management preferred
• Minimum of 3 years experience in a medical records department of an acute care hospital or health care facility
• RHIT/RHIA certification or RN with CCS required
• Experience with DRG validation and ICD-10-CM training
• Knowledge of Medicare and Medicaid prospective payment system regulations