Inpatient Coding Auditor
$79,997–$108,992 year
RemoteUnited States
Job Summary
Audit inpatient coders and offshore audit teams to ensure coding and DRG accuracy meets a minimum of 95%. Perform quality checks on visits per client SOPs, conduct calibration audits, and suggest improvements for offshore counterparts. Review inpatient health records to assess clinical evidence supporting diagnosis codes and MS-DRG assignments, identifying HACs and PSIs to decrease denials. Monitor compliance with CDC, CMS, and AHIMA guidelines, ensuring errors are corrected before claims are rebilled. Present summary findings to leadership in actionable formats and maintain 100% adherence to coding query standards. This day shift, remote role reports to the Huron Managed Services Domestic Coding team.
Required Qualifications
- Current permanent United States Work Authorization
- Working in the United States
- Day shift schedule
- 2+ years previous experience as an inpatient coding auditor
- 3+ years previous experience in coding inpatient hospital accounts
- Advanced proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)
- Analytical skills (problem solving, quantitative, workflow process, etc.)
- Ability to pay close attention to details; strong follow-up and follow-through skills
- Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment
- Requires the use of independent judgement, discretion and decision-making abilities
- Ability to interact with internal and external customers in a professional manner
- Ability to ramp up on a client's environment, processes, historical context, and systems to provide support to an engagement as soon as possible
- Financial acumen and analytical skills
- Strong oral and written communication skills
- Analytical skills
- Ability to work independently
- Be self-motivated
- Flexible and adaptable to changes
- Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Documentation Improvement Practitioner (CDIP)
- AHIMA microcredentials: Auditing: Inpatient Coding (AIC)
- Regis Health Information Administrator (RHIA)
- Encoder experience (3M/Solventum, Encoder Pro, Codify)
- Epic experience
- Cerner experience
- Meditech experience
Desired Qualifications
- Experience working with data from various sources
- Familiarity with revenue cycle systems, deep understanding of revenue cycle process flow and financial analysis
- Desire to work as part of a team in a partnership role
- Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated
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