Overview
Now Hiring: CDI/Coding Auditor & Educator (Remote)
Omega Healthcare is seeking an experienced CDI/Coding Auditor & Educator to join our team. We are looking for a highly skilled professional with extensive inpatient and outpatient coding experience who can perform coding and CDI audits, provide education, and support DRG appeals.
Position Summary
The CDI/Coding Auditor & Educator is responsible for auditing inpatient and outpatient medical records to ensure coding accuracy, documentation integrity, and compliance with ICD-10-CM/PCS, CPT, CMS, and payer guidelines. This role also provides education and feedback to coding staff, supports onboarding and quality improvement initiatives, and partners with leadership to improve documentation and coding quality.
Key Responsibilities
- Conduct initial quality audits for newly assigned coding staff during onboarding.
- Perform inpatient, outpatient, and CDI audits to ensure coding accuracy and documentation integrity.
- Review clinical documentation, diagnoses, procedures, POA indicators, discharge disposition, APR-DRG, MS-DRG, SOI, and ROM assignments.
- Audit Emergency Department, Same Day Surgery, and ancillary outpatient encounters for ICD-10-CM, ICD-10-PCS, CPT, modifier, and APC accuracy.
- Evaluate physician queries for clinical appropriateness and compliance with coding guidelines.
- Identify documentation gaps and opportunities for improved specificity.
- Analyze audit results, identify trends, and provide recommendations for quality improvement.
- Develop and deliver education and training to coding professionals, CDI staff, and healthcare providers.
- Assist with DRG validation and appeal writing.
- Ensure compliance with CMS regulations, Official Coding Guidelines, and payer requirements.
Required Qualifications
- Minimum 10 years of coding and HIM experience with progressive responsibility.
- At least 5 years of coding audit experience, including providing education and performance feedback.
- Strong experience auditing both inpatient and outpatient records.
- Demonstrated experience performing CDI audits and writing DRG appeals.
- Expert knowledge of ICD-10-CM, ICD-10-PCS, CPT, APCs, MS-DRGs, APR-DRGs, SOI, ROM, POA indicators, and modifier assignment.
- Strong understanding of clinical documentation improvement principles and physician query practices.
- Excellent analytical, communication, presentation, and training skills.
- Proficiency with Microsoft Office, including Word, Excel, PowerPoint, Visio, and Publisher.
- Bachelor's degree in Health Information Management or an equivalent combination of education and experience.
- Active RHIA, RHIT, or AAPC credential required.
- CDI credential required.
If you have a strong background in inpatient and outpatient coding, CDI auditing, education, and DRG appeals, we'd love to hear from you. Please submit your updated resume for consideration.
Pay: $48.00 - $50.00 per hour
Work Location: Remote
