Description
About the Opportunity:
We are seeking an experienced Inpatient Coding Auditor & Educator to drive coding accuracy, regulatory compliance, and revenue cycle integrity across our expanding health system. This 100% remote role acts as a primary HIM Coding Quality Reviewer, conducting precision clinical documentation reviews, auditing acute care records, and designing strategic educational resources for our inpatient coding team.
If you have a strong background in Level 1 Trauma hospital auditing, ICD-10-PCS schemas, and translating audit findings into actionable training documents, we want you on our team!
Responsibilities:
- Audits inpatient facility records, validating DRGs, MCC/CC capture, and diagnosis sequencing.
- Applies precise ICD-10-PCS procedural codes across multi-specialty clinical cases.
- Develops educational tools and training guides based on audit trends.
- Reports performance metrics to HIM leadership using Excel and PowerPoint.
- Ensures strict compliance with AHA Coding Clinics and CMS regulations
NOTE: Applicants must be U.S. citizens or permanent residents (Green Card holders) to be considered for this position.
Job Type: Full-time, Permanent
Benefits include: Medical, dental, vision.
Work Set Up/Schedule:Remote (9am to 5pm / EST Hours Required)
Requirements:
- 5+ years of total medical coding experience, with a clear career progression starting as a production coder and advancing into an auditing role.
- 3+ years of dedicated Inpatient Auditing on the facility side (experience focused on physician/provider-side billing does not qualify).
- Must have direct experience coding and auditing within an acute care hospital environment.
- Prior experience in a Level 1 Trauma hospital environment.
- Broad, multi-specialty healthcare auditing proficiency.
- Proven ability to create educational materials and guides for coding teams.
- Advanced capability with Microsoft Excel and PowerPoint for building executive-ready auditing reports.
- Must hold one or more active credentials from AAPC or AHIMA: (AHIMA: CCS, RHIA, RHIT, or CCA) / (AAPC: CIC, COC, CPC, CCC, CIRCC, or CCVTC)
Qualifications: 5+ years of total medical coding experience, with a clear career progression starting as a production coder and advancing into an auditing role. 3+ years of dedicated Inpatient Auditing on the facility side (experience focused on physician/provider-side billing does not qualify). Must have direct experience coding and auditing within an acute care hospital environment. Prior experience in a Level 1 Trauma hospital environment. Broad, multi-specialty healthcare auditing proficiency. Proven ability to create educational materials and guides for coding teams. Advanced capability with Microsoft Excel and PowerPoint for building executive-ready auditing reports. Must hold one or more active credentials from AAPC or AHIMA: AHIMA: CCS, RHIA, RHIT, or CCA AAPC: CIC, COC, CPC, CCC, CIRCC, or CCVTC
