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Coding Auditing & Training Lead

TruBridge LLC

United States

Remote

USD 70,000 - 90,000

Full time

Today
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Job summary

A healthcare consulting firm is seeking a Coding Auditing & Training Lead to conduct audits of inpatient medical records and ensure accurate coding. The role requires a minimum of 3 years of inpatient coding experience and relevant certification. The ideal candidate will collaborate with coding teams to enhance accuracy and compliance while working remotely in the US. This position emphasizes communication and training within the coding department.

Qualifications

  • Minimum 3 years of inpatient coding experience in an acute care hospital setting.
  • Strong knowledge of ICD-10-CM, MS-DRG assignment, and official inpatient coding guidelines.
  • Ability to interpret medical record documentation and apply coding rules accurately.

Responsibilities

  • Perform retrospective and concurrent audits of inpatient medical records.
  • Review and validate diagnosis and procedure codes.
  • Analyze patterns of coding errors and collaborate on improvement plans.

Skills

ICD-10-CM coding
MS-DRG assignment
Audit skills
Attention to detail
Communication skills

Education

High school diploma or equivalent (GED)
Certification from AHIMA or AAPC

Tools

Electronic health record (EHR) systems
Computer-assisted coding (CAC) tools

Job description

Coding Auditing & Training Lead page is loaded

Coding Auditing & Training Lead
Apply locations Remote - US time type Full time posted on Posted 30+ Days Ago job requisition id JR101560

TruBridge is actively seeking an experienced Inpatient Auditor. The Inpatient Medical Coding Auditor is responsible for conducting detailed reviews of inpatient medical records to ensure accurate code assignment in accordance with ICD-10-CM/PCS, MS-DRG, and other official coding guidelines. The auditor supports organizational compliance, identifies coder education needs, and ensures optimal coding accuracy for reimbursement and reporting purposes. Experience with Inpatient PCS (Procedure Coding System) is highly desirable.

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

  • Perform retrospective and concurrent audits of inpatient medical records to assess coding accuracy, completeness, and compliance with official guidelines.
  • Review and validate diagnosis and procedure codes, MS-DRG groupings, POA indicators, and discharge disposition.
  • Analyze patterns of coding errors and collaborate with Coding Managers to develop training and improvement plans.
  • Prepare clear and detailed audit reports with recommendations for correction or education.
  • Communicate audit results to coders and leadership in a constructive, supportive manner.
  • Participate in coding quality assurance initiatives and internal or external compliance audits.
  • Maintain up-to-date knowledge of ICD-10-CM/PCS, CMS regulations, Official Coding Guidelines, and industry best practices.
  • Provide guidance and clarification to coding staff on documentation and coding interpretation.
  • Assist in onboarding and training of new inpatient coders as requested.

Minimum Requirements:

Education/Experience/Certification Requirements

  • High school diploma or equivalent (GED)
  • Certification required: from AHIMA or AAPC
  • Minimum 3 years of inpatient coding experience in an acute care hospital setting
  • Strong knowledge of ICD-10-CM, MS-DRG assignment, and official inpatient coding guidelines
  • Familiarity with electronic health record (EHR) systems and computer-assisted coding (CAC) tools
  • Ability to interpret medical record documentation and apply coding rules accurately
  • Strong written and verbal communication skills
  • Attention to detail and ability to work independently and meet deadlines

Preferred Qualifications:

  • Experience with ICD-10-PCS coding (procedures)
  • Previous auditing or quality assurance experience in inpatient coding

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