HIMS Coding Auditor

Riverside Health; Newport News (VA); Remote; USD 82,810,000 - 113,985,000; Full time

Job summary

Riverside Health System in Newport News, VA is seeking a HIMS Coding Auditor to maintain data quality and audit APC/MSDRG accuracy for inpatient and outpatient records. This remote-eligible role reviews coding compliance and collaborates with payer denials and the CDI team.

The ideal candidate has 5–6 years of acute care coding experience, 2 years of auditing, and AHIMA or ACID certifications; strong Excel/Office skills and excellent communication are required. Remote work options are available.

Qualifications

• 5-6 years Acute Care Inpatient and Outpatient coding experience required.
• Minimum 2 years auditing for Acute Care IP and OP.
• 1 year Clinical Documentation Integrity (CDI) experience preferred.

Responsibilities

• Ensure coding compliance and apply Coding Clinic guidelines.
• Identify training needs and educate team members.
• Perform focused reviews and quality audits with audit reports for leadership.
• Assist leadership with reviews of internal and external coding audits.
• Monitor coding functions for compliance with established standards.
• Audit documentation opportunities and obtain missing documents as needed.
• Serve as a clinical coding liaison with medical staff and CDI team.
• Support iCare initiatives and DRG/CPT denial management as needed.

Skills

Auditing

Coding compliance

Documentation integrity

Excel

PowerPoint

Word

Communication

Teamwork

Education

High School Diploma or GED

Associate's Degree in Healthcare or Related

Tools

Excel

PowerPoint

Word

Job description

## HIMS Coding AuditorApply: Remote: Warwick Medical & Professional Center - Newport News, Virginia: Full time: Posted Today: 2026-037744Newport News, Virginia**Hiring Range**$28.90 - $39.78/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. **FOR APPLICATION REVIEW - PROVIDE YOUR AHIMA ID or CREDENTIAL NUMBER ON YOUR APPLICATION OR RESUME** ***This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.*** **Overview** Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated. **What you will do*** Ensures coding compliance. Applies all coding guidelines and principles as defined in the Coding Clinic and leading authorities. Complies with standardized coding standards, conventions and regulations, corporate compliance standards and reimbursement policies.* Identifies training needs and provides education to team members. May teach or coordinate coding huddles. Coaches and mentors staff.* Performs focused reviews and quality audits. Prepares audit reports for leadership.* Assists coding leadership with reviewing and responding to internal and external coding audits. Works with coding leadership in settlement of audit findings as needed.* Monitors and evaluates the coding functions to ensure effective and efficient coding operations and compliance with established standards, rules and regulations.* Audits for documentation opportunities to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation if needed.* Assists patient financial services and clinical documentation improvement team members with questions on coding and billing edits.* Serves as a clinical coding liaison. Analyzes and evaluates documentation issues with consultation from the medical staff, clinical staff, CDI team and other departments as needed.* Assists leadership with coordination of iCare initiatives related to the hospital coding department.* Assists with DRG and certain CPT denials from payers as needed and writes appeals as indicated, documenting the denial/audit in denial management tool for tracking and reports**Qualifications** **Education*** High School Diploma or GED, (Required)* Associates Degree, Healthcare or Related (Preferred)**Experience*** 5-6 years Acute Care Inpatient (IP) and Outpatient (OP) Coding (Required)* 2 years Auditing - Acute Care IP and OP (Required)* 1 year Clinical Documentation Integrity (Preferred)**Skills and Abilities*** Maintain current working knowledge of ICD-9, ICD-10 and CPT coding principles, government regulation, protocols* Intermediate proficiency with Excel, PowerPoint, Word* Skill in completing assignments accurately and with attention to detail* Ability to adapt to changes in the work environment* Excellent interpersonal skills and team oriented* Ability to communicate effectively in both oral and written form**Licenses and Certifications*** Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA) Upon Hire(Required)* Registered Health Information Administrator (RHIA) - The American Health Information Management Association (AHIMA) Upon Hire(Preferred) or* Registered Health Information Technician (RHIT) - The American Health Information Management Association (AHIMA) Upon Hire(Preferred) or* Certified Clinical Document Specialist (CD) - Association of Clinical Documentation Integrity Specialists (ACDIS) CCDS Certified Clinical Documentation Specialist or CDIP Clinical Documentation Improvement Professional Upon Hire(Preferred) or* Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire(Preferred) orTo learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.