In Patient Coder/Quality Medical Auditor - Remote

CEI; Columbia (SC); Remote; USD 43,000 - 56,000; Full time

Job summary

CEI is seeking a Back In Patient Coder/Quality Medical Auditor to join our remote team. The role conducts validation reviews of DRG, APC, and Never Events across lines of business and coordinates rate adjustments with claims.

Requires 3 years of professional patient coding experience and an Associate Degree in Nursing or Health Information Management. Certifications such as RHIT, RHIA, CIC, CPMA or CPC are preferred. Remote work from the East Coast time zone is supported.

Qualifications

• Must have 3 years professional patient coding experience.
• Associate degree in Nursing or Health Information Management required.
• Certification such as RHIT, RHIA, CIC, CPMA or CPC preferred.

Responsibilities

• Performs validation reviews of DRG, APC, and Never Events across lines of business.
• Coordinates rate adjustments with claims areas and provides monthly/quarterly reports.
• Manages HIPAA compliance and coordinates legal/records requests.

Skills

Healthcare coding

DRG validation

APC validation

HIPAA compliance

Communication

Education

Associate Degree - Nursing or Health Information Management

Job description

Back In Patient Coder/Quality Medical Auditor - Remote
Healthcare Columbia , South Carolina Contract 100% Remote Nov 11, 2026

Location:
Remote - Must live in the east coast time zone

Pay:
$36 /hour andoptional medical, dental, vision, 401(k) match
License/Certification required:
One of the following - RHIT, RHIA, CIC, CPMA, or CPC
Experience required:
Must have 3 years professional in patient coding experience

Overview
Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for all lines of business. Coordinates rate adjustments with claims areas and provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues and coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department.

Key Responsibilities

• Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates.
• Manages records retrieval, release, HIPAA compliance, and all aspects of document management.
• Serves as expert resource on methodology and procedures for medical records and coding issues.

Required Skills

• Develops methodologies
• Follows processes
• Responds to inquiries
• Writes for impact
• Strong understanding of healthcare coding and validation review processes
• Ability to coordinate with claims and legal departments
• Excellent report creation and presentation skills
• Knowledge of HIPAA compliance and legal records management
• Effective communication skills
• Ability to work independently and as part of a team

Required Education

• Associate Degree - Nursing or Health Information Management or Graduate of an Accredited School of Nursing

Required Work Experience

• 3 years medical record management to include coding and validation review experience

Preferred Skills

• Certification such as RHIT, RHIA, CIC, CPMA, or CPC

Why Should I Apply?
This role offers an opportunity to contribute to healthcare quality and cost management through validation reviews and coding expertise. Join a team focused on impactful healthcare outcomes and professional growth.

About CEI:
As a trusted technology partner, CEI delivers solutions that help our customers transform their business and achieve meaningful results. From strategy and custom application development through application management - our technology and digital experience services are tailored to meet each unique need of our customers. Our staffing solutions bring specialized skills to complement our customers' workforce and project requirements.