Inpatient Coding Auditor WFH

Jobiqo; New York (NY); Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

PTO

401(k)

Medical and dental plans

Job summary

OU Health is seeking an Inpatient Coding Auditor to ensure accurate, compliant inpatient facility coding through prebill and retrospective audits. The role involves education to improve documentation quality and data integrity across coding teams.

Responsibilities include conducting quality reviews, peer audits, and cross‑functional communication to resolve issues and support organizational objectives.

Qualifications

• RHIA/RHIT/CCS/CPC/CIC certification required.
• Experience in inpatient facility coding auditing or DRG validation.
• Academic Health Center experience preferred.

Responsibilities

• Performs inpatient coding quality reviews (monthly, pre-bill, CDI reconciliations, second-level reviews).
• Conducts peer-to-peer auditor reviews.
• Communicates with teams to resolve coding/account issues and validate DRG.

Skills

Inpatient coding auditing

DRG validation

Communication

Education

RHIA

RHIT

CCS

CPC

CIC

High School diploma

Associate's degree

Job description

Position Title and Department

Inpatient Coding Auditor WFH Department: HIM Coders

Eligibility

Candidates must reside and work full‑time in AR, KS, MO, OK, or TX before their first day of employment.

Levels

This position may be filled as levels I, II, or III, depending on individual experience, education, certification(s), and business need.

Ideal Candidate

Ideal candidate will have experience in complex inpatient coding at an academic medical center.

General Description

Ensures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality.

Essential Job Duties

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position.

• Performs all functions of coding quality reviews (routine monthly, focus pre‑bill, CDI Reconciliations, second‑level review work queues) for inpatient coding across OUH.
• Performs peer‑to‑peer auditor reviews.
• Communicate with other teams and departments directly as needed to resolve immediate issues related to account reviews and code/DRG validation.
• Responds to coding‑related questions from internal and external coding staff.
• Initiates the rebilling process as required per policy on special projects.
• Trials tip sheets and training developed by auditing team and provide constructive feedback.
• Maintains or exceeds established productivity and accuracy standards, delivering consistent day‑to‑day results that directly support team performance, data integrity, and organizational objectives.
• Meets all educational requirements as stated in current Company policy.
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current.

General Job Duties

Performs other duties as assigned.

Minimum Requirements (Level 1)

• Education: High School diploma or GED required.
• Experience: At least 1 year of Inpatient Facility Coding Auditing or DRG Validation with a minimum of 5 years of experience in Inpatient facility coding required.
• Certification/License/Registration: RHIA, RHIT, CCS, CPC, or CIC required.

Minimum Requirements (Level 2)

• Education: High School diploma or GED required.
• Experience: At least 3 years of experience in Inpatient Facility Coding Auditing or DRG Validation, including at least 2 years of coding at an Academic Health Center required.
• Certification/License/Registration: RHIA, RHIT, CCS, CPC, or CIC required.

Minimum Requirements (Level 3)

• Education: Associate's degree required.
• Experience: At least 5 years of experience Inpatient Facility Coding Auditing at an Academic Health Center required.
• Certification/License/Registration: RHIA, RHIT, CCS, CPC, or CIC required.
• HFMA CRCR required within 6 months of hire.

Benefits

• We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more.
• We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

Equal Opportunity

OU Health is an equal opportunity employer.