Inpatient Coding Auditor WFH

OU Medicine, Inc.; Oklahoma; Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits

PTO

401(k)

Job summary

OU Health is seeking an Inpatient Coding Auditor to work from home, focusing on complex inpatient coding quality reviews across the HIM Coders department. The role supports DRG validation, pre-bill reviews, and ongoing training integration within the auditing team.

The ideal candidate has experience in inpatient facility coding auditing, RHIA/RHIT/CCS/CPC/CIC certifications, and the ability to collaborate across departments.

Qualifications

• Requires experience with inpatient coding auditing and DRG validation.
• Ability to perform peer-to-peer auditor reviews and communicate findings clearly.
• Strong knowledge of coding guidelines and data quality standards.

Responsibilities

• Performs all functions of coding quality reviews for inpatient coding across OU Health.
• Conducts peer-to-peer auditor reviews.
• Communicates with teams to resolve account review issues and DRG validation.
• Responds to coding questions from internal/external staff.
• Initiates rebilling per policy on special projects.
• Tests tip sheets and training from auditing team and provides feedback.
• Maintains productivity and accuracy to support data integrity and organizational goals.

Skills

Inpatient coding auditing

Quality reviewer

Communication

Education

High School diploma or GED

Associate's degree

RHIA RHIT CCS CPC CIC certification

Job description

Position Title: Inpatient Coding Auditor WFH

Department: HIM Coders

Job Description

Ask your recruiter about our competitive wages and total rewards package!

Remote Eligibility

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

Position 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.

Essential Job Duties

• 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.

Current OU Health Employees - Please click HERE to login.

OU Health is an equal opportunity employer.

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.

OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care.

OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community.

Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020.

OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings.

OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure.

OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals.

We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non‑clinical opportunities to further your career and we invite you to explore our available positions.

Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training.

Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.