Inpatient Coding Auditor WFH

OU Health; Texas; Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

PTO

401(k)

Medical plan

Dental plan

Job summary

OU Health seeks an experienced Inpatient Facility Coding Auditor to ensure accurate, compliant coding across inpatient services. The role includes prebill and retrospective audits, plus education to improve documentation quality and coding consistency with the auditing team and coding staff.

Roles may be filled at Levels I–III based on education, certification, and experience. Required RHIA/RHIT/CCS/CPC/CIC; HFMA CRCR within 6 months of hire; a strong academic health center background is

Qualifications

• RHIA, RHIT, CCS, CPC, or CIC certification required.
• HFMA CRCR required within 6 months of hire.

Responsibilities

• Performs all functions of coding quality reviews (monthly, prebill, CDI reconciliations, second-level review) for inpatient coding.
• Performs peer-to-peer auditor reviews.
• Communicates with teams to resolve account review and code/DRG validation issues.
• Responds to coding questions from internal and external staff.
• Initiates rebilling per policy on special projects.
• Trains and provides feedback on auditing tools and tip sheets.
• Maintains productivity and accuracy standards to support team goals.
• Reviews data quality standards, coding guidelines, and policies to stay current.

Skills

Inpatient coding

Auditing

DRG validation

Communication

Education

High School diploma or GED

Associate's degree

Job description

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

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

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 daytoday 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.

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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.