Inpatient Coding Auditor WFH

OU Health; United States; Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

PTO

401(k)

Medical plan

Dental plan

Job summary

OU Health is seeking an Inpatient Coding Auditor to support remote work in AR, KS, MO, OK, or TX. The role focuses on audits of coder work, education to improve accuracy, and ensuring compliance with coding guidelines.

Positions may be filled at Levels I-III based on experience, education, and certifications (RHIA/RHIT/CCS/CPC/CIC). Strong inpatient coding background at an academic center is ideal.

Qualifications

• Education: High School diploma or GED required.
• Level 1 experience: 1 year inpatient facility coding auditing or DRG validation; 5 years inpatient coding experience.
• Level 2 experience: 3 years inpatient facility coding auditing; 2 years at Academic Health Center.
• Level 3 experience: 5 years inpatient facility coding auditing at Academic Health Center; HFMA CRCR within 6 months of hire.

Responsibilities

• Performs inpatient coding quality reviews (monthly, pre-bill, and DRG validation).
• Performs peer-to-peer auditor reviews.
• Communicates with teams to resolve coding/account issues.
• Responds to coding questions from staff and external coders.
• Initiates rebilling per policy on special projects.
• Audits data quality standards and coding guidelines to ensure current knowledge.

Education

High School diploma or GED

Associate’s degree

RHIA, RHIT, CCS, CPC, or CIC

HFMA CRCR within 6 months of hire

Job description

Position Title:

Inpatient Coding Auditor WFH

Department:

HIM Coders

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 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.

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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.