Remote Coding Quality Auditor – Inpatient DRG & CDI

Hackensack Meridian Health; Neptune Township (NJ); Remote; USD 87,000 - 107,000; Full time

Job summary

Hackensack Meridian Health seeks an experienced Coding Quality Auditor to monitor clinical documentation for accurate coding and reimbursement. The role focuses on DRG accuracy, ICU/PSI/HAC indicators, and CDI collaboration, with remote work from New Jersey and a 11:00 am–7:30 pm schedule.

Qualified candidates have 5+ years inpatient coding, CCS certification, and strong data analysis skills. Weekly weekend work is required, and there is ongoing education and process improvement involvement.

Qualifications

• Associate degree or higher in health information with 2–4 years coding experience.
• Minimum 5 years inpatient coding in a complex healthcare environment.
• Minimum 2 years of quality improvement audit experience.
• Strong knowledge of ICD-10 and DRG methodologies.
• Proficient in data reporting; skilled with Microsoft Office/Google Suite.
• Certified Coding Specialist (CCS) required.

Responsibilities

• Review DRG assignments for Medicare/Medicaid inpatients.
• Address edits including HAC, PSI and related indicators.
• Analyze physician documentation for coding accuracy and query physicians when needed.
• Provide guidance on coding changes and educate staff on guidelines.
• Enter data and DRG codes into the 3M system; support CDI reviews.
• Support DNFB goals and assist in audits and special projects.
• Create spreadsheets and summarize findings for leadership.
• Stay updated with CMS guidelines and reimbursement reporting requirements.

Skills

Inpatient coding

Quality improvement

ICD-10/DRG knowledge

Data analysis

Communication skills

Education

Associate degree or higher; CCS preferred

Tools

3M Coding System

Microsoft Office

Google Suite

Job description

Hackensack Meridian Health seeks an experienced Coding Quality Auditor to monitor clinical documentation for accurate coding and reimbursement. The role focuses on DRG accuracy, ICU/PSI/HAC indicators, and CDI collaboration, with remote work from New Jersey and a 11:00 am–7:30 pm schedule.

Qualified candidates have 5+ years inpatient coding, CCS certification, and strong data analysis skills. Weekly weekend work is required, and there is ongoing education and process improvement involvement.