Remote DRG Validation Auditor - Inpatient Coding

HCA Healthcare, Inc.; Florida; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, prescription, dental, vision

401(k) match program

Tuition assistance / education support

Fertility & family building benefits

Job summary

HCA Healthcare, Inc. is seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments of Health Information Management Service Center coders, ensuring alignment with national guidelines and company policies for accurate coding and reimbursement.

You will review outcomes with the HSC team to improve data integrity. Responsibilities include leading quality reviews, ensuring adherence to policies, applying expert coding knowledge, and maintaining productivity and

Qualifications

• Minimum 3 years acute care inpatient/outpatient coding experience preferred.
• Minimum 3 years coding auditing/monitoring experience strongly preferred.
• RHIA, RHIT and/or CCS preferred.

Responsibilities

• Leads, coordinates and performs all functions of quality reviews for inpatient and/or outpatient coding across multiple HSCs.
• Assists in ensuring HSC coding staff adherence with coding guidelines and policy.
• Demonstrates expert level knowledge of medical coding practices and concepts.
• Participates on special reviews or projects.
• Maintains or exceeds 95% productivity standards.
• Maintains or exceeds 95% accuracy.
• Meets all educational requirements as stated in current Company policy.
• Reviews official data quality standards, coding guidelines, policies and clinical resources to stay current.

Skills

Quality reviews

Medical coding knowledge

Auditing

Education

RHIA

RHIT

CCS

Job description

HCA Healthcare, Inc. is seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments of Health Information Management Service Center coders, ensuring alignment with national guidelines and company policies for accurate coding and reimbursement.

You will review outcomes with the HSC team to improve data integrity. Responsibilities include leading quality reviews, ensuring adherence to policies, applying expert coding knowledge, and maintaining productivity and