Remote DRG Validation Auditor (Inpatient Coding)

HCA Healthcare; Jacksonville (FL); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) Plan with matching

Tuition assistance

Fertility & family-building benefits

Job summary

Parallon, a part of HCA Healthcare, is seeking a DRG Validation Auditor (work-from-home) to perform internal quality reviews of inpatient and outpatient coding for accuracy and compliance. You will ensure alignment with national guidelines, HSC and company policies while supporting proper reimbursement and data integrity.

You will lead audits, monitor productivity and accuracy, and coordinate with staff to maintain current coding knowledge and policies in a remote work setting.

Qualifications

• High school diploma and/or GED preferred
• Undergraduate degree in HIM/HIT preferred
• Minimum of 3 years acute care inpatient/outpatient coding experience preferred
• Minimum of 3 years coding auditing/monitoring experience strongly preferred
• RHIA, RHIT and/or CCS preferred

Responsibilities

• Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs
• Assists in ensuring HSC coding staff adherence with coding guidelines and policy
• Demonstrates and applies 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 all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current

Skills

Quality audits

Medical coding

DRG validation

HIM knowledge

Attention to detail

Education

High school diploma/GED preferred

Undergraduate degree in HIM/HIT preferred

RHIA/RHIT/CCS preferred

Job description

Parallon, a part of HCA Healthcare, is seeking a DRG Validation Auditor (work-from-home) to perform internal quality reviews of inpatient and outpatient coding for accuracy and compliance. You will ensure alignment with national guidelines, HSC and company policies while supporting proper reimbursement and data integrity.

You will lead audits, monitor productivity and accuracy, and coordinate with staff to maintain current coding knowledge and policies in a remote work setting.