Remote DRG Validation Auditor - Inpatient Coding

HCA Healthcare, Inc.; Kansas City (MO); Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

PTO & family leave

401(k) match

Education support

Fertility & family planning benefits

Job summary

HCA Healthcare's Parallon is seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments of Health Information Management coders, ensuring compliance with national guidelines and our internal policies for accurate coding and reimbursement. You will communicate findings to the HSC team to drive improvement in data quality and documentation.

You will lead quality reviews for inpatient and outpatient coding, support adherence to guidelines, and sustain high

Qualifications

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

Responsibilities

• Leads, coordinates and performs quality reviews 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

Inpatient coding

Coding auditing

Quality reviews

Education

High school/GED

Undergraduate HIM/HIT preferred

RHIA/RHIT/CCS preferred

Job description

HCA Healthcare's Parallon is seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments of Health Information Management coders, ensuring compliance with national guidelines and our internal policies for accurate coding and reimbursement. You will communicate findings to the HSC team to drive improvement in data quality and documentation.

You will lead quality reviews for inpatient and outpatient coding, support adherence to guidelines, and sustain high