Remote DRG Validation Auditor - Inpatient Coding Expert

HCA Healthcare, Inc.; Asheville (NC); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Time away from work (PTO)

401(k) with match

Tuition assistance

Fertility and family building benefits

Job summary

HCA Healthcare seeks a remote DRG Validation Auditor/Inpatient Coding Auditor to perform internal quality assessments on health information management coders, ensuring compliance with national coding guidelines and company policies for accurate reimbursement and data integrity. Role requires reviewing outcomes with the HSC team to improve accuracy, physician documentation, and coding quality.

Prior inpatient/outpatient coding and auditing experience is essential, with strong adherence to

Qualifications

• 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

• Performs quality reviews for inpatient and/or outpatient coding across multiple HSCs.
• Ensures adherence with coding guidelines and policy.
• Maintains or exceeds 95% productivity and accuracy standards.
• Reviews data quality standards and physician documentation to improve coding.

Skills

Inpatient/outpatient coding

Coding audit/monitoring

Quality review processes

Education

Bachelor's degree in HIM/HIT preferred

RHIA/RHIT/CCS certification preferred

Job description

HCA Healthcare seeks a remote DRG Validation Auditor/Inpatient Coding Auditor to perform internal quality assessments on health information management coders, ensuring compliance with national coding guidelines and company policies for accurate reimbursement and data integrity. Role requires reviewing outcomes with the HSC team to improve accuracy, physician documentation, and coding quality.

Prior inpatient/outpatient coding and auditing experience is essential, with strong adherence to