Remote DRG Validation Auditor — Inpatient Coding Expert

HCA Healthcare; Jacksonville (FL); On-site; USD 85,000 - 105,000; Full time

Job summary

Parallon, a part of HCA Healthcare, is seeking an experienced Inpatient Coding Auditor to perform internal quality reviews of HIM coders and ensure coding accuracy and compliance with national guidelines.

This remote role focuses on minimizing variation in coding practices, improving physician documentation within the medical record, and supporting appropriate reimbursement across the Health Information Management Service Center.

Qualifications

• High school diploma and/or GED preferred.
• Undergraduate HIM/HIT degree 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 reviews

Policy adherence

Coding knowledge

Auditing experience

Communication skills

Education

Bachelor's in HIM/HIT

RHIA/RHIT/CCS preferred

Job description

Parallon, a part of HCA Healthcare, is seeking an experienced Inpatient Coding Auditor to perform internal quality reviews of HIM coders and ensure coding accuracy and compliance with national guidelines.

This remote role focuses on minimizing variation in coding practices, improving physician documentation within the medical record, and supporting appropriate reimbursement across the Health Information Management Service Center.