Remote DRG Validation Auditor – Inpatient Coding Expert

HCA Healthcare; Nashville (TN); On-site; USD 64,000 - 90,000; Full time

Benefits offered by this job

Comprehensive medical/dental/vision

Wellbeing support and counseling

401(k) plan with match

Tuition and certification support

Job summary

HCA Healthcare’s Parallon division seeks a work-from-home Inpatient Coding Auditor to improve coding accuracy and data integrity. You will review HSC coders against national guidelines and internal policies to ensure compliant, complete coding for reimbursement.

Responsibilities include leading quality reviews across multiple HSCs, ensuring staff adherence to guidelines, and applying expert coding knowledge to successful audits and projects.

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 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

Medical coding

Auditing

Quality reviews

Policy adherence

Education

High school diploma or GED

Undergraduate degree in HIM/HIT

RHIA

RHIT

CCS

Job description

HCA Healthcare’s Parallon division seeks a work-from-home Inpatient Coding Auditor to improve coding accuracy and data integrity. You will review HSC coders against national guidelines and internal policies to ensure compliant, complete coding for reimbursement.

Responsibilities include leading quality reviews across multiple HSCs, ensuring staff adherence to guidelines, and applying expert coding knowledge to successful audits and projects.