Remote DRG Validation Auditor - Inpatient Coding Expert

HCA Healthcare, Inc.; Savannah (GA); Remote; USD 70,000 - 98,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) matching

Education support

Disability coverage

Job summary

Parallon is seeking an Inpatient Coding Auditor to work from home, performing internal quality assessments of Health Information Management Service Center coders to ensure coding accuracy and compliance with national guidelines.

You will review outcomes with the HSC team to strengthen data integrity, ensure consistent coding, and support physician documentation improvements across the medical record.

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

Inpatient Coding

DRG Validation

Quality Reviews

Coding Knowledge

Education

HS Diploma

HIM/HIT degree

CCS preferred

RHIA/RHIT preferred

Job description

Parallon is seeking an Inpatient Coding Auditor to work from home, performing internal quality assessments of Health Information Management Service Center coders to ensure coding accuracy and compliance with national guidelines.

You will review outcomes with the HSC team to strengthen data integrity, ensure consistent coding, and support physician documentation improvements across the medical record.