Remote DRG Validation Auditor | Inpatient Coding Expert

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

Benefits offered by this job

401(k) plan with company match

Tuition assistance

Life insurance

Employee Stock Purchase Plan

Flexible spending accounts

Job summary

HCA Healthcare, Inc. is seeking a work-from-home DRG Validation Auditor focused on inpatient coding quality and compliant reimbursement.

You will perform internal quality assessments of Health Information Management Service Center coders to ensure coding accuracy and adherence to national guidelines and company policies. The role requires experience in inpatient facility coding, DRG validation, and coding auditing.

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
• Experience with inpatient facility coding and DRG validation

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 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
• Reviews data quality standards, coding guidelines, and clinical resources to stay current

Skills

Inpatient Coding

DRG Validation

Quality reviews

Policy adherence

Documentation improvement

Education

Bachelor's degree in HIM/HIT

High school diploma or GED

RHIA/RHIT/CCS preferred

Job description

HCA Healthcare, Inc. is seeking a work-from-home DRG Validation Auditor focused on inpatient coding quality and compliant reimbursement.

You will perform internal quality assessments of Health Information Management Service Center coders to ensure coding accuracy and adherence to national guidelines and company policies. The role requires experience in inpatient facility coding, DRG validation, and coding auditing.