Remote DRG Validation Auditor — Inpatient Coding QA

HCA Healthcare, Inc.; Bowling Green (KY); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Time off programs

Education assistance

Retirement and financial planning

Job summary

HCA Healthcare, Inc. is seeking a remote DRG Validation Auditor to join our health information management team.

You will review inpatient and outpatient coding across facilities, ensuring compliance with national guidelines, HSC and company policies, and supporting accurate reimbursement. The role requires at least 3 years of inpatient/outpatient coding and coding auditing experience, RHIA/RHIT/CCS preferred.

Qualifications

• Minimum 3 years acute care inpatient/outpatient coding experience preferred.
• Minimum 3 years coding auditing/monitoring experience strongly preferred.
• RHIA, RHIT and/or CCS preferred.

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 in special reviews or projects.
• Maintains or exceeds 95% productivity standards.
• Maintains or exceeds 95% accuracy.
• Reviews all data quality standards, coding guidelines, and policies to stay current.

Skills

Inpatient/outpatient coding

Coding auditing

Quality reviews

Policy adherence

Education

High school diploma

Undergraduate HIM/HIT degree preferred

Job description

HCA Healthcare, Inc. is seeking a remote DRG Validation Auditor to join our health information management team.

You will review inpatient and outpatient coding across facilities, ensuring compliance with national guidelines, HSC and company policies, and supporting accurate reimbursement. The role requires at least 3 years of inpatient/outpatient coding and coding auditing experience, RHIA/RHIT/CCS preferred.