Remote DRG Validation Auditor – Inpatient Coding Quality

HCA Healthcare; Portsmouth (NH); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) plan with match

Education support

Disability coverage

Adoption assistance

Job summary

Parallon is hiring a work-from-home Inpatient Coding Auditor to perform internal quality assessments on HSC coders, ensuring compliance with national guidelines and company policies for accurate coding and data integrity.

You will lead reviews across multiple HSCs, support staff adherence to policy, and apply expert coding knowledge to improve clinician documentation and reimbursement while maintaining high productivity and accuracy standards.

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 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
• 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 ensure knowledge remains current

Skills

Quality reviews

Coding accuracy

Policy adherence

Education

High school diploma / GED

Undergraduate HIM/HIT degree

RHIA / RHIT / CCS preferred

Job description

Parallon is hiring a work-from-home Inpatient Coding Auditor to perform internal quality assessments on HSC coders, ensuring compliance with national guidelines and company policies for accurate coding and data integrity.

You will lead reviews across multiple HSCs, support staff adherence to policy, and apply expert coding knowledge to improve clinician documentation and reimbursement while maintaining high productivity and accuracy standards.