Remote DRG Validation Coding Auditor

Ensemble Health Partners; Blue Ash (OH); On-site; USD 69,000 - 104,000; Full time

Job summary

Ensemble Health Partners seeks an Inpatient/DRG Validation Coding Auditor to review medical records and ensure accurate DRG assignment and documentation. You will identify discrepancies, educate coders, and help improve reimbursement accuracy for hospital clients.

The role requires 5+ years of coding and 3+ years of facility audit experience, proficiency with EMR systems and encoders, and maintaining HIPAA compliance.

Qualifications

• 5+ years of coding experience.
• 3+ years of facility coding audit experience (DRG/APC).
• Ability to read, write and communicate in English.

Responsibilities

• Perform inpatient/documentation coding audits for acute services.
• Identify coding errors, compliance issues and educational opportunities.
• Collaborate with CDI specialists to determine documentation and coding improvements.
• Maintain productivity and quality goals as set by audit leaders.
• Provide clear recommendations and education to coders with ICD-10-CM/PCS guidelines.

Skills

Coding experience

English communication

Attention to detail

Education

Bachelor's degree or equivalent

Tools

EMR systems

Encoders

Microsoft Office

Job description

Ensemble Health Partners seeks an Inpatient/DRG Validation Coding Auditor to review medical records and ensure accurate DRG assignment and documentation. You will identify discrepancies, educate coders, and help improve reimbursement accuracy for hospital clients.

The role requires 5+ years of coding and 3+ years of facility audit experience, proficiency with EMR systems and encoders, and maintaining HIPAA compliance.