Remote HIMS Coding Auditor - Quality & Compliance

RIVERSIDE HOSPITAL SERVICES; Newport News (VA); Remote; USD 40,000 - 55,000; Full time

Benefits offered by this job

Remote work eligibility

Job summary

Riverside Health System in Newport News, VA is seeking an experienced coding specialist responsible for maintaining data quality in inpatient and outpatient records. The role includes auditing accuracy, addressing denials, and mentoring staff in coding guidelines and compliance.

Ideal candidates hold CCS and AHIMA credentials, with 5–6 years IP/OP coding and 2 years auditing experience. Remote work eligibility is available for select states; benefits include CDI involvement and education support.

Qualifications

• 5-6 years Acute Care IP and OP coding experience.
• Auditing experience in IP and OP settings.
• Clinical Documentation Integrity (CDI) preferred.
• Strong knowledge of ICD-9/ICD-10 and CPT coding.

Responsibilities

• Ensures coding compliance with coding guidelines and regulations.
• Applies Coding Clinic standards in daily practice.
• Identifies training needs and educates team members.
• Performs focused audits and prepares leadership reports.
• Assists in addressing internal and external coding audits and denials.
• Coordinates DRG/CPT denial management and appeals where needed.
• Acts as a clinical coding liaison across departments.

Skills

Acute Care Coding

IP & OP Coding

Auditing

CDI Knowledge

Communication

Team Leadership

Education

CCS Certification

RHIA Certification

RHIT Certification

CDDS/CDIP Certification

CPC Certification

Job description

Riverside Health System in Newport News, VA is seeking an experienced coding specialist responsible for maintaining data quality in inpatient and outpatient records. The role includes auditing accuracy, addressing denials, and mentoring staff in coding guidelines and compliance.

Ideal candidates hold CCS and AHIMA credentials, with 5–6 years IP/OP coding and 2 years auditing experience. Remote work eligibility is available for select states; benefits include CDI involvement and education support.