Remote HIMS Coding Auditor — Quality & Compliance Lead
Riverside Health
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Job summary
Riverside Health System in Newport News, VA is seeking a HIMS Coding Auditor to maintain data quality and audit APC/MSDRG accuracy for inpatient and outpatient records. This remote-eligible role reviews coding compliance and collaborates with payer denials and the CDI team.
The ideal candidate has 5–6 years of acute care coding experience, 2 years of auditing, and AHIMA or ACID certifications; strong Excel/Office skills and excellent communication are required. Remote work options are available.
Qualifications
- 5-6 years Acute Care Inpatient and Outpatient coding experience required.
- Minimum 2 years auditing for Acute Care IP and OP.
- 1 year Clinical Documentation Integrity (CDI) experience preferred.
Responsibilities
- Ensure coding compliance and apply Coding Clinic guidelines.
- Identify training needs and educate team members.
- Perform focused reviews and quality audits with audit reports for leadership.
- Assist leadership with reviews of internal and external coding audits.
- Monitor coding functions for compliance with established standards.
- Audit documentation opportunities and obtain missing documents as needed.
- Serve as a clinical coding liaison with medical staff and CDI team.
- Support iCare initiatives and DRG/CPT denial management as needed.
Skills
Education
Tools
Job description
Riverside Health System in Newport News, VA is seeking a HIMS Coding Auditor to maintain data quality and audit APC/MSDRG accuracy for inpatient and outpatient records. This remote-eligible role reviews coding compliance and collaborates with payer denials and the CDI team.
The ideal candidate has 5–6 years of acute care coding experience, 2 years of auditing, and AHIMA or ACID certifications; strong Excel/Office skills and excellent communication are required. Remote work options are available.
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