Remote Inpatient Coding Auditor & DRG Quality Reviewer

Methodist Le Bonheur Healthcare; Myrtle Beach (SC); Remote; USD 60,000 - 90,000; Full time

Job summary

Parallon is seeking a remote Inpatient Coding Auditor to perform internal quality assessment reviews on Health Information Management Service Center coders, ensuring compliance with national coding guidelines and company policies. You will drive accuracy, data integrity and consistent coding practices to support appropriate reimbursement.

Responsibilities include leading reviews, ensuring adherence to guidelines, applying expert coding knowledge, and maintaining high productivity and accuracy.

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 all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs.
• Assists in ensuring HSC coding staff adherence with coding guidelines and policy.
• Demonstrates and applies expert level knowledge of medical coding practices and concepts.
• 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 assure coding knowledge and skills remain current.

Skills

Inpatient coding

Coding auditing

RHIA/RHIT/CCS credentials

Education

High school diploma or GED

Undergraduate degree in HIM/HIT

Job description

Parallon is seeking a remote Inpatient Coding Auditor to perform internal quality assessment reviews on Health Information Management Service Center coders, ensuring compliance with national coding guidelines and company policies. You will drive accuracy, data integrity and consistent coding practices to support appropriate reimbursement.

Responsibilities include leading reviews, ensuring adherence to guidelines, applying expert coding knowledge, and maintaining high productivity and accuracy.