Remote Inpatient Coding Auditor & DRG Validation

Methodist Le Bonheur Healthcare; United States; Remote; USD 85,000 - 105,000; Full time

Job summary

HCA Healthcare is seeking a remote Coding Quality Audit Reviewer to perform internal quality assessment reviews of HIM coders, ensuring compliance with national guidelines and internal policies to safeguard data integrity and appropriate reimbursement. You will lead reviews, drive accuracy, and support ongoing education.

The role emphasizes expert coding knowledge, adherence to guidelines, and a strong audit mindset, with a focus on maintaining high productivity and accuracy across multiple

Qualifications

• High school diploma 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 for inpatient and/or outpatient coding across multiple HSCs.
• Assists in ensuring 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 official data quality standards and policies to keep coding knowledge current.

Skills

Coding auditing

Acute care coding

Quality review

Education

High school diploma or GED

Undergraduate degree in HIM/HIT

RHIA, RHIT and/or CCS

Job description

HCA Healthcare is seeking a remote Coding Quality Audit Reviewer to perform internal quality assessment reviews of HIM coders, ensuring compliance with national guidelines and internal policies to safeguard data integrity and appropriate reimbursement. You will lead reviews, drive accuracy, and support ongoing education.

The role emphasizes expert coding knowledge, adherence to guidelines, and a strong audit mindset, with a focus on maintaining high productivity and accuracy across multiple