Remote Inpatient Coding DRG Validation Auditor

HCA Healthcare; Frankfort (KY); On-site; USD 65,000 - 90,000; Full time

Job summary

HCA Healthcare through Parallon is seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments on Health Information Management Service Center coders, ensuring compliance with national coding guidelines and company policies for complete and accurate coding. You will review outcomes and communicate findings to the HSC team to enhance data integrity and reimbursement accuracy.

The role requires 3+ years in acute care inpatient/outpatient coding and coding auditing,

Qualifications

• Background in Facility Inpatient Coding and DRG Validation.
• Experience with internal quality assessment reviews in HIM.
• Ability to maintain 95% productivity and 95% accuracy as stated.

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

Auditing

Medical coding guidelines

Education

Undergraduate degree in HIM/HIT

RHIA/RHIT/CCS preferred

Job description

HCA Healthcare through Parallon is seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments on Health Information Management Service Center coders, ensuring compliance with national coding guidelines and company policies for complete and accurate coding. You will review outcomes and communicate findings to the HSC team to enhance data integrity and reimbursement accuracy.

The role requires 3+ years in acute care inpatient/outpatient coding and coding auditing,