Remote Inpatient Coding & DRG Validation Auditor

HCA Healthcare

Orlando (FL)

On-site

USD 70,000 - 90,000

Full time

39 hours ago
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Benefits offered by this job

Medical benefits
401(k) matching
Tuition assistance
Paid time off

Job summary

Parallon is seeking an Inpatient Coding Auditor to join our work-from-home quality reviews team supporting HSC coders across the organization. You will ensure compliance with national coding guidelines and company policies to drive accurate reimbursement and data integrity.

Responsibilities include leading quality reviews for inpatient and outpatient coding, coaching staff on guidelines, and maintaining high productivity and accuracy standards. RHIA/RHIT/CCS credentials are preferred.

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 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
DRG validation
Quality reviews

Education

Undergraduate degree in HIM/HIT
RHIA/RHIT/CCS certification
High school diploma or GED

Job description

Parallon is seeking an Inpatient Coding Auditor to join our work-from-home quality reviews team supporting HSC coders across the organization. You will ensure compliance with national coding guidelines and company policies to drive accurate reimbursement and data integrity.

Responsibilities include leading quality reviews for inpatient and outpatient coding, coaching staff on guidelines, and maintaining high productivity and accuracy standards. RHIA/RHIT/CCS credentials are preferred.

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