Remote Inpatient Coding Quality Auditor

Las Palmas Medical Center; El Paso (TX); Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical benefits

401(k) plan with match

Tuition assistance

Life insurance

Flexible spending accounts

Job summary

Parallon, a subsidiary of HCA Healthcare, seeks a Coding Quality Audit Reviewer working from home to lead inpatient coding quality reviews across multiple facilities. You will ensure compliance with national coding guidelines and company policies to support accurate reimbursements and data integrity.

The role requires 3+ years in inpatient/outpatient coding and auditing, RHIA/RHIT/CCS preferred, with focus on DRG validation, policy adherence, and training improvement for coding staff.

Qualifications

• 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.
• High school diploma and/or GED preferred
• Undergraduate degree in HIM/HIT 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 and outpatient coding

Quality auditing

DRG validation

Remote work coordination

Compliance with coding guidelines

Education

High school diploma or GED

Bachelor's degree in HIM/HIT (preferred)

RHIA/RHIT/CCS preferred

Job description

Parallon, a subsidiary of HCA Healthcare, seeks a Coding Quality Audit Reviewer working from home to lead inpatient coding quality reviews across multiple facilities. You will ensure compliance with national coding guidelines and company policies to support accurate reimbursements and data integrity.

The role requires 3+ years in inpatient/outpatient coding and auditing, RHIA/RHIT/CCS preferred, with focus on DRG validation, policy adherence, and training improvement for coding staff.