Remote Inpatient DRG Auditor | CMS & Chart Validation

Cotiviti; Northern (KY); Hybrid; USD 90,000 - 100,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

401(k)

Paid family leave

9 paid holidays per year

PTO

Job summary

Cotiviti is seeking an experienced inpatient coding auditor to drive DRG accuracy and chart validation across inpatient claims. The role requires a strong coding/auditing background in inpatient DRG coding, with responsibility for auditing, documenting results, and ensuring appropriate treatment settings and services.

This position starts on 11/9/2026. Base compensation is hourly at $45.67 (about $95k annually), with eligibility for discretionary bonus.

Qualifications

• 5–7+ years of experience with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG
• Expert coding knowledge—DRG, APR-DRG, ICD-10, CPT, HCPCS codes
• Proficiency with standard office software and documentation tools (Word, Excel, Access)

Responsibilities

• Audit Inpatient DRG Claims using clinical guidelines and payer rules
• Apply CPT/ICD-10 coding principles to identify and document discrepancies
• Maintain audit productivity and quality, and produce audit letters
• Identify new claim types and opportunities for recovery, with process improvements

Skills

Medical coding

Communication skills

Analytical thinking

Education

RHIA or RHIT

Bachelors in Health Information Management

Tools

Word

Access

Excel

TEAMS

Job description

Cotiviti is seeking an experienced inpatient coding auditor to drive DRG accuracy and chart validation across inpatient claims. The role requires a strong coding/auditing background in inpatient DRG coding, with responsibility for auditing, documenting results, and ensuring appropriate treatment settings and services.

This position starts on 11/9/2026. Base compensation is hourly at $45.67 (about $95k annually), with eligibility for discretionary bonus.