Remote Inpatient DRG Auditor | Coding Quality & Compliance

RemoteFetch; United States; Remote; USD 45,000 - 69,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid vacation

Fully remote

Job summary

RemoteFetch is seeking an experienced Inpatient Coding Auditor specializing in DRG validation to review medical records and ensure accurate DRG assignments. This remote role requires strong inpatient coding expertise, CMS guidelines knowledge, and the ability to work independently.

The position involves auditing DRGs, validating POA indicators, and supporting internal audits while collaborating with clinical staff and coding teams across departments.

Qualifications

• Minimum of 5 years of inpatient coding experience.
• Experience with DRG validation, auditing, or coding quality review.
• Strong understanding of clinical documentation and coding compliance standards.
• Ability to work independently in a remote environment.
• Strong analytical and communication skills.

Responsibilities

• Review inpatient medical records to validate accurate DRG assignment and coding compliance.
• Analyze patient charts to identify discrepancies in coding or clinical documentation.
• Ensure coding accuracy according to CMS regulations and industry coding guidelines.
• Conduct second-level reviews of DRGs, discharge dispositions, and POA indicators prior to billing.
• Collaborate with coding teams and clinical staff to resolve documentation and coding questions.
• Participate in coding audits and quality improvement initiatives.
• Research and respond to coding or documentation denials related to DRG assignments.
• Provide guidance and education to coding staff regarding documentation and coding best practices.
• Support regulatory compliance and internal audit activities.

Skills

Inpatient coding

DRG validation

Auditing

CMS guidelines

Analytical skills

Education

Health Information Management degree

Bachelor’s preferred

Job description

RemoteFetch is seeking an experienced Inpatient Coding Auditor specializing in DRG validation to review medical records and ensure accurate DRG assignments. This remote role requires strong inpatient coding expertise, CMS guidelines knowledge, and the ability to work independently.

The position involves auditing DRGs, validating POA indicators, and supporting internal audits while collaborating with clinical staff and coding teams across departments.