Remote Inpatient & Outpatient Coding Auditor

Jobgether SRL; United States; Remote; USD 96,432,000 - 118,474,000; Full time

Benefits offered by this job

Remote within US

Contract period 2027–2031

FT or PT opportunities

Audit methodologies

Privacy training

Job summary

Jobgether SRL is seeking an experienced Inpatient/Outpatient Coding Auditor based in the United States. This fully remote role audits inpatient and outpatient coding across a large regional health network, ensuring accuracy, compliance, and reimbursement impact.

You will review ICD-10-CM/PCS, CPT, DRGs, and modifiers, documenting findings with recommendations and education for facilities. Collaboration with HIM leadership is essential, with strict privacy and security requirements.

Qualifications

• Active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential from an accepted professional organization.
• At least two years of experience in inpatient and/or outpatient coding.
• At least three years of consultant experience reviewing medical records in large tertiary-care hospitals and outpatient organizations.
• At least three years of education and training experience presenting audit findings.
• Strong working knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, DRGs, modifiers, reimbursement methodologies.
• Demonstrated ability to identify coding discrepancies, assess documentation sufficiency, determine financial impact, and support findings with authoritative guidance.
• Ability to maintain at least 95% audit accuracy while meeting reporting and turnaround requirements.
• Strong analytical, written, verbal, presentation, and interpersonal communication skills.
• Ability to work independently while collaborating with health information management leadership and stakeholders.
• U.S. citizenship and English-language proficiency required for system access.
• Ability to complete a Low Risk NACI background investigation and privacy training.
• Ability to work securely from an approved location within the United States.
• Provide resume, signed LOI, credentials, and two client references.

Responsibilities

• Audit inpatient and outpatient facility coding for accuracy, documentation support, regulatory compliance, and reimbursement impact.
• Review ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, evaluation and management, modifier, bundling, present-on-admission, procedure, and DRG assignments.
• Assess hospitalizations and outpatient encounters across clinics, urgent care, radiology, laboratory, observation, and ambulatory surgery.
• Evaluate principal and secondary diagnoses, procedures, documentation sufficiency, billability, and adherence to coding guidance.
• Identify noncompliant codes and data elements such as incorrect, missing, duplicate, unbundled, upcoded, or downcoded items.
• Review EHR documentation and audit tools per sampling and audit requirements.
• Document audit findings with supporting authority, financial impact, risk, and corrective actions.
• Maintain 95% audit accuracy and participate in calibration activities.
• Contribute to audit work plans, data collection tools, facility reports, and progress updates.
• Present preliminary and final findings to HIM leadership and stakeholders.
• Develop and deliver facility-specific coding education and exit conferences.

Skills

Analytical skills

Communication skills

Presentation skills

Attention to detail

Independent work

Education

RHIA/RHIT/CCS/CCS-P/CPC/CPC-H credential

Job description

Jobgether SRL is seeking an experienced Inpatient/Outpatient Coding Auditor based in the United States. This fully remote role audits inpatient and outpatient coding across a large regional health network, ensuring accuracy, compliance, and reimbursement impact.

You will review ICD-10-CM/PCS, CPT, DRGs, and modifiers, documenting findings with recommendations and education for facilities. Collaboration with HIM leadership is essential, with strict privacy and security requirements.