Remote IP & OP Auditor - Acute Care Chart Audits

ROI Healthcare Solutions; United States; On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

401(k)

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

ROI Healthcare Solutions is seeking experienced Auditors for Remote Full-Time positions focusing on inpatient and outpatient chart audits. The role requires deep expertise in ICD coding, DRG assignments, and compliance to help clients prevent noncompliance.

Responsibilities include conducting comprehensive quality assurance on hospital claims, reviewing records for coding accuracy, and presenting findings to clinicians. Strong communication and proficiency with MS Office are essential.

Qualifications

• 5+ years in inpatient and outpatient auditing in an acute care facility.
• Active coding credentials recommended: CCS, CCS-P, CPC, CDIP, RHIT or RHIA.
• Proficiency in medical terminology and documentation research is required.

Responsibilities

• Conduct in-depth quality assurance audits of hospital claims to support ICD-10-CM/PCS codes and DRG assignments.
• Audit patient records for coding accuracy and compliance with regulations.
• Identify over/under coding and documentation gaps; prepare detailed audit reports.

Skills

Inpatient/outpatient auditing

Medical terminology

Coding assessments

Communications

Education

AA degree or equivalent

CCS/CCS-P/CPC/CDIP/RHIT/RHIA certifications

Tools

Microsoft Office (Excel, Word)

Job description

ROI Healthcare Solutions is seeking experienced Auditors for Remote Full-Time positions focusing on inpatient and outpatient chart audits. The role requires deep expertise in ICD coding, DRG assignments, and compliance to help clients prevent noncompliance.

Responsibilities include conducting comprehensive quality assurance on hospital claims, reviewing records for coding accuracy, and presenting findings to clinicians. Strong communication and proficiency with MS Office are essential.