Remote Medical Coder & Quality Audit Specialist

CEI; Columbia (SC); Remote; USD 43,000 - 56,000; Full time

Job summary

CEI is seeking a Back In Patient Coder/Quality Medical Auditor to join our remote team. The role conducts validation reviews of DRG, APC, and Never Events across lines of business and coordinates rate adjustments with claims.

Requires 3 years of professional patient coding experience and an Associate Degree in Nursing or Health Information Management. Certifications such as RHIT, RHIA, CIC, CPMA or CPC are preferred. Remote work from the East Coast time zone is supported.

Qualifications

• Must have 3 years professional patient coding experience.
• Associate degree in Nursing or Health Information Management required.
• Certification such as RHIT, RHIA, CIC, CPMA or CPC preferred.

Responsibilities

• Performs validation reviews of DRG, APC, and Never Events across lines of business.
• Coordinates rate adjustments with claims areas and provides monthly/quarterly reports.
• Manages HIPAA compliance and coordinates legal/records requests.

Skills

Healthcare coding

DRG validation

APC validation

HIPAA compliance

Communication

Education

Associate Degree - Nursing or Health Information Management

Job description

CEI is seeking a Back In Patient Coder/Quality Medical Auditor to join our remote team. The role conducts validation reviews of DRG, APC, and Never Events across lines of business and coordinates rate adjustments with claims.

Requires 3 years of professional patient coding experience and an Associate Degree in Nursing or Health Information Management. Certifications such as RHIT, RHIA, CIC, CPMA or CPC are preferred. Remote work from the East Coast time zone is supported.