Remote Senior Medical Coding Auditor - Inpatient/Outpatient

Gainwell Technologies LLC; Oregon; Hybrid; USD 51,000 - 72,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Paid time off

Educational assistance

Remote work

Job summary

Gainwell Technologies is seeking an Inpatient Coding Auditor, Senior Associate to perform coding reviews of medical records and related documentation to determine correct coding per contract methodologies.

The role requires strong ICD-10 coding expertise, experience with MS-DRG/APR-DRG systems, and proficiency with auditing tools. Remote work from anywhere in the United States is available, with benefits from day one and opportunities for growth.

Qualifications

• 1+ years active professional credentials through AHIMA or AAPC (CPC/CCS/COC/RHIA/RHIT) required.
• 3+ years coding inpatient or outpatient claims required.
• Proficient in ICD-10 CM/PCS, APC, ASC, HCPCS, CPT coding methodology.
• Strong knowledge of APR-DRG, AP-DRG, and MS-DRG.

Responsibilities

• Performs audits of medical record documentation to determine accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes.
• Consistently achieves productivity and quality performance standards established by management.
• Actively cross-trains to perform reviews of multiple claim types.
• Assists management with training new Coding Auditors including mentoring and education.
• Maintains current knowledge of coding guidelines and required CEUs.

Skills

AHIMA/AAPC credentials

ICD-10 coding

DRG knowledge

Auditing proficiency

Regulatory guidelines

Tools

HMS auditing system

Job description

Gainwell Technologies is seeking an Inpatient Coding Auditor, Senior Associate to perform coding reviews of medical records and related documentation to determine correct coding per contract methodologies.

The role requires strong ICD-10 coding expertise, experience with MS-DRG/APR-DRG systems, and proficiency with auditing tools. Remote work from anywhere in the United States is available, with benefits from day one and opportunities for growth.