Senior Coding Auditor - Remote Healthcare Compliance

Gainwell Technologies LLC; United States; Remote; USD 51,000 - 72,000; Full time

Benefits offered by this job

Remote work within the United States

Benefits begin on the first day of EMP

401(k) employer match

Comprehensive health benefits

Educational assistance

Leadership development academies

Job summary

Gainwell Technologies is seeking a Senior Associate Inpatient Coding Auditor to review medical records and determine correct coding using MS-DRG/AP-DRG guidelines. This remote, US-based role offers flexibility and a clear path for professional growth.

You will access proprietary systems, document findings, and support policy determinations. The position is salaried, with benefits starting on day one, and requires AHIMA/AAPC credentials with 3+ years of inpatient/outpatient coding experience.

Qualifications

• Active professional credentials through AHIMA or AAPC.
• Three or more years of inpatient or outpatient claims coding experience.
• Proficiency in ICD-10-CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology.
• Thorough understanding of APR-DRG, AP-DRG, and MS-DRG.
• Demonstrated experience in medical record coding and auditing.

Responsibilities

• Perform audits of medical record documentation to determine the accuracy of principal and secondary diagnoses, including MCC and CC, and procedure codes.
• Adhere to official coding guidelines, coding clinics, and regulatory guidelines and mandates.
• Draw on advanced ICD-10 coding expertise to substantiate conclusions.
• Utilize HMS proprietary auditing systems with a high level of proficiency to document audit determinations and rationale.
• Consistently achieve productivity and quality performance standards established by management.
• Actively cross-train to perform reviews of multiple claim types to provide a flexible workforce that meets client needs.
• Assist management with training new Coding Auditors, including daily monitoring, mentoring, feedback, and education.
• Maintain current knowledge of coding guidelines and successfully complete required continuing education units (CEUs) to maintain coding certification.
• Attend training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.

Skills

ICD-10-CM

ICD-10-PCS

CPT Coding

HCPCS

Education

CPC, CCS, COC, RHIA, RHIT credentials

Job description

Gainwell Technologies is seeking a Senior Associate Inpatient Coding Auditor to review medical records and determine correct coding using MS-DRG/AP-DRG guidelines. This remote, US-based role offers flexibility and a clear path for professional growth.

You will access proprietary systems, document findings, and support policy determinations. The position is salaried, with benefits starting on day one, and requires AHIMA/AAPC credentials with 3+ years of inpatient/outpatient coding experience.