Senior Healthcare Coding Auditor — Compliance & Quality

101 Riverside Hospital, Inc.; United States; Remote; USD 3,981,000 - 5,480,000; Full time

Job summary

Riverside Health in Newport News, Virginia is seeking a Clinical Documentation Improvement Specialist with robust IP/OP coding and auditing experience. The role focuses on maintaining data quality, applying coding guidelines, and managing denials and appeals.

The ideal candidate has 5–6 years of Acute Care IP/OP coding experience, CCS certification, and strong Excel/Office skills; remote work eligibility offered for residents in specified states.

Qualifications

• 5–6 years Acute Care IP and OP Coding experience required.
• 2 years Auditing Acute Care IP and OP required.
• 1 year Clinical Documentation Integrity preferred.
• CCS certification required upon hire.

Responsibilities

• Ensure coding compliance and apply guidelines.
• Audit documentation for accuracy of APC/MSDRG coding.
• Handle DRG and CPT denials; write appeals.
• Identify training needs and educate team members.
• Mentor staff and coordinate coding huddles.
• Prepare audit reports for leadership and respond to audits.
• Collaborate with CDI, PFS, and other departments on documentation issues.

Skills

ICD-10/CPT knowledge

Excel proficiency

Attention to detail

Communication skills

Teamwork

Education

High school diploma or GED

Associate degree in healthcare or related

Tools

PowerPoint

Word

MS Office Suite

Job description

Riverside Health in Newport News, Virginia is seeking a Clinical Documentation Improvement Specialist with robust IP/OP coding and auditing experience. The role focuses on maintaining data quality, applying coding guidelines, and managing denials and appeals.

The ideal candidate has 5–6 years of Acute Care IP/OP coding experience, CCS certification, and strong Excel/Office skills; remote work eligibility offered for residents in specified states.