Senior Inpatient Coding Auditor

Addison Group; City of Albany (NY); Remote; USD 41,000 - 55,000; Full time

Benefits offered by this job

Remote work

Long-term extension

Exposure to complex audits

Complex case exposure

Job summary

Addison Group is seeking a Senior Inpatient Coding Auditor for a remote contract engagement with a leading healthcare organization. The role focuses on auditing complex inpatient accounts in a Level I Trauma/Teaching Hospital environment, validating ICD-10-CM/PCS coding, and providing real-time feedback to coding staff.

Responsibilities include handling high-dollar cases, maintaining a 95% accuracy standard, and using Epic and 3M 360 tools.

Qualifications

• Active inpatient coding certification required (AAPC or AHIMA).
• 5+ years inpatient coding in Level I Trauma/Teaching Hospital environments.
• Strong ICD-10-CM and ICD-10-PCS knowledge.
• Experience auditing inpatient coders and providing feedback preferred.
• Must score 85% or higher on inpatient coding assessment.
• Experience with Epic and 3M 360 highly preferred.

Responsibilities

• Audit inpatient coding for complex Level I trauma and teaching hospital accounts.
• Review cases including Trauma, NICU, Moms/Babies, Spinal Fusions, and more.
• Audit high-dollar inpatient accounts (e.g., $350K+).
• Validate ICD-10-CM/PCS coding, sequencing, and documentation.
• Provide coders with real-time feedback based on audit findings.
• Maintain approximately 2 audits per hour and 95% quality.

Skills

AAPC/AHIMA Certification

Inpatient coding experience

ICD-10-CM knowledge

ICD-10-PCS knowledge

Audit/feedback

Coding assessment score

Tools

Epic

3M 360

Job description

Job Title:

Senior Inpatient Coding Auditor

Location:

Remote – United States

Industry:

Healthcare / Health Information Management / Medical Coding

Pay:

$30–$40/hour

Benefits:

This position is eligible for medical, dental, vision, and 401(k)

About Our Client

Our client is a large healthcare organization seeking an experienced Senior Inpatient Coding Auditor to support its inpatient coding and auditing team. This is a remote contract opportunity with the potential for extension and permanent conversion based on performance and business needs.

Job Description:

The Senior Inpatient Coding Auditor will be responsible for auditing complex inpatient accounts within a Level I Trauma/Teaching Hospital environment. This position will review coder-assigned accounts, validate coding accuracy, and provide real-time feedback to coding staff.

The auditor will work from an assigned queue consisting of a variety of complex and high-dollar inpatient cases.

Key Responsibilities:

• Audit inpatient coding for complex Level I Trauma and teaching hospital accounts
• Review cases involving Trauma, NICU, Moms/Babies, Spinal Fusions, Internal Medicine, Cardiology/Vascular, TAVR, Kidney Transplants, and other complex inpatient services
• Audit high-dollar inpatient accounts, including cases valued at $350K+
• Validate ICD-10-CM and ICD-10-PCS code assignment, sequencing, and documentation
• Utilize Epic and 3M 360 to review accounts and complete coding audits
• Provide coders with real-time feedback based on audit findings
• Maintain approximately 2 audits per hour
• Maintain a 95% quality/accuracy standard
• Work accounts based on assigned queue, discharge date, and account value

Qualifications:

• Active AAPC or AHIMA coding certification required
• Minimum 5 years of inpatient coding experience
• Strong experience within a Level I Trauma and/or Teaching Hospital environment
• Must have experience coding/auditing both high-dollar complex cases AND Moms/Babies
• Strong ICD-10-CM and ICD-10-PCS knowledge
• Experience with Epic and 3M 360 highly preferred
• Experience auditing inpatient coders and providing coding feedback preferred
• Must score 85% or higher on the required inpatient coding assessment

Additional Details:

• Schedule: Monday–Friday
• Available schedules include 7:00 AM–3:30 PM EST or 8:00 AM–4:30 PM EST
• Position Type: Contract with potential for extension or permanent conversion
• Start Date: ASAP
• Candidates will complete an inpatient coding assessment followed by a Teams interview
• Assessment includes ICD-10-CM, ICD-10-PCS, and provider-related questions
• Computer equipment will be provided
• Candidates must have a working camera and microphone for the interview

Perks:

• 100% remote opportunity
• Opportunity for long-term extension and potential permanent conversion
• Work with complex Level I Trauma and teaching hospital cases
• Exposure to high-level inpatient auditing and complex specialty cases

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.