Senior Inpatient Coding Compliance Auditor

Memorial Healthcare; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Memorial Healthcare System is seeking a Medical Coding Auditor to assess inpatient and outpatient coding accuracy, focusing on ICD-10-CM/PCS, CPT, APC, and DRG alignment. The role includes training staff and aligning with AHIMA guidelines.

The ideal candidate will have RHIA/RHIT/CCS credentials and at least three years in coding audits, with strong knowledge of MSDRG, APRDRG, and EAPG systems.

Qualifications

• Requires HIM accredited program and AHIMA credentials.
• CCS or RHIA/RHIT credentials strongly preferred.
• Experience with ICD-10-CM/PCS, CPT, and coding guidelines is essential.

Responsibilities

• Audit inpatient and outpatient coding for ICD-10-CM/PCS, CPT, APC, and DRG accuracy.
• Provide education and training based on audit findings and regulatory changes.
• Coordinate coder intern training and ensure AHIMA coding standards.

Skills

Accountability

Accuracy

Customer service

Effective communication

Human anatomy

Medical coding

Medical terminology

Responding to change

Standards of behavior

Education

Health Information Management Accredited Program

Certified Coding Specialist (CCS)

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Tools

Encoder

EMR systems

Job description

Memorial Healthcare System is seeking a Medical Coding Auditor to assess inpatient and outpatient coding accuracy, focusing on ICD-10-CM/PCS, CPT, APC, and DRG alignment. The role includes training staff and aligning with AHIMA guidelines.

The ideal candidate will have RHIA/RHIT/CCS credentials and at least three years in coding audits, with strong knowledge of MSDRG, APRDRG, and EAPG systems.