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Inpatient Coding Auditor – DRG Validation
Location
United States
Posted
77 days ago
Salary
$33 - $50 / hour
Seniority
Senior
Job Description
Inpatient Coding Auditor – DRG Validation
Next Move Healthcare
• Review inpatient medical records to validate accurate DRG assignment and coding compliance • Analyze patient charts to identify discrepancies in coding or clinical documentation • Ensure coding accuracy according to CMS regulations and industry coding guidelines • Conduct second-level reviews of DRGs, discharge dispositions, and Present on Admission (POA) indicators prior to billing • Collaborate with coding teams and clinical staff to resolve documentation and coding questions • Participate in coding audits and quality improvement initiatives • Research and respond to coding or documentation denials related to DRG assignments • Provide guidance and education to coding staff regarding documentation and coding best practices • Support regulatory compliance and internal audit activities
Job Requirements
- Minimum of 5 years of inpatient coding experience
- Experience with DRG validation, auditing, or coding quality review
- Strong understanding of clinical documentation and coding compliance standards
- Ability to work independently in a remote environment
- Strong analytical and communication skills
- Candidates must hold at least one of the following credentials: RHIA, RHIT, CCS, CPC, CCS-P
Benefits
- Competitive hourly compensation
- Comprehensive medical, dental, and vision coverage
- Three weeks of paid vacation
- Fully remote work environment
- Opportunity to work in a specialized coding and compliance role within healthcare operations
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