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Next Move Healthcare logo
Next Move Healthcare

Connecting people to create opportunities

Inpatient Coding Auditor – DRG Validation

AuditorAuditorOtherRemoteSeniorTeam 11-50Since 2019H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

77 days ago

Salary

$33 - $50 / hour

Seniority

Senior

Associate Degree5 yrs expEnglish

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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