Role Description Are you an experienced Inpatient Coding Auditor looking for a fully remote opportunity with a leading healthcare organization? We are seeking a highly skilled coding professional to audit complex inpatient and outpatient medical records, ensure coding accuracy and compliance, and serve as a subject matter expert for coding teams. This is a great opportunity for candidates with strong inpatient auditing experience who enjoy quality assurance, education, and collaboration with coding and clinical documentation teams. Responsibilities - Audit & Compliance - Audit inpatient, ambulatory surgery, observation, and outpatient encounters to ensure accurate reimbursement and compliance with federal and state regulations. - Review and validate ICD-10-CM, ICD-10-PCS, and CPT-4 coding assignments. - Audit complex inpatient cases including trauma, neurology, rehabilitation, critical care, and other high-acuity services. - Ensure accurate APR-DRG, SOI/ROM, and POA assignments. - Analyze clinical documentation and identify coding opportunities or discrepancies. - Coding Quality & Education - Serve as a coding subject matter expert and resource for Coding Specialists. - Conduct focused audits and quality reviews as needed. - Monitor coding accuracy and productivity metrics. - Provide coaching, education, and training to coding staff and new hires. - Research new procedures, surgical techniques, and emerging healthcare technologies. - Collaboration & Communication - Partner with Clinical Documentation Integrity (CDI) teams and providers to improve documentation quality. - Assist coding specialists with creating appropriate coding queries. - Collaborate with hospital departments regarding coding accuracy and compliance concerns. - Understand and apply concepts related to Potentially Preventable Complications (PPCs), Maryland Hospital Acquired Conditions (MHACs), Prevention Quality Indicators (PQIs), and related quality measures. - Compliance Standards - Maintain adherence to AHIMA ethical coding standards and coding compliance guidelines. - Stay current on coding regulations, payer requirements, and industry updates. Qualifications - High School Diploma or GED required. - Formal training in ICD-10-CM, ICD-10-PCS, and CPT-4 coding. - Associate's or Bachelor's degree preferred (education may be considered in lieu of some experience). Requirements - Minimum of 2 years of ICD-10-CM/ICD-10-PCS coding and abstracting experience within a Level I Trauma Hospital, OR 4 years of inpatient hospital coding experience. - 2–3 years of ambulatory/outpatient coding experience. - Experience auditing complex inpatient cases preferred. - Certifications (One Required): - Certified Coding Specialist (CCS) - Registered Health Information Technician (RHIT) - Registered Health Information Administrator (RHIA) - Certified Inpatient Coder (CIC) Benefits - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Company Description We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

Role Description Sentara Norfolk General Hospital is hiring a Remote, Full-time, Day Shift, Hospital Charge Auditor II. - Provides System-wide support for assigned clinical Department(s) charge audit and billing functions. - Audits billing records with a high degree of accuracy and comprehensive knowledge of charges, patient types, and billing technology systems. - Provides expert level of knowledge for all aspects of the billing and charges and is a resource for complex billing issues, reconciliations, and corrections. - Works with other System experts to resolve concerns or provide expert billing consultation and initiatives to ensure revenue capture. Qualifications - Education: High School Grad or Equivalent (Required) - Experience: 4 years Billing Experience (Required) - Experience: 4 years Medical Terminology (Required) Requirements - Post high school healthcare training preferred in coding, medical terminology, or healthcare data systems. - Billing experience must be in a healthcare environment. - Must be able to work independently and provide training for other staff. Benefits - Medical, Dental, Vision plans - Adoption, Fertility and Surrogacy Reimbursement up to $10,000 - Paid Time Off and Sick Leave - Paid Parental & Family Caregiver Leave - Emergency Backup Care - Long-Term, Short-Term Disability, and Critical Illness plans - Life Insurance - 401k/403B with Employer Match - Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education - Student Debt Pay Down – $10,000 - Reimbursement for certifications and free access to complete CEUs and professional development - Pet Insurance - Legal Resources Plan - Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

• Perform Diagnostic Related Group (DRG) validation and quality audits on Inpatient charts. • Perform chart reviews and ensure all reviewed charts capture the patient’s true clinical picture. • Validate proper sequencing and accuracy of ICD-10-CM/PCS codes. • Maintain quality of reviews, ensuring true clinical picture is captured timely. • Support CorroHealth in developing accurate training materials. • Provide training and shadowing to new hires. • Assist CorroHealth with project data analysis, reporting, and feedback.

Role Description Geode Health is a rapidly growing, national provider of outpatient mental health services. Our Mission is to “Transform mental health by making it more accessible, affordable and effective”. Comp Range: $85k - 100k/year + 10% annual bonus. Job Responsibilities - Complete audits according to an established audit schedule and audit procedures. - Audit patient records for completeness, accuracy, and appropriateness, including: - Ensuring records include the minimal required data. - Comparing source data to the records for accuracy. - Analyzing select data in detail. - Audit patient records and processes related to Geode’s QI/QA program. - Prepare records for audits performed by other staff, including: - Medical director chart reviews. - Patient reviews. - Imminent and eligible classification reviews. - Geode Health internal audits. - Identify opportunities to improve the quality of records, efficiency of processes, and increase performance. - Maintain detailed auditing data, including: - Workload details. - Documented audit findings, recommendations, and corrections. - Inform and educate staff of audit findings, recommendations, and corrections. - Report audit findings, recommendations, and corrections to internal leadership and complete follow-up activities as directed. - Monitor and follow up on requested audit corrections to ensure completion. - Develop audit and documentation/recordkeeping policies, procedures, and workflows. - Organize root cause analyses (RCAs), take minutes, and implement action items from RCAs. - Establish auditing goals, expectations, and benchmarks and ensure these are met or exceeded. - Create and/or adopt existing tools, systems, and methods to organize and catalog a variety of auditing data. - Perform analysis on auditing data to generate metrics and other tracking and trending analytics. - Interpret and monitor metrics and analytics to identify meaning, trends, and compliance towards auditing goals, expectations, and benchmarks. - Prepare and present analytics to internal leadership and external audiences ranging from front-end staff to executive leaders. Qualifications - Bachelor’s degree in business administration, science, health care, public health, or other life sciences related field. - Registered Nurse (RN) license required. - Three years of related quality assurance experience; within Behavioral / Mental Health preferred. - Ability to work with highly detailed, complex, and emotionally sensitive information. - Ability to maintain a high degree of discretion, confidentiality, protection, and integrity. - Ability to learn complex processes, medical terminology, technology systems, and progressively develop data analytics skill set. - Ability to prioritize and complete multiple complex work assignments. - Ability to work independently. - Knowledge of quality assurance, quality systems, internal auditing, and/or quality improvement preferred. Requirements - #LI-Remote - Estimated earnings: $80,000.00-$100,000.00