Inpatient Coding Auditor - DRG Validation (Remote)

This a Full Remote job, the offer is available from: Anywhere Job Title: Inpatient Coding Auditor - DRG Validation Location: Remote Salary: $33.00 $50.00 per hour Schedule: Full-time Travel: Initial onsite orientation during the first week with occasional additional travel as needed Job Overview: We are seeking an experienced Inpatient Coding Auditor specializing in DRG validation to review medical records and ensure the accuracy of Diagnosis Related Group assignments. This role focuses on validating inpatient coding, evaluating clinical documentation, and ensuring compliance with CMS regulations and coding guidelines. The ideal candidate has strong inpatient coding experience, deep knowledge of DRG assignment, and the ability to analyze clinical documentation to ensure accurate coding and reimbursement. Key Responsibilities: Review inpatient medical records to validate accurate DRG assignment and coding complianceAnalyze patient charts to identify discrepancies in coding or clinical documentation Ensure coding accuracy according to CMS regulations and industry coding guidelinesConduct 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 questionsParticipate in coding audits and quality improvement initiatives Research and respond to coding or documentation denials related to DRG assignmentsProvide guidance and education to coding staff regarding documentation and coding best practices Support regulatory compliance and internal audit activities Required Qualifications: Minimum of 5 years of inpatient coding experienceExperience with DRG validation, auditing, or coding quality reviewStrong understanding of clinical documentation and coding compliance standardsAbility to work independently in a remote environmentStrong analytical and communication skills Education: Associate's or Bachelor's degree in Health Information Management or a related field preferred Required Certification: Candidates must hold at least one of the following credentials: RHIARHIT CCSCPC CCS-P Technical Knowledge: Strong understanding of DRG assignment and coding guidelinesFamiliarity with UB-04 billing standards and CMS regulations Experience reviewing clinical documentation for coding accuracy Benefits: Competitive hourly compensationComprehensive medical, dental, and vision coverage Three weeks of paid vacationFully remote work environment Opportunity to work in a specialized coding and compliance role within healthcare operationsThis offer from "Next Move Healthcare" has been enriched by Jobgether.com and got a 82% flex score. .