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

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
Associate's or Bachelor's degree in Health Information Management or a related field preferred
Candidates must hold at least one of the following credentials: RHIA, RHIT, CCS, CPC, CCS-P

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

Inpatient Coding Auditor – DRG Validation

Key skills