This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Inpatient Audit Specialist FT based in the United States.
This role offers the opportunity to support healthcare organizations by ensuring accuracy, compliance, and quality across inpatient coding and reimbursement processes.
You will play a key role in reviewing complex medical records, validating coding practices, and identifying opportunities for improvement.
The position combines clinical knowledge, analytical expertise, and education to strengthen healthcare data quality.
Working remotely, you will collaborate with healthcare professionals, coding teams, and operational stakeholders across various facilities.
You will contribute to better documentation practices, improved compliance outcomes, and more efficient healthcare operations.
This opportunity is ideal for a detail-oriented professional passionate about healthcare information management and continuous improvement.
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Inpatient Audit Specialist FT based in the United States.
This role offers the opportunity to support healthcare organizations by ensuring accuracy, compliance, and quality across inpatient coding and reimbursement processes.
You will play a key role in reviewing complex medical records, validating coding practices, and identifying opportunities for improvement.
The position combines clinical knowledge, analytical expertise, and education to strengthen healthcare data quality.
Working remotely, you will collaborate with healthcare professionals, coding teams, and operational stakeholders across various facilities.
You will contribute to better documentation practices, improved compliance outcomes, and more efficient healthcare operations.
This opportunity is ideal for a detail-oriented professional passionate about healthcare information management and continuous improvement.
Accountabilities:
- Conduct inpatient coding audits using ICD-10-CM, CPT, and relevant coding guidelines to validate DRG and APC assignments.
- Review medical records to assess coding accuracy, documentation completeness, and compliance with regulatory standards.
- Analyze non-CC/MCC records and identify opportunities for additional documentation improvement.
- Provide coding education and feedback to coding teams, clinical staff, and healthcare stakeholders based on audit findings.
- Prepare audit reports, communicate results, and support resolution of identified issues.
- Review and resolve disagreements related to DRG and APC changes with appropriate leadership teams.
- Monitor regulatory updates and maintain current knowledge of healthcare coding standards and industry requirements.
- Collaborate with facility representatives to discuss audit trends, opportunities, and improvement strategies.
- Support external coding audits and provide recommendations to improve coding quality and productivity.
- Maintain strong organizational skills while managing multiple complex cases and meeting quality and productivity expectations.
- 3+ years of experience in medical coding and auditing, with a focus on inpatient records.
- Associate or Bachelor’s degree from an AHIMA-certified Health Information Management or Nursing program, or completion of an accredited coding certification program.
- Preferred certifications include CCS, RHIT, or RHIA credentials.
- Strong knowledge of ICD-10-CM, CPT, DRG, and APC assignment methodologies.
- Experience auditing inpatient and outpatient records across different healthcare facilities.
- Experience working with EMR systems, encoder tools, and auditing software.
- Familiarity with platforms such as Cerner PowerChart and 3M360 is preferred.
- Experience supporting academic medical centers or Level 1 trauma facilities is highly valued.
- Ability to maintain strong accuracy and productivity standards, including 95% accuracy for APC assignments and productivity targets.
- Excellent analytical, problem-solving, communication, and organizational skills.
- Strong commitment to professionalism, confidentiality, customer service, and healthcare coding ethics.
- Ability to work independently while collaborating effectively with remote teams.
- Estimated compensation range of $35–$45 USD per hour.
- $2,500 sign-on bonus.
- Fully remote work environment with flexible scheduling options.
- Medical, dental, and vision insurance coverage.
- 401(k) savings plan with company matching.
- Paid time off, paid holidays, and floating holidays.
- Free continuing education units (CEUs) each year.
- Education and professional membership support for AHIMA/AAPC dues when applicable.
- Company-provided equipment, including laptop, monitor, keyboard, mouse, and headset.
- Comprehensive training led by experienced coding professionals.
- Supportive management, mentorship, and opportunities for professional development.
As an Inpatient Audit Specialist, you will be responsible for conducting detailed coding audits, supporting compliance initiatives, and providing guidance to improve documentation and coding accuracy. You will collaborate with healthcare teams to identify trends, resolve discrepancies, and deliver actionable insights that enhance operational performance.
Requirements:
The ideal candidate brings strong inpatient coding and auditing expertise, excellent analytical abilities, and experience working within healthcare information management environments. You should be comfortable interpreting complex medical records, communicating findings clearly, and supporting teams through education and process improvement.