Coding Quality Auditor

Job Summary

We are seeking an experienced Inpatient Coding Quality Auditor / Coding Educator to perform quality reviews of inpatient coding, ensure compliance with national coding guidelines, and provide education to improve coding accuracy and documentation quality. This role partners closely with Coding Leadership to identify root causes of coding errors, support DRG validation, and develop training programs to maintain high standards of coding integrity and reimbursement accuracy.

Key Responsibilities

Coding Quality & Auditing

• Perform routine, pre-bill, and targeted quality reviews for inpatient and outpatient facility coding
• Validate DRGs, ICD-10-CM / PCS codes, POA indicators, and documentation support
• Initiate rebilling processes when errors are identified per policy
• Research complex coding issues and escalate as needed

Required Qualifications

Education

Experience

Certification (Required)

Preferred Experience

Required Skills