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Remote Inpatient/DRG Validation Coding Auditor

https://www.roberthalf.com Logo

Robert Half

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Location:
United States , Indianapolis

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Category:
IT - Administration

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Contract Type:
Not provided

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Salary:

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Job Description:

Our company is searching for a Remote Inpatient/DRG Validation Coding Auditor to join our team, performing in-depth documentation and coding audits for our healthcare clients. In this audit-focused role, you’ll conduct independent reviews of inpatient medical records, evaluating the accuracy of diagnosis and procedure codes to ensure optimal reimbursement and compliance with official guidelines, regulatory requirements, and ethical standards. Leveraging your deep knowledge of DRG payment systems (such as MS, APR, and Tricare), you’ll assess coding accuracy, documentation integrity, and identify opportunities for coder education and documentation improvement. This is a fully remote position and you can live anywhere within the US.

Job Responsibility:

  • Perform comprehensive audits of all acute inpatient medical records to identify coding errors, compliance concerns, and educational opportunities
  • Interpret, evaluate, and apply ICD-10-CM/PCS coding principles and guidelines to ensure documentation adequately supports the coded diagnoses and procedures
  • Verify that assigned DRGs accurately reflect patient severity and resource utilization according to MS, APR, Tricare, and related payment methodologies
  • Research regulatory requirements and provide clear, well-supported recommendations in audit reports
  • Collaborate with Clinical Documentation Integrity (CDI) specialists to pinpoint and communicate documentation and/or physician query opportunities
  • Write concise, constructive feedback and educational notes for coders, referencing the latest official coding guidelines and AHA Coding Clinics
  • Maintain established productivity and quality standards as measured by audit leadership

Requirements:

  • Minimum of 5 years of recent inpatient coding experience
  • At least 3 years of acute inpatient coding audit experience
  • Active CIC (Certified Inpatient Coder) certification
  • Deep knowledge of DRG payment and reimbursement systems (MS-DRG, APR-DRG, Tricare, etc.)
  • Proven ability to independently interpret complex medical records, identify documentation gaps, and communicate required improvements
  • Strong written and verbal communication skills
What we offer:
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan

Additional Information:

Job Posted:
March 22, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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