Job Openings Inpatient QA Coder Auditor

About the job Inpatient QA Coder Auditor

The Inpatient QA Coder Auditor is responsible for reviewing and auditing inpatient medical coding for accuracy, compliance, and adherence to regulatory and client-specific guidelines. This role ensures high-quality coding standards, identifies gaps, and provides actionable feedback to coders to drive continuous improvement and coding integrity.

Key Responsibilities

  • Perform quality audits on inpatient coding (ICD-10-CM/PCS) to ensure accuracy and compliance with official coding guidelines

  • Review medical records and validate appropriate assignment of diagnoses and procedures

  • Identify coding errors, trends, and opportunities for process improvement

  • Provide detailed feedback, coaching, and education to coders based on audit findings

  • Ensure compliance with client requirements, regulatory standards (CMS, AHIMA, AAPC), and internal quality benchmarks

  • Maintain audit reports, scorecards, and documentation of findings

  • Participate in calibration sessions and client reviews as needed

  • Support process improvement initiatives to enhance coding quality and productivity

Qualifications

  • Bachelor’s degree in Nursing

  • Active coding certification (e.g., CCS, CPC, CIC) with valid credentials

  • Minimum 5 years of inpatient medical coding experience

  • At least 1–2 years of QA auditing experience in inpatient coding (preferred)

  • Strong knowledge of ICD-10-CM/PCS coding guidelines and DRG assignment

  • Experience with coding tools such as Epic, Cerner, 3M Encoder, Meditech

  • Strong analytical skills with keen attention to detail

  • Excellent communication and coaching skills


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