Inpatient Audit Specialist
Core
Perform inpatient facility coding audits for onboarding, SLAs, and payer reviews using MS DRG or APR DRGs to ensure coding quality and compliance.
Role type
Senior IC inpatient coding auditor
Builds
Accurate medical coding assignments and compliance reports for healthcare providers and payers
Domain
Healthcare / Medical Coding
Required skills
Inpatient facility coding, Auditing, MS DRG, APR DRGs, Query writing, Regulatory compliance, Workflow management, Critical thinking, Time management
Preferred skills
Spinal experience, CCS, RHIA, RHIT, Epic, Cerner
Technologies
MS DRG, APR DRGs, Epic, Cerner
Responsibilities
Perform inpatient facility coding audits according to scope of work; Provide rationale for identified coding changes; Keep abreast of regulatory changes; Organize and prioritize multiple cases; Provide coder education via the auditing process
Seniority
Senior, hands-on IC
