Inpatient Coding Auditor

OU Health•WFH State of Oklahoma, OK

11d•Remote

About The Position

Ensures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. This position may be filled as levels I, II, or III, depending on individual experience, education, certification(s), and business need. The ideal candidate will have experience in complex inpatient coding at an academic medical center. Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment.

Requirements

Minimum 1 year of Inpatient Facility Coding Auditing or DRG Validation with a minimum of 5 years of experience in Inpatient facility coding required (Level 1).
High School diploma or GED required.
RHIA, RHIT, CCS, CPC, or CIC required.
Minimum 3 years of experience in Inpatient Facility Coding Auditing or DRG Validation, including at least 2 years of coding at an Academic Health Center required (Level 2).
Minimum 5 years of experience Inpatient Facility Coding Auditing at an Academic Health Center required (Level 3).
HFMA CRCR required within 6 months of hire (Level 3).

Nice To Haves

Experience in complex inpatient coding at an academic medical center.

Responsibilities

Performs all functions of coding quality reviews (routine monthly, focus pre-bill, CDI Reconciliations, second-level review work queues) for inpatient coding across OUH.
Performs peer-to-peer auditor reviews.
Communicate with other teams and departments directly as needed to resolve immediate issues related to account reviews and code/DRG validation.
Responds to coding-related questions from internal and external coding staff.
Initiates the rebilling process as required per policy on special projects.
Trials tip sheets and training developed by auditing team and provide constructive feedback.
Maintains or exceeds established productivity and accuracy standards, delivering consistent day‑to‑day results that directly support team performance, data integrity, and organizational objectives.
Meets all educational requirements as stated in current Company policy.
Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current.
Performs other duties as assigned