G
Not Specified Permanent

New York City, New York · USA job

Medical Coding Auditor

Gainwell

New York City, New York

Job description

Overview

In this role you will conduct audits of inpatient medical records to verify correct coding per contract-specific methodologies. You will apply ICD-10 and MS-DRG/APR-DRG frameworks to validate documentation and coding accuracy. You'll work within a team to ensure compliance and high-quality coding outputs, with opportunities for training and career progression, including remote work within the U.S. This position combines detail-oriented auditing with ongoing professional development in a healthcare coding environment.

Compensation / Benefits
  • remote work within the U.S.
  • training opportunities
  • career advancement
Responsibilities
  • Audit inpatient medical records and related documentation to determine correct coding per contract methodologies
  • Review and verify ICD-10 coding accuracy and completeness
  • Apply MS-DRG/APR-DRG methodologies to support accurate case mix and reimbursement
  • Provide findings and recommendations to stakeholders to improve documentation and coding practices
  • Collaborate with cross-functional teams to ensure compliance with contract requirements and coding standards
Key requirements
  • extensive ICD-10 coding knowledge
  • MS-DRG/APR-DRG expertise
  • AHIMA or AAPC credentials
  • attention to detail
  • communication with stakeholders
  • ICD-10 coding
  • MS-DRG/APR-DRG

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