Overview In this role you will perform audits of inpatient medical records to ensure accurate diagnoses and procedures coding, supported by DRG assignments and regulatory guidelines. You will work within a cross-functional environment to apply ICD-10-CM/PCS and DRG/APC rules, using proprietary audit systems. The position is remote within the U.S. with opportunities for growth and comprehensive benefits. You help maintain coding accuracy, compliance, and high-quality documentation to support reimbursement and quality initiatives. This role offers a meaningful impact by strengthening audit processes and supporting healthcare financial integrity.
Compensation / Benefits- remote work
- robust benefits
- growth opportunities
Responsibilities- Conduct inpatient medical record reviews to verify accurate diagnoses and procedures codes
- Determine correct DRG assignments and ensure alignment with regulatory guidelines
- Apply ICD-10-CM/PCS coding conventions and DRG/APC frameworks in audits
- Utilize proprietary audit systems to document findings and support remediation
- Maintain ongoing CEU (continuing education) to stay current with coding standards
- Communicate audit results and recommendations to clinical and billing teams
- Identify patterns and opportunities to improve documentation quality and coding accuracy
- Support compliance and reimbursement integrity initiatives
Key requirements- Proficiency in ICD-10-CM/PCS
- Knowledge of DRG/APC frameworks
- Experience with inpatient coding audits
- Familiarity with regulatory guidelines and CEU maintenance
- Strong documentation and communication skills
- able to work remotely within the U.S.
- detail-oriented
- analytical thinking
- problem-solving
- ICD-10-CM/PCS
- DRG/APC knowledge
- proprietary audit systems
