We are seeking a detail-oriented Medical Coding Auditor – DRG to join a high-volume medical review team. This role focuses on validating DRG assignments, medical coding accuracy, and claims integrity to support cost control and compliance. ✅ Key Responsibilities Perform DRG validation reviews on inpatient medical records Audit coding accuracy and identify discrepancies in claims Coordinate with claims teams to implement rate adjustments Analyze trends and prepare monthly & quarterly audit reports Ensure compliance with HIPAA and documentation standards Act as a subject matter expert for coding and audit-related issues ✅ Required Qualifications Certification required: CPC, RHIT, RHIA, CPMA, or CIC Minimum 3+ years of experience in medical coding & auditing Strong knowledge of ICD-10, DRG, and inpatient coding Experience in medical record review and validation Understanding of payer guidelines and claims auditing ✅ Preferred Qualifications Experience with DRG validation and inpatient audits Prior payer-side experience ( BCBS, Optum, etc. ) Strong analytical, reporting, and documentation skills