Medical Coder - Inpatient

Coding Compliance Auditor

Pride Health is hiring a Coding Compliance Auditor for one of its clients in Maryland. This is a three-month contract with possible temp to hire, with competitive pay and benefits. There is a remote role, but it must be based in EST or CST hours.

Job Title: Coding Compliance Auditor

Pay range: $35 - $38 an hour on a W2

Location: Remote (Linthicum Heights, MD)

Duration: Three months of contract (possible temp to hire)

Shift: The core business hours are 6 a.m.- 6 p.m. Shift hours can be flexible and discussed with the manager.

Notes: Assessment will be given to qualified candidates identified by the client. Assessment will need to be completed and scored before proceeding with interview.

Job Summary: Seeking an experienced Coding Compliance Auditor to review and audit inpatient and outpatient medical records for coding accuracy, regulatory compliance, and appropriate reimbursement. This role serves as a coding subject matter expert, provides education and guidance to coding staff, and collaborates with clinical and documentation teams to ensure high-quality coding practices.

Job Duties:

• Audit inpatient, outpatient, ambulatory surgery, and observation records for coding accuracy and compliance.
• Review ICD-10-CM, ICD-10-PCS, and CPT coding assignments, DRGs, POA indicators, and documentation quality.
• Audit complex inpatient cases, including trauma, rehabilitation, neurology, and critical care.
• Monitor coding quality and productivity, provide feedback, and conduct focused audits.
• Serve as a coding resource and educator for coding staff and collaborate with CDI and clinical teams.
• Ensure adherence to coding compliance standards and organizational policies.

Education and Experience:

• High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
• Formal training in ICD-10-CM, ICD-10-PCS, and CPT coding.
• Minimum 2 years of Level 1 Trauma inpatient coding experience or 4 years of inpatient hospital coding experience.
• 23 years of ambulatory/outpatient coding experience.
• Required: Inpatient auditing experience.
• One of the following certifications: CCS, RHIT, RHIA, or CIC.
• Strong knowledge of coding regulations, DRG assignment, reimbursement methodologies, and compliance standards.

Pride-Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity: Pride-Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment: Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations: We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.