Inpatient Coding Auditor Remote Eligibility: Candidates must reside and work full‑time in AR, KS, MO, OK, or TX before their first day of employment.
Ensures accurate, quality, and compliant inpatient facility coding through pre‑bill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality.
Responsibilities Perform all functions of coding quality reviews (routine monthly, focus pre‑bill, CDI reconciliations, second‑level review work queues) for inpatient coding across OUH.
Conduct 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.
Respond to coding‑related questions from internal and external coding staff.
Initiate the rebilling process as required per policy on special projects.
Trial tip sheets and training developed by the auditing team and provide constructive feedback.
Maintain or exceed established productivity and accuracy standards, delivering consistent day‑to‑day results that directly support team performance, data integrity, and organizational objectives.
Meet all educational requirements as stated in current company policy.
Review all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current.
Perform other duties as assigned.
Minimum Requirements Level1: High School diploma or GED; at least 1 year of inpatient facility coding auditing or DRG validation with a minimum of 5 years of inpatient facility coding experience; RHIA, RHIT, CCS, CPC, or CIC certification/registration required.
Level2: High School diploma or GED; at least 3 years of experience in inpatient facility coding auditing or DRG validation, including at least 2 years of coding at an academic health center; RHIA, RHIT, CCS, CPC, or CIC certification/registration required.
Level3: Associate’s degree; at least 5 years of experience in inpatient facility coding auditing at an academic health center; RHIA, RHIT, CCS, CPC, or CIC certification/registration required; HFMACRCR certification required within 6 months of hire.
OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.
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