May 20, 2026

Clinical Coding Auditor

Job Description

To ensure coding accuracy and clinical chart validation for inpatient audits, the full-time Clinical Coding Auditor will analyze claims, utilize proprietary audit tools, and maintain productivity and quality standards while working remotely. Key responsibilities Analyzes and audits inpatient claims using advanced ICD-10 coding expertise and clinical guidelines Effectively utilizes proprietary auditing systems to make determinations and generate audit documentation Meets or exceeds established standards for productivity, accuracy, and quality in auditing processes Required qualifications Associate or bachelor's degree in nursing or Health Information Management (RHIA or RHIT) or equivalent experience in claims auditing Active coding/CDI certification (e.g., RHIA, RHIT, CPC, CCS, CIC, CDIP, or CCDS) 5 to 7+ years of experience with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG in claims auditing Expert knowledge of coding guidelines, medical necessity criteria, and payer reimbursement policies Proficiency in Microsoft Office applications and familiarity with industry-based standards