Role Description
The Facility Inpatient Coding Auditor & Educator is responsible for auditing inpatient facility coding for accuracy, compliance, and quality, while providing education and feedback to coding and QA team members across a global workforce. This role ensures adherence to official coding guidelines, regulatory requirements, and organizational standards, and supports continuous improvement through targeted education, data analysis, and collaboration with stakeholders.
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Conduct comprehensive audits of inpatient facility coding, including MS-DRGs, ICD-10-CM/PCS, POA indicators, discharge disposition, and quality-related data elements
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Ensure compliance with official coding guidelines, CMS regulations, payer requirements, and internal policies
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Identify coding errors, trends, and root causes impacting reimbursement, quality metrics, and compliance risk
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Validate documentation supports coded diagnoses and procedures
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Develop and deliver education for inpatient facility coders across a global team (virtual format)
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Provide team feedback and coaching based on audit findings
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Create and maintain educational materials, job aids, and coding guidance updates
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Support onboarding and ongoing competency development for new and experienced coders
Qualifications
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Active coding credential: RHIA, RHIT, CCS (required)
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Minimum 3 years of inpatient facility auditing experience with at least 2 years of coding education experience
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Expert knowledge of ICD-10-CM/PCS, MS-DRGs, POA indicators, and UHDDS
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Strong understanding of CMS regulations, OIG guidance, and compliance standards
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Experience working with or supporting global or remote coding teams
Requirements
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Experience with teaching, curriculum development, or adult learning principles
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Familiarity with encoder and EHR systems (e.g., 3M, Optum, Cerner)
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Experience supporting multi-facility or health system environments
Skills & Competencies
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Excellent written and verbal communication skills
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Strong analytical and critical-thinking abilities
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Ability to educate and influence without direct authority
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Cultural awareness and ability to collaborate across time zones
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Proficiency with Microsoft Office
Work Environment
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Remote or hybrid, supporting a global coding workforce
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Flexible schedule may be required to accommodate international time zones