Key skills
Leadership
About this role
Role Overview
- Review inpatient records for coding accuracy and DRG validation
- Identify anomalies for audit targeting
- Apply ICD-10-CM/PCS coding guidelines and DRG logic
- Assess how coding impacts reimbursement and severity adjustment
- Conduct retrospective audits and document findings
- Recommend adjustments, recoveries, or provider education
- Collaborate with clinical reviewers and data analysts
Requirements
- RHIA, RHIT, CCS, or CIC
- 5+ years inpatient coding experience
- Audit or validation experience
- Strong DRG knowledge (MS-DRG/APR-DRG)
- Understanding of CDI and severity of illness (SOI/ROM) concepts
- 3M Coding software experience (preferred)
- BA degree (preferred)
- Previous leadership experience (preferred)
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities