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