Inpatient Coding Auditor
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Job Description
Inpatient coding auditor ensuring accurate, compliant hospital coding for OU Health. Auditing coder work, validating DRGs, and delivering targeted education.
Responsibilities:
- Ensure accurate, quality, and compliant inpatient facility coding through prebill and retrospective audits
- Provide targeted education to improve consistency and documentation quality
- Perform routine monthly, focused pre-bill, CDI reconciliation, and second-level review queue coding quality reviews across OUH
- Perform peer-to-peer auditor reviews
- Communicate with teams and departments to resolve account review and code/DRG validation issues
- Respond to coding-related questions from internal and external coding staff
- Initiate rebilling processes as required by policy on special projects
- Trial auditing-team tip sheets and training and provide constructive feedback
- Maintain or exceed productivity and accuracy standards
- Review official data quality standards, coding guidelines, policies, procedures, and clinical/medical resources
- Perform other duties as assigned
Requirements:
- Candidates must reside and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas before their first day of employment
- High School diploma or GED required for Level 1
- At least 1 year of Inpatient Facility Coding Auditing or DRG Validation and at least 5 years of Inpatient facility coding required for Level 1
- At least 3 years of Inpatient Facility Coding Auditing or DRG Validation, including at least 2 years of coding at an Academic Health Center, required for Level 2
- Associate's degree required for Level 3
- At least 5 years of experience in Inpatient Facility Coding Auditing at an Academic Health Center required for Level 3
- RHIA, RHIT, CCS, CPC, or CIC required
- HFMA CRCR required within 6 months of hire for Level 3
- Must meet all educational requirements stated in current Company policy
- Must maintain current knowledge of official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources
Benefits:
- Competitive wages and total rewards package
- Paid time off (PTO)
- 401(k)
- Medical plan
- Dental plan
- Comprehensive benefits and compensation package
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