Inpatient Audit Specialist PRN

Inpatient Audit Specialist PRN

This is a fully remote opportunity for an experienced inpatient coding and auditing professional supporting healthcare organizations with high-quality, compliant coding practices. You will conduct facility inpatient coding audits across onboarding, focused reviews, service-level agreements, and other specialized engagements. The role combines detailed chart review with clear, evidence-based recommendations and coder education. You will work with MS-DRG and APR-DRG methodologies while identifying coding opportunities, discrepancies, and areas for improvement. Success requires strong judgment, excellent query-writing abilities, and the ability to manage multiple cases while maintaining accuracy and turnaround expectations. This PRN position offers a flexible schedule, with a preference for approximately 20 hours per week, and spinal auditing experience is a plus. You will also contribute to a collaborative, service-oriented environment focused on coding excellence, compliance, and continuous professional development.

Accountabilities:

• Conduct inpatient facility coding audits according to defined scopes of work, including onboarding reviews, focused audits, service-level agreement assessments, and other specialized review types, applying appropriate codes and coding-related elements under MS-DRG or APR-DRG methodologies.
• Provide clear, concise, and well-supported rationale for identified coding changes, referencing relevant documentation and the specific location of supporting evidence within the medical record.
• Identify coding quality, compliance, and workflow opportunities while providing meaningful recommendations that address customer needs and support improved outcomes.
• Deliver coder education through the auditing process, helping reinforce accurate coding practices, regulatory compliance, and professional standards.
• Stay current with applicable regulatory and coding changes and incorporate updated requirements into audit activities and recommendations.
• Manage and prioritize multiple cases concurrently to maintain efficient workflows, quality standards, and expected turnaround times.
• Demonstrate sound judgment when handling high-complexity coding decisions and communicate findings professionally, efficiently, and constructively.
• Maintain adherence to the American Health Information Management Association's professional code of ethics and uphold a strong commitment to accuracy, integrity, confidentiality, and service.
• Collaborate effectively with colleagues and customers while demonstrating dependability, flexibility, organization, teamwork, leadership, and a continuous desire to learn.

Requirements

• Bring at least 5 years of facility inpatient coding and/or inpatient auditing experience, with strong knowledge of complex inpatient coding and auditing practices.
• Hold a Certified Coding Specialist (CCS) credential, which is required; RHIA or RHIT certification is preferred.
• Demonstrate the ability to maintain a 95% DRG accuracy rate and consistently apply sound coding judgment.
• Have strong knowledge of MS-DRG and/or APR-DRG methodologies and experience reviewing inpatient medical records for coding accuracy and compliance.
• Possess excellent query-writing skills and the ability to develop concise, well-supported explanations for coding recommendations.
• Experience with spinal cases or spinal auditing is a plus.
• Be comfortable working with healthcare technology and electronic medical record systems, including Epic, Cerner, and other commonly used EMRs.
• Demonstrate strong organizational, analytical, communication, teamwork, and decision-making skills, with the ability to work independently while maintaining a high level of professionalism.
• Be customer-service oriented, flexible, dependable, detail-focused, and committed to coding excellence and continued professional development.
• Be legally authorized to work in the United States; this position is not eligible for employment sponsorship.

Benefits

• Estimated pay: $35$45 USD per hour, depending on location, responsibilities, skills, experience, and other role requirements.
• PRN flexibility: Flexible remote scheduling, with a preference for approximately 20 hours per week.
• Remote work: Perform the role from your own workspace within the United States.
• 401(k): PRN employees are eligible for a 401(k) savings plan with company matching.
• Equipment provided: Laptop, monitor, mouse, headset, and keyboard.
• Professional training: Comprehensive training led by a credentialed professional coding manager.
• Mentorship: Service-oriented management and ongoing professional support designed to help you succeed.
• Meaningful healthcare impact: Contribute to coding quality, compliance, education, and improved healthcare data accuracy.