Inpatient Coding Auditor

Inpatient Coding Auditor

Responsible for reviewing inpatient coding to validate accuracy, compliance, and documentation support. This role identifies risks, ensures consistency in DRG assignment, and provides actionable feedback to improve coding quality.

Core Responsibilities

• Perform retrospective and/or concurrent audits of inpatient coding.
• Validate ICD-10-CM/PCS code assignment and MS-DRG/APR-DRG accuracy.
• Follow and adhere to AHIMA's Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies.
• Identify trends, risks, and opportunities for coding improvement.
• Provide clear, actionable audit feedback and education to client & internal coding staff.
• Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.

Minimum Qualifications

• Credentials: CCS, RHIA, or RHIT (active).
• Experience: Minimum 3+ years of inpatient coding and at least 2 years of auditing experience. In lieu of auditing experience, 7+ years of coding experience is required.
• Skills & Knowledge: Strong knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG assignment, and Coding Clinic guidance. Strong analytical and written communication skills.

Work Model & Employment Tracks

• Work Model: 100% remote, independent, quality-focused work environment with collaboration across coding, audit, CDI, and client teams.
• Full-Time (FT): Standard production aligned to client or project needs.
• Part-Time / PRN / Project-Based: Flexible support for backlog, specialty coverage, or targeted initiatives.
• Note: Some positions may require evening or weekend coverage based on client needs or project scope.

Why Sage Clinical RCM

• National exposure to diverse, high-acuity health systems and specialties.
• Quality-first culture with realistic expectations (not volume-only).
• Flexible work options (FT, PT, and PRN).
• Opportunity to expand into other audit, education, and advisory services.