Inpatient Auditor and Educator

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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