Quality Analyst [Inpatient Medical Coding]

The Inpatient Auditor ensures the accuracy, compliance, and integrity of inpatient coding through retrospective and prospective audits. This role supports revenue integrity, regulatory compliance, and quality outcomes.

Key Responsibilities

• Conduct coding audits on inpatient records to assess accuracy, completeness, and compliance.
• Provide detailed feedback and education to coding staff on audit findings.
• Identify trends, risks, and opportunities for improvement in coding practices.
• Collaborate with CDI, compliance, and training staff to standardize best practices.
• Maintain audit documentation and prepare reports for leadership.

Qualifications

• Certification as CCS, CIC, or equivalent required.
• 3–5 years of inpatient coding experience with audit experience preferred.
• In-depth knowledge of ICD-10-CM/PCS, DRG assignment, and regulatory requirements.
• Strong ana...