Inpatient Coding Auditor

Overview

Z. Wilson Talent Solutions is proud to partner with a premier healthcare organization to recruit experienced Inpatient Coding Auditors for a full-time, fully remote opportunity. This role is open to qualified candidates across the United States and offers a competitive salary, annual bonus, comprehensive benefits, and paid overtime. Whether you’re an experienced auditor or a highly skilled inpatient (facility) coder ready to take the next step, this role provides a meaningful path forward.

Candidates with strong inpatient coding expertise and a solid understanding of DRG reimbursement will receive training and support to develop auditing capabilities.

As an Inpatient Coding Auditor, you will play a critical role in ensuring accurate DRG assignment, compliant documentation, and appropriate reimbursement. Working closely with physicians and internal stakeholders, you’ll combine your clinical coding expertise with advanced technology and analytics to support quality, compliance, and financial integrity across inpatient services.

• Review inpatient medical records pre-bill to validate diagnosis and procedure coding
• Assign accurate DRGs using clinical judgment and coding expertise
• Collaborate directly with physicians to clarify documentation and resolve coding questions
• Utilize proprietary technology to identify trends, query opportunities, and data insights
• Support denial prevention and resolution through compliant coding practices
• Provide education and share best practices related to inpatient coding and compliance
• Stay current on ICD-10-CM/PCS updates, DRG changes, and regulatory guidance
• Contribute to continuous process improvement and assist with coding work as needed

• Education:
  
  High school diploma or GED required;
  Associate degree in Health Information Management or related field preferred
• Experience:
  
  4+ years of inpatient facility coding experience
• Experience in Level I or II trauma centers and/or teaching hospitals strongly preferred
• Deep understanding of DRG reimbursement methodologies (MS-DRG, APR-DRG)
• Certifications:
  
  RHIA, RHIT, CCS, CPC, or CIC (AHIMA or AAPC) required

• Highly detail-oriented with a strong commitment to accuracy and integrity
• Analytical and curious, with a desire to continuously learn and improve
• Collaborative and confident working with physicians and cross-functional teams
• Passionate about compliance, quality, and making a real impact in healthcare

• Fully remote role with long-term stability
• Competitive compensation, bonus potential, and paid overtime
• Strong training and support for coders transitioning into auditing
• Meaningful work that directly supports patient care, compliance, and reimbursement accuracy