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Remote Senior Inpatient Auditor – MS-DRG & Clinical Validation

Remote / Online - Candidates ideally in
Knoxville, Knox County, Tennessee, 37955, USA
Listing for: CGI
Remote/Work from Home position
Listed on 2026-01-16
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Compliance
Job Description & How to Apply Below

Employer Industry: Healthcare Compliance

Why consider this job opportunity
  • Salary range up to $
  • Comprehensive benefits including insurance options and a 401(k) plan with matching contributions
  • Paid time off for vacation, holidays, and sick leave, along with paid parental leave
  • Opportunities for learning, tuition assistance, and professional growth
  • Supportive remote work environment with a focus on continuous learning and mentorship
What to Expect (Job Responsibilities)
  • Review inpatient medical records to validate ICD-10 code assignments and ensure compliance with coding standards
  • Author detailed audit findings and produce comprehensive reports supported by authoritative coding references
  • Collaborate with Clinical Nurse Auditors or Physician Advisors for complex clinical reviews
  • Provide strategic input to improve claim selection criteria and audit effectiveness
  • Maintain data integrity and resolve discrepancies in client data to meet corporate and regulatory standards
What is Required (Qualifications)
  • Active AHIMA Credentials: RHIA, RHIT, or CCS required
  • Minimum of 5 years of inpatient coding experience
  • Extensive knowledge of ICD-10-CM/PCS coding and reimbursement methodologies
  • Strong written communication skills with a focus on grammar and clarity
  • Advanced proficiency in Microsoft Office applications
How to Stand Out (Preferred Qualifications)
  • Previous experience mentoring or training junior coders
  • Willingness to travel occasionally for on-site reviews or specialized training

#Healthcare Compliance #Auditing #Remote Work #Career Growth #Competitive Compensation

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Position Requirements
10+ Years work experience
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