Inpatient Auditor and Educator at CPa Medical Billing

East Haven, Connecticut, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Apr, 26

Salary

0.0

Posted On

12 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Inpatient Coding, Auditing, Education, ICD-10-CM, MS-DRGs, Compliance, Data Analysis, Coaching, Documentation, Communication, Analytical Skills, Critical Thinking, Cultural Awareness, Microsoft Office, Encoder Systems, EHR Systems

Industry

Hospitals and Health Care

Description

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

Responsibilities

The Facility Inpatient Coding Auditor & Educator is responsible for auditing inpatient facility coding for accuracy and compliance while providing education to coding team members. This role ensures adherence to coding guidelines and supports continuous improvement through education and collaboration.