Sr. Auditing Consultant - Inpatient

• Conduct inpatient coding audits for facility reporting, ensuring accuracy, compliance, and alignment with regulatory and reimbursement standards.
• Analyze audit findings to identify patterns, trends, and recurring coding issues, and recommend targeted improvement strategies.
• Provide education and feedback to coders, providers, and client teams based on audit results to improve documentation and coding quality.
• Apply knowledge of reimbursement systems such as MS-DRG, APR-DRG, IPPS, APC, and RBRVS in audit evaluations.
• Utilize ICD-10, PCS coding guidelines, and medical terminology expertise to assess inpatient records.
• Leverage coding tools, encoders, reference materials, and MS Office applications within a virtual, desktop-based environment.
• Maintain strict confidentiality of patient and provider information in compliance with all applicable regulations.
• Collaborate with healthcare clients to support revenue cycle improvement and operational excellence initiatives.

Requirements

This role requires deep expertise in inpatient medical coding and auditing, strong analytical skills, and the ability to work independently in a remote environment. Candidates should demonstrate a strong understanding of healthcare reimbursement systems and regulatory compliance standards.

• Active certification such as RHIA, RHIT, CCS, CCS-P, or CPC required.
• Minimum of 3+ years of experience in inpatient coding and auditing within a healthcare or hospital setting.
• Strong knowledge of ICD-10-CM/PCS coding systems and medical terminology.
• Understanding of healthcare reimbursement methodologies including MS-DRG, APR-DRG, IPPS, APC, and RBRVS.
• Proven ability to analyze complex medical records and identify coding discrepancies and improvement opportunities.
• Experience providing education or feedback to clinical or coding teams based on audit outcomes.
• Strong attention to detail with the ability to work independently and manage priorities effectively.
• Proficiency in Microsoft Office and familiarity with coding software, encoders, and digital reference tools.
• Strong communication skills with a professional, client-focused approach.
• Commitment to compliance, confidentiality, and high-quality auditing standards.

Benefits

• Competitive salary range of $72,000–$77,000 annually, depending on experience, certifications, and location.
• Remote work flexibility within the United States.
• Opportunity to work in a specialized, high-impact healthcare auditing environment.
• Professional development and continuous learning in medical coding and compliance.
• Exposure to leading healthcare revenue cycle improvement initiatives.
• Collaborative and mission-driven work culture focused on quality and excellence.
• Equal opportunity workplace committed to diversity, inclusion, and fairness.