Remote Inpatient Coding Auditor

This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates : Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

Pride Health is hiring an Inpatient Coding Auditor (DRG Validation) to support our client's healthcare facility in Oklahoma City, OK.
 
Job Details: 
Schedule:  Monday–Friday (During training 8:00 AM–4:30 PM CST); after training, flexible hours between 6:00 AM–6:00 PM CST.
Location:  Fully Remote (Oklahoma, Kansas, Missouri, Texas, and Arkansas)
Float / Coverage Area: 
Job Type: Local contract
Contract Length: 13 weeks Contract (Possible extension)
Pay Range: $43.00 to $46.00/hour*
*Pay offered is based on experience, expertise, credentialing, and education.  
 
Duties: 

• Perform inpatient coding audits, peer reviews, DRG validation, and quality reviews.

• Validate principal/secondary diagnoses, procedures, ICD-10-PCS codes, and DRG assignments.

• Conduct pre-bill reviews, CDI reconciliations, and second-level account reviews.

• Respond to coding questions and assist with physician queries.

• Identify coding error trends and recommend workflow improvements.

• Develop training materials and provide coaching/mentoring to coding staff.

• Support onboarding and training of new employees.

• Maintain coding accuracy, productivity, compliance, and data quality standards.

• Use Epic, Solventum/3M 360, MS-DRGs, and APR-DRGs.

Requirements: 

• Education: HSD or GED required. 
• License(s):
• Certification(s): RHIA, RHIT, CCS, CPC, or CIC Required.
• Years of experience: 

  • 4+ years of acute-care inpatient facility coding experience.

  • 3+ years of inpatient coding auditing/DRG validation experience, including 2+ years in an Academic Health Center preferred/required per posting.

  • Strong experience with principal diagnosis, DRG assignment, secondary diagnosis, and ICD-10-PCS coding.

  • Acute-care and trauma coding experience required; Academic Medical Center/Trauma Center experience preferred.

  • Experience with Neurosurgery, Cardiothoracic, Orthopedic, and General/Oncology Surgery cases.

  • Physician query experience.

• Skills/Specialties/Technology:

  • Pre-employment Inpatient Coding and Auditing assessments are required before the interview.

  • Training is expected to be completed within 2 weeks.

  • Full productivity is expected within 4 weeks.

  • Remote setup requires Windows 11, dual monitors, a webcam, and reliable high-speed internet.

Interested? Apply Today! 
 

#PHCNonClinicalZip

For workers in the United States, PrideGlobal and it's affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity
PrideGlobal and it's affiliates are an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment
PrideGlobal and it's affiliates are a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.