Description
The Inpatient Coding Auditor conducts DRG validation audits on selected inpatient medical records, verifies ICD-10-CM/PCS coding, diagnoses, procedures, discharge dispositions, POA indicators, and sequencing, and corrects discrepancies between coded data and clinical documentation. The role also monitors audit trends, supports compliance and quality initiatives, mentors coders and Clinical Documentation Improvement Specialists, prepares audit reports, and collaborates with CDI, physicians, IT, and data analytics teams. Mandatory certifications are CCS and CIC, and the position requires inpatient DRG auditing experience, Microsoft Office proficiency, and exposure to 3M software and NLP tools.
