Auditor - Inpatient Coding

3 - 6 years

4 - 9 Lacs

Posted:3 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Job Title:

Inpatient Coding Auditor

Key Responsibilities:

  • Audit inpatient medical records to validate ICD-10-CM and ICD-10-PCS coding accuracy.
  • Perform MS-DRG and APR-DRG validation for inpatient encounters.
  • Identify coding errors and provide detailed feedback to coding teams.
  • Ensure coding complies with organizational policies, CMS, and payer-specific requirements.
  • Collaborate with coders and CDI teams to support documentation improvement.
  • Prepare audit reports with detailed analysis and recommendations.
  • Maintain records of audits and ensure timely communication of results.

Required Skills & Qualifications:

  • 3+ years of experience in inpatient coding and coding audit.
  • Certification: CPC, CCS, or CIC (mandatory).
  • Strong knowledge of ICD-10-CM, PCS, DRG, and official coding guidelines.
  • Proficient with EHR systems and audit tools (e.g., 3M, EPIC, Cerner).
  • Excellent communication, analytical, and documentation skills.

Preferred Qualifications:

  • Experience in US healthcare domain.
  • Previous exposure to coding quality improvement projects.
  • Working knowledge of HIPAA compliance.

Education:

  • Bachelor's degree in Life Sciences, Nursing, or Allied Health.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC).

Apply Now

Interested candidates share your resumes to thasleem.banu@yitroglobal.com

Contact no - 9094478852

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Human Resources Services

Nairobi

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