Inpatient QA Coder Auditor

The Inpatient QA Coder Auditor is responsible for reviewing and auditing inpatient medical coding for accuracy, compliance, and adherence to regulatory and client-specific guidelines. This role ensures high-quality coding standards, identifies gaps, and provides actionable feedback to coders to drive continuous improvement and coding integrity.

Key Responsibilities

• Perform quality audits on inpatient coding (ICD-10-CM/PCS) to ensure accuracy and compliance with official coding guidelines

• Review medical records and validate appropriate assignment of diagnoses and procedures

• Identify coding errors, trends, and opportunities for process improvement

• Provide detailed feedback, coaching, and education to coders based on audit findings

• Ensure compliance with client requirements, regulatory standards (CMS, AHIMA, AAPC), and internal quality benchmarks

• Maintain audi...