Ahima Jobs in Remote, OR (NOW HIRING)

JOB SUMMARY:
We are seeking a highly skilled Inpatient Coding Auditor to ensure the accuracy, integrity, and compliance of coding across inpatient and outpatient services. This role serves as a subject matter expert in coding practices and supports education, auditing, and collaboration efforts across clinical and coding teams.
RESPONSIBILITIES:

• Accurately audit inpatient, ambulatory surgery, observation, and outpatient encounters to ensure appropriate reimbursement, regulatory compliance, and data integrity using ICD10CM, ICD10PCS, and CPT4 classification systems
• Review and validate complex inpatient cases including trauma, rehab, neurology, and critical care to ensure accurate APRDRG, SOI, ROM, and POA assignment
• Serve as a coding subject matter expert by analyzing clinical documentation, identifying discrepancies, and collaborating with providers, clinical documentation specialists, and coding staff
• Provide education, training, and ongoing support to Coding Specialists, including onboarding new hires and sharing best practices
• Monitor and report coding accuracy and productivity metrics for coding staff
• Conduct focused and specialized audits as needed to improve coding quality and compliance
• Research new surgical procedures and emerging technologies to support accurate coding practices
• Communicate with hospital departments to address coding concerns and ensure alignment with regulatory and organizational standards
• Escalate coding issues to leadership in a timely manner with clear and detailed documentation
• Assist coding staff with developing appropriate and compliant coding queries
• Collaborate closely with Clinical Documentation Integrity teams and maintain knowledge of PPCs, MHACs, PQIs, and related quality indicators
• Ensure adherence to AHIMA ethical coding standards and all applicable compliance guidelines
• Support organizational mission, vision, and values, and complete additional coding reviews, corrections, or projects as assigned by leadership

Hours: Operating hours are 6AM to 6PM EST
40 hours per week within the operating timeframe

Required Qualifications

Education

• High School diploma or equivalent required
• Formal training in ICD10CM, ICD10PCS, and CPT4 required
• Associate or Bachelor degree preferred. Relevant education may substitute for experience

Experience

• Minimum 2 years of ICD10CM and ICD10PCS coding and abstracting experience in a Level 1 Trauma hospital OR 4 years of inpatient hospital coding experience
• 2 to 3 years of ambulatory coding experience
• Required: hands on inpatient coding audit experience

Certifications

• One of the following active credential required:
  • Certified Coding Specialist CCS
  • Registered Health Information Technician RHIT
  • Registered Health Information Administrator RHIA
  • Certified Inpatient Coder CIC

WORK ENVIRONMENT:

• Fully remote position
• Must have their own equipment to work from
• Must have reliable internet and a secure work environment
• Must be based in EST or CST hours

Choose 1st Choice — we care about our people, offer great benefits, and create real opportunities to grow. With 20+ years of nationwide staffing success, we're here to help you thrive. We’re an equal opportunity employer and welcome all qualified applicants.