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Drg Coding Auditor Jobs in Florida (NOW HIRING)

Inpatient/Outpatient Facility Coding Auditor

Tampa, FL · On-site

$25.75 - $29.25/hr

MS-DRG and other DRG validation * APC validation and charge capture * Clinical documentation ... Minimum of 5 years of inpatient coding auditing and reimbursement experience in a hospital setting ...

Hospital Coding Auditor

Pensacola, FL · On-site

$24 - $27.25/hr

The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position ...

Hospital Coding Auditor

Pensacola, FL · On-site

$25.75 - $29.25/hr

The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position ...

Hospital Coding Auditor

Pensacola, FL · On-site

$24 - $27.25/hr

The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA ... Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on ...

Hospital Coding Auditor

Pensacola, FL · On-site

$25.75 - $29.25/hr

The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position ...

Inpatient Coding Certification required (CCS, CIC) within 4 - 6 months of hire date * 1 -3 years reviewing and or auditing ICD-10 CM, MS-DRG and APPR-DRG claims preferred * Experience and working ...

Inpatient Coding Certification required (CCS, CIC) within 4 - 6 months of hire date * 1 -3 years reviewing and or auditing ICD-10 CM, MS-DRG and APPR-DRG claims preferred * Experience and working ...

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Drg Coding Auditor information

What is a DRG Coding Auditor?

A DRG Coding Auditor is a healthcare professional responsible for reviewing medical records and coding documentation to ensure the accuracy of Diagnosis-Related Group (DRG) assignments. They verify that coding practices comply with federal regulations and hospital policies, help improve reimbursement accuracy, and identify potential coding errors or opportunities for education. DRG Coding Auditors play a crucial role in maintaining the integrity of clinical documentation, supporting compliance, and minimizing risks related to billing and audits.

What are the key skills and qualifications needed to thrive as a DRG Coding Auditor?

To excel as a DRG Coding Auditor, you need in-depth knowledge of ICD-10-CM/PCS coding, DRG assignment, and a background in health information management, often supported by credentials such as RHIA, RHIT, or CCS. Familiarity with coding software, auditing tools, and electronic health record (EHR) systems is essential for accurate and efficient audits. Strong analytical thinking, attention to detail, and effective communication help auditors identify discrepancies and provide clear feedback to coding teams. These skills are vital to ensure compliant, precise coding practices that impact hospital reimbursement and regulatory adherence.

How does a DRG Coding Auditor typically collaborate with clinical staff and coding teams to ensure accurate coding practices?

As a DRG Coding Auditor, you will frequently interact with both clinical staff and coding professionals. Your role often involves reviewing clinical documentation and coded data, then providing feedback or clarification requests to ensure accurate diagnosis-related group (DRG) assignment. Building strong working relationships and communicating effectively with these teams is crucial, as you may need to educate or guide them on documentation standards and compliance updates. This collaboration not only supports accurate billing but also drives overall quality and integrity in patient records.

What is the difference between Drg Coding Auditor vs Medical Coding Specialist?

AspectDrg Coding AuditorMedical Coding Specialist
CredentialsAHIMA or AAPC certification, coding credentialsAHIMA or AAPC certification, coding credentials
Work EnvironmentHospitals, insurance companies, healthcare facilitiesClinics, hospitals, physician offices
Employer & IndustryHealthcare providers, insurance payersHealthcare providers, billing companies
Search & Comparison IntentAuditing, compliance, reimbursement accuracyCoding, billing, documentation

While both roles require coding credentials and work within healthcare settings, Drg Coding Auditors focus on reviewing coding accuracy for reimbursement and compliance, often in hospitals or insurance companies. Medical Coding Specialists primarily handle assigning codes for billing and documentation. The auditor role emphasizes compliance and reimbursement review, whereas the specialist role centers on coding and documentation accuracy.

How do I become a Drg Coding Auditor?

To become a DRG coding auditor, you typically need a coding certification such as CPC or CCS, along with experience in medical coding and billing. Knowledge of diagnosis-related groups (DRGs), coding guidelines, and auditing procedures is essential, and some roles may require a bachelor's degree in health information management or a related field.
Infographic showing various Drg Coding Auditor job openings in Florida as of August 2026, with employment types broken down into 1% Internship, 1% As Needed, 81% Full Time, 12% Part Time, and 5% Contract. Highlights an 75% Physical, 5% Hybrid, and 20% Remote job distribution.

Inpatient Coding Auditor

Sage Clinical RCM, LLC

Saint Petersburg, FL • On-site

$26 - $29.50/hr

Full-time, Part-time, Per diem

Re-posted 9 days ago


Job description

Description:

Role Summary

Responsible for reviewing inpatient coding to validate accuracy, compliance, and documentation support. This role identifies risks, ensures consistency in DRG assignment, and provides actionable feedback to improve coding quality.


Core Responsibilities

  • Perform retrospective and/or concurrent audits of inpatient coding.
  • Validate ICD-10-CM/PCS code assignment and MS-DRG/APR-DRG accuracy.
  • Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies.
  • Identify trends, risks, and opportunities for coding improvement.
  • Provide clear, actionable audit feedback and education to client & internal coding staff.
  • Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.
Requirements:

Minimum Qualifications

  • Credentials: CCS, RHIA, or RHIT (active).
  • Experience: Minimum 3+ years of inpatient coding and at least 2 years of auditing experience. In lieu of auditing experience, 7+ years of coding experience is required.
  • Skills & Knowledge: Strong knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG assignment, and Coding Clinic guidance. Strong analytical and written communication skills.

Client & Specialty Alignments

  • Specialty Expectations: Strong understanding of methodologies to validate documentation impacting severity, risk, and reimbursement. Experience auditing across complex, multi-diagnosis inpatient cases and knowledge of documentation requirements impacting DRG shifts.

Work Model & Employment Tracks

  • Work Model: 100% remote, independent, quality-focused work environment with collaboration across coding, audit, CDI, and client teams.
  • Full-Time (FT): Standard production aligned to client or project needs.
  • Part-Time / PRN / Project-Based: Flexible support for backlog, specialty coverage, or targeted initiatives.
  • Note: Some positions may require evening or weekend coverage based on client needs or project scope.

Client & Specialty Alignments

  • BayCare Requirements: 5+ years inpatient coding experience required, with experience in larger, complex hospital environments strongly preferred. Must demonstrate consistent performance at established productivity and quality benchmarks.
  • Emory Requirements: 5+ years inpatient coding experience required. Strong emphasis on coding accuracy, consistency, and adherence to client-specific guidelines and documentation standards.

Why Sage Clinical RCM

  • National exposure to diverse, high-acuity health systems and specialties.
  • Quality-first culture with realistic expectations (not volume-only).
  • Flexible work options (FT, PT, and PRN).
  • Opportunity to expand into other audit, education, and advisory services.