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Inpatient Coding Auditor Jobs in Ohio (NOW HIRING)

Humana Inc

Inpatient Medical Coding Auditor

Columbus, OH · On-site

$88.02 - $107.58/hr

MS-DRG coding/auditing experience * Proficiency in reading and interpreting claims * Experience in performing inpatient coding reviews/audits in health insurance and/or hospital settings * Strong ...

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Elevance Health

DRG Coding Auditor Principal

Mason, OH · On-site

$122 - $183/hr

The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem ...

Elevance Health

DRG Clinical Auditor Principal

Mason, OH · On-site

$122K - $183K/yr

... Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). * Requires minimum of 10 years experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG. Preferred skills, qualifications ...

Elevance Health

DRG Clinical Auditor Principal

Mason, OH · On-site

$122K - $183K/yr

... Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). * Requires minimum of 10 years experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG. Preferred skills, qualifications ...

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Inpatient Coding Auditor information

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How much do inpatient coding auditor jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for inpatient coding auditor in Ohio is $27.68, according to ZipRecruiter salary data. Most workers in this role earn between $24.90 and $28.32 per hour, depending on experience, location, and employer.

What does an inpatient coding auditor do?

An Inpatient Coding Auditor is responsible for reviewing and analyzing medical records and coding data for patients who have been admitted to a hospital. They ensure that the codes assigned to diagnoses and procedures are accurate and comply with federal regulations, payer guidelines, and hospital policies. Their work helps ensure accurate billing, prevents fraud, and supports proper reimbursement for healthcare services. Inpatient Coding Auditors also identify coding errors, educate coding staff, and may assist in preparing for audits by external agencies.

What are the key skills and qualifications needed to thrive as an inpatient coding auditor?

To thrive as an Inpatient Coding Auditor, you need deep knowledge of medical coding systems (such as ICD-10-CM/PCS), healthcare reimbursement, and auditing principles, often supported by credentials like RHIA, RHIT, or CCS. Proficiency with electronic health record (EHR) systems, coding software, and auditing tools is essential for accuracy and efficiency. Strong attention to detail, analytical thinking, and effective communication skills help auditors identify discrepancies and collaborate with clinical and administrative staff. These competencies ensure compliant, accurate coding and billing, which are critical for organizational integrity and proper reimbursement.

What are some common challenges faced by inpatient coding auditors, and how can they be addressed?

Inpatient Coding Auditors often encounter the challenge of staying updated with frequent changes in coding guidelines and regulatory requirements, such as ICD-10-CM/PCS updates and payer-specific rules. Additionally, interpreting complex medical records while ensuring coding accuracy and compliance can be demanding, especially when documentation is unclear. To address these challenges, auditors typically engage in ongoing professional education, collaborate closely with coding teams and healthcare providers for clarification, and utilize auditing software to streamline processes and minimize errors. Continuous learning and effective communication are key to success in this role.

What is the difference between Inpatient Coding Auditor vs Outpatient Coding Auditor?

AspectInpatient Coding AuditorOutpatient Coding Auditor
CertificationsAHIMA CCS, CPC, or CCAAHIMA CCS, CPC, or CCA
Work EnvironmentHospitals, inpatient facilitiesOutpatient clinics, physician offices
Industry UsageHealthcare providers with inpatient servicesOutpatient and ambulatory care providers
Job FocusReviewing inpatient medical records and coding accuracyReviewing outpatient records and coding compliance

Inpatient Coding Auditors and Outpatient Coding Auditors share similar certifications and work environments but focus on different patient care settings. Inpatient Coding Auditors specialize in hospital inpatient records, ensuring accurate coding for billing and compliance, while Outpatient Coding Auditors focus on outpatient and ambulatory care records. Both roles are essential for healthcare revenue cycle management and require similar credentials.

How do I become an inpatient coding auditor?

To become an inpatient coding auditor, you typically need a high school diploma or equivalent, followed by completing a coding certification such as the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Gaining experience in medical coding and understanding inpatient hospital coding guidelines is essential, and many auditors also pursue ongoing education to stay current with coding updates and compliance standards.

What are popular job titles related to Inpatient Coding Auditor jobs in Ohio?

For Inpatient Coding Auditor jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Inpatient Coding Auditor jobs in Ohio look for?

The top searched job categories for Inpatient Coding Auditor jobs in Ohio are:

Inpatient Coding Auditor jobs near you
Infographic showing various Inpatient Coding Auditor job openings in Ohio as of August 2026, with employment types broken down into 2% Locum Tenens, 4% As Needed, 72% Full Time, 18% Part Time, and 4% Contract. Highlights an 97% Physical, and 3% Remote job distribution, with an average salary of $57,567 per year, or $27.7 per hour.

Inpatient Medical Coding Auditor

Humana Inc

Columbus, OH • On-site

$88.02 - $107.58/hr

Other

Medical, Dental, Vision, Retirement

Posted 2 days ago

New

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

166th of 311 rated insurance

Job description

Employer Industry: Healthcare Insurance

Why consider this job opportunity:
  • Salary up to $97,800 per year
  • Eligible for a bonus incentive plan based on company and/or individual performance
  • Comprehensive benefits package including medical, dental, vision, and 401(k) retirement savings plan
  • Opportunities for professional development and career advancement within a Fortune 100 company
  • Flexible remote work environment with occasional travel for training or meetings
  • Supportive organizational culture focused on the well-being of employees and consumers
What to Expect (Job Responsibilities):
  • Review inpatient hospital claims to ensure proper reimbursement and handle provider disputes
  • Assign appropriate procedural terminology and medical codes to patient records
  • Analyze, enter, and manipulate databases for accurate claims payment and diagnosis-related group assignments
  • Respond to internal requests for medical information and clarify discrepancies
  • Make independent decisions regarding work methods while adhering to established guidelines
What is Required (Qualifications):
  • RHIA, RHIT, or CCS Certification, with a minimum of 4 years of experience in one of these qualifications
  • MS-DRG coding/auditing experience
  • Proficiency in reading and interpreting claims
  • Experience in performing inpatient coding reviews/audits in health insurance and/or hospital settings
  • Strong attention to detail and ability to maintain confidentiality
How to Stand Out (Preferred Qualifications):
  • Experience in APR DRG coding/auditing
  • Background in Financial Recovery
  • Familiarity with a fast-paced, metrics-driven operational setting

"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

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