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Remote Inpatient Coding Auditor Jobs in California

Astrana Health, Inc.

$33 - $38/hr

Have at least 5 years of inpatient coding experience * Have at least 2 years of advanced DRG validation, auditing, or hospital reimbursement experience * Certifications One or more of the following ...

Aquent

Coding Specialist

Sacramento, CA · On-site +1

$38.29 - $41.07/hr

... inpatient services. * Determine the correct payment groups, such as Medicare Severity-Diagnosis ... Utilize industry-standard coding and auditing tools and reference materials with high competency ...

Adventist Health

Supervisor, Coding (Remote)

Roseville, CA · On-site +1

$38.02 - $52.14/hr

Monitors and assesses performance of coding staff to assure timely, accurate coding of inpatient discharges, ambulatory surgery encounters, emergency department, clinic encounters, and diagnostic ...

Cedars Sinai

Coding Audit Supervisor

Los Angeles, CA · Remote

Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon ... A minimum of 2 years of experience with outpatient/ambulatory care coding or inpatient acute care ...

Adventist Health

Supervisor, Coding (Remote)

Roseville, CA · On-site +1

$36.08 - $54.07/hr

Monitors and assesses performance of coding staff to assure timely, accurate coding of inpatient discharges, ambulatory surgery encounters, emergency department, clinic encounters, and diagnostic ...

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Remote Inpatient Coding Auditor information

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

AspectRemote Inpatient Coding AuditorRemote Outpatient Coding Auditor
CertificationsAHIMA or AAPC CCS, CPC, or RHIT/RHIASimilar certifications, often CPC or CCS
Work EnvironmentHospitals, inpatient facilities, remoteClinics, outpatient facilities, remote
Industry UsageHealthcare providers, insurance companiesHealthcare providers, insurance companies
Job FocusReviewing inpatient medical records, coding accuracyReviewing outpatient records, coding outpatient visits

Remote Inpatient Coding Auditors focus on inpatient hospital records, ensuring accurate coding for stays, while Remote Outpatient Coding Auditors review outpatient visit records. Both roles require similar certifications and work in healthcare settings, but they specialize in different types of medical documentation and coding processes.

What is a Remote Inpatient Coding Auditor?

A Remote Inpatient Coding Auditor is a healthcare professional who reviews and evaluates the accuracy of medical coding for inpatient records, typically working from a remote location. They ensure that diagnoses, procedures, and other relevant data are correctly coded according to official guidelines and regulatory requirements. Their work helps healthcare organizations maintain compliance, optimize reimbursement, and improve data quality. Remote auditors often use electronic health records and specialized software to perform their duties. They may also provide feedback and education to coding staff based on their findings.

What are the key skills and qualifications needed to thrive as a Remote Inpatient Coding Auditor, and why are they important?

To thrive as a Remote Inpatient Coding Auditor, you need expertise in ICD-10-CM/PCS coding, a strong understanding of inpatient reimbursement methodologies, and credentials such as RHIA, RHIT, or CCS certification. Proficiency with electronic health record (EHR) systems, coding software, and auditing tools is typically required. Attention to detail, analytical thinking, and effective written communication help auditors ensure accuracy and provide constructive feedback. These skills are crucial for maintaining compliance, optimizing hospital reimbursement, and upholding coding quality standards in a remote setting.

What are some common challenges faced by Remote Inpatient Coding Auditors, and how can they be managed effectively?

Remote Inpatient Coding Auditors often encounter challenges such as keeping up with constantly evolving coding guidelines, ensuring data accuracy across diverse documentation, and overcoming communication barriers with on-site staff. Effective strategies include participating in ongoing education, utilizing up-to-date coding resources, and setting regular virtual check-ins with clinical and coding teams. Maintaining strong attention to detail and proactively seeking clarification when discrepancies arise can help auditors deliver high-quality results while working remotely.
What are popular job titles related to Remote Inpatient Coding Auditor jobs in California? For Remote Inpatient Coding Auditor jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Inpatient Coding Auditor jobs in California look for? The top searched job categories for Remote Inpatient Coding Auditor jobs in California are:
What cities in California are hiring for Remote Inpatient Coding Auditor jobs? Cities in California with the most Remote Inpatient Coding Auditor job openings:
Remote Inpatient Coding Auditor jobs near you
Infographic showing various Remote Inpatient Coding Auditor job openings in California as of July 2026, with employment types broken down into 82% Full Time, 14% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution.

DRG Coder

Astrana Health, Inc.

On-site, Remote

$33 - $38/hr

Full-time

Re-posted 11 days ago

Job description

DRG Coder
Department: HS - UM
Employment Type: Full Time
Location: 600 City Parkway West 10th Floor, Orange, CA 92868
Reporting To: Alice Tejeda
Compensation: $33.00 - $38.00 / hour
Description
The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.
This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.
What You'll Do
  • Review inpatient hospital records and assign accurate diagnosis and procedure codes
  • Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation
  • Conduct coding validation and auditing to ensure compliance with payer and regulatory requirements
  • Identify documentation gaps and communicate opportunities to providers, hospitals, and Clinical Documentation Improvement (CDI) teams
  • Analyze denials and underpayments related to coding and DRG assignment
  • Support retrospective and concurrent reviews of high-cost admissions and outlier cases
  • Collaborate with utilization management, case management, finance, and contracting teams to optimize reimbursement and cost containment
  • Assist with internal and external audits, including RAC, Medicare Advantage, Medicaid, and commercial payer reviews
  • Provide education and mentoring to coding staff and other stakeholders
  • Monitor changes in coding guidelines, reimbursement methodologies, and regulatory requirements
  • Prepare reports and summaries related to coding accuracy, financial impact, and audit findings
  • Maintain confidentiality and compliance with HIPAA and company policies
  • Other duties as assigned

Qualifications
  • Associate's degree in Health Information Management, Nursing, or related field
  • Have at least 5 years of inpatient coding experience
  • Have at least 2 years of advanced DRG validation, auditing, or hospital reimbursement experience
  • Certifications One or more of the following required: • CCS, RHIA, or RHIT from American Health Information Management Association • CIC or CPC from AAPC
  • Have advanced knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG, and APR-DRG methodologies
  • Proficiency in coding software, electronic medical records, and Microsoft Office applications

You're great for the role if:
  • Experience working with Medicare Advantage, Medicaid, and commercial health plans
  • Experience in a delegated IPA, MSO, or managed care environment
  • Have a strong understanding of Medicare reimbursement and payer audit processes
  • Ability to interpret complex clinical documentation
  • Knowledge of utilization management, case management, and managed care operations
  • Strong analytical, organizational, and problem-solving skills
  • Ability to work independently and manage multiple priorities
  • Excellent written and verbal communication skills.

Environmental Job Requirements and Working Conditions
  • This position is remotely based in the U.S. The home office is located at 600 City Parkway West 10th Floor, Orange, CA 92868.
  • This role is required to attend occasional in-person meetings with internal departments and external providers/hospitals, training, or audit purposes.
  • The national target pay range for this role is between $33.00 - $38.00. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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