The Inpatient Coding Quality Auditor is an exempt professional role responsible for independently evaluating the accuracy, consistency, compliance, quality, and effectiveness of inpatient coding activities across City of Hope.
Locations (5)
Los Angeles, California, United States
Atlanta, Georgia, United States
Chicago, Illinois, United States
Phoenix, Arizona, United States
United States
Responsibilities
Conduct routine, targeted, pre-bill, and retrospective coding audits to evaluate coding accuracy, DRG assignment accuracy, abstraction quality, coding compliance, reimbursement integrity, and adherence to Official Coding Guidelines, Coding Clinic guidance, CMS regulations, payer requirements, and City of Hope coding standards.
Monitor coding compliance risk areas, Coding Clinic updates, CMS guidance, payer audit findings, OIG Work Plan priorities, RAC-targeted services, denial trends, and emerging regulatory requirements.
Provide recommendations to support regulatory readiness and coding excellence.
Complete assigned work within established productivity and turnaround time expectations to support candidate-for-bill (CFB), DNFB, revenue cycle, and organizational performance goals.
