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
Outpatient Coding Compliance Auditor
Gebbs Healthcare Solutions Inc · Posted Nov 4, 2026
Perform comprehensive audits of acute care outpatient facility coding to ensure accuracy, regulatory compliance, and appropriate reimbursement.
Compensation
$36.00/hour during production
Responsibilities
Conduct comprehensive audits of acute care outpatient medical records using iCodeOne to validate accurate ICD-10-CM, CPT, HCPCS Level II, and modifier assignment.
Review outpatient facility services, procedures, and clinical documentation to ensure coding accuracy and completeness.
Evaluate coding practices for compliance with CMS, OIG, AHIMA, AAPC, payer-specific, and client requirements.
Review outpatient reimbursement accuracy, including OPPS, APC assignments, and applicable Medicare guidelines.
Identify coding errors, documentation gaps, compliance risks, and reimbursement opportunities.
Requirements
Bachelor's degree in Health Information Management, Healthcare Administration, or a related field (or equivalent experience)
Nice to have: Bachelor's degree in Health Information Management, Healthcare Administration, or a related field
Nice to have: Experience using iCodeOne or similar coding audit platforms
Nice to have: Experience auditing multiple outpatient service areas such as emergency department, observation, same-day surgery, or ancillary services
Skills
Inpatient Coding Compliance Auditor
Gebbs Healthcare Solutions Inc · Posted Nov 4, 2026
Conduct comprehensive audits of acute care inpatient medical records to ensure accurate coding, regulatory compliance, and appropriate reimbursement.
Compensation
Compensation: $36.00/hour during production
Responsibilities
Perform comprehensive audits of acute care inpatient medical records using iCodeOne to validate accurate ICD-10-CM, ICD-10-PCS, and applicable CPT review assignment.
Review inpatient diagnoses, procedures, sequencing, and clinical documentation to ensure coding accuracy and completeness.
Evaluate coding practices for compliance with CMS, OIG, AHIMA, AAPC, payer-specific, and client requirements.
Validate MS-DRG assignments, principal and secondary diagnoses, procedures, and reimbursement accuracy.
Identify coding discrepancies, documentation gaps, compliance risks, and reimbursement opportunities.
Requirements
Bachelor's degree in Health Information Management, Healthcare Administration, or a related field
Nice to have: Bachelor's degree in Health Information Management, Healthcare Administration, or a related field
Nice to have: Experience using iCodeOne or similar coding audit platforms
Responsible for working with and providing ongoing coding and documentation education to improve documentation of patient care and appropriately assign codes and/or determine charges to support those services.
Responsibilities
Completes quality assurance audits on inpatient and outpatient coding specialists, onboarding audits and training of newly hired coding specialists
Validates Present on Admission (POA) indicators according to guidelines and identifies any missing or inappropriate queries to providers
Uses payment methodology to audit outpatient and/or inpatient facility coding and billing, MS-DRG or APC assignment, and OPPS reimbursement methodology and shares knowledge with colleagues and clinical team members
Senior Auditor will support the Clinical Validation Initiatives with identifying cases for review and resolution, developing guides for the Clinical Validation Guidebook in partnership with CDI for each identified complication or disease during the Clinical Validation Meetings
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.
Professional Coding Audit EducatorYale New Haven Health · New Haven, US
Medical Coding Lead, USParallel · New York, US+1 more
Senior Executive - Coding AuditorEXL · Chennai, India
Coding Quality AuditorCity of Hope · Remote, US+4 more
Outpatient Coding Compliance AuditorGebbs Healthcare Solutions Inc · Remote, US
Coding Auditor Senior FacilityMcLaren Health Care · Grand Blanc, US