Job Description
The Inpatient QA Coder Auditor is responsible for reviewing and auditing inpatient medical coding for accuracy, compliance, and adherence to regulatory and client-specific guidelines. This role ensures high-quality coding standards, identifies gaps, and provides actionable feedback to coders to drive continuous improvement and coding integrity.
Key Responsibilities
Perform quality audits on inpatient coding (ICD-10-CM/PCS) to ensure accuracy and compliance with official coding guidelines
Review medical records and validate appropriate assignment of diagnoses and procedures
Identify coding errors, trends, and opportunities for process improvement
Provide detailed feedback, coaching, and education to coders based on audit findings
Ensure compliance with client requirements, regulatory standards (CMS, AHIMA, AAPC), and internal quality benchmarks
Maintain audi...