DRG Validation Coding Auditor

Ensemble Health Partners

Inpatient/DRG Validation Coding Auditor performing documentation and coding audits for acute inpatient services. Ensures compliance and optimizes reimbursement for healthcare clients in the United States.

Posted 6/4/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $69,400 - $104,100 per yearWebsite

About the role

Key responsibilities & impact

Perform documentation and coding audits for all acute inpatient services for clients
Identify coding errors, compliance, and educational opportunities
Optimize reimbursement by ensuring that diagnosis/procedure codes and supporting documentation accurately support the services rendered
Perform independent reviews, interpret medical records, and apply in-depth knowledge of coding principles
Conduct DRG (ex. MS, APR, Tricare) coding and clinical reviews
Maintain productivity and quality goals as set by audit leaders
Write clear, accurate and concise recommendations
Ensure acute inpatient coding audits are completed accurately and timely

Requirements

What you’ll need

5+ years of coding experience
3+ years of facility coding audit experience (such as DRG and APC Validation)
Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite
Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information
Consistently achieves quality and productivity standards
Ability to organize and complete work in a timely manner
Ability to read, write and effectively communicate in English
Ability to understand medical/surgical terminology
Above average written and verbal communication skills
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Benefits

Comp & perks

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

coding auditsdiagnosis codesprocedure codesDRG codingAPC validationmedical record interpretationcoding principlesreimbursement optimizationcompliance identificationdocumentation accuracy

Soft Skills

organizational skillstimely completionwritten communicationverbal communicationinquisitive natureopenness to innovationattention to detailquality standards achievementproductivity standards achievementeducational opportunity identification

Certifications

HIPAA compliance education