ESSENTIAL DUTIES AND RESPONSIBILITIES:

Note:The essential duties and responsibilities below are intended to describe the general duties and responsibilitiesof this position and are not intended to be an exhaustive statement of duties.This position mayperform all or most of the primary duties listed below. Specific tasks,responsibilitiesor competencies may be documented in the Team Member’s performanceobjectivesas outlined by the Team Member’s immediateLeadership Team Member

Coding & DRG Audit Responsibilities

• Perform DRG validation and quality audits on inpatient charts.

• Validate sequencing and accuracy of ICD‑10‑CM/PCS codes, POA status, SOI/ROM, HCC capture, and other coding factors.

• Ensure coded dataalignswith federal regulations and organizational standards.

• Analyze charts for potential query opportunities and confirm correct coding and sequencing.

• Perform audits of client Clinical Documentation Integrity (CDI) programs when assigned.

• Maintaintimelyandaccuratereviews to ensure the true clinical picture is captured.

Compliance & Clinical Standards

• Follow all official coding guidelines, AHIMA Standards of Ethical Coding, and CDI best practices endorsed by ACDIS/AHIMA.

• Apply current clinical criteria (e.g., MCG, InterQual), payer bulletins, and CMS regulatory guidance.

• Stay up to date on changes in clinical guidance, coding clinics, and coding regulations.

Training, Education & Support

• Provide training, shadowing, and support for new hires when requested.

• Assistin developing training materials and updates to clinical, coding, and CDI policies.

• Support internal and external project data analysis, reporting, and feedback.

Professional Conduct & Communication

• Maintain strict confidentiality of PHI and client information at all times

• Communicate with coworkers professionally, promoting teamwork and knowledge sharing.

• Demonstrate strongrelationship‑buildingand communication skills in client interactions.

Productivity & Quality

• Meet or exceed assigned productivity and accuracy metrics for each project or record type.

• Ensure production standards are consistently achieved whilemaintaininghigh‑qualityreviews.

• Participate in mandatory meetings,trainings, and continuing education activities.

Other Responsibilities

• Maintain company and EMR access credentials andcomply withsecurity requirements.

• Performadditionalduties asassigned by management.

MINIMUM QUALIFICATIONS & REQUIREMENTS:

Required:Five or more years of experience in an acute care setting or third‑party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS).

Preferred:Prior experience as a CDI or coding auditor (notrequired).

• Experience working remotely and with electronic medical record (EMR) systems.

• Proficiencywith MS Word, Excel, Outlook, Teams, and other standard software.

• Strong analytical skills and comfort working with numerical data.

• Ability to manage multiple diverse clients and switch between projects as needed.

• Strong teamwork orientation and ability to work effectively with minimal supervision.

• Ability tomaintainand organize multiple files and work in afast‑pacedenvironment.