Inpatient Auditor with Cardiovascular coding and auditing experience

Job Description

TruBridge is actively seeking a highly skilled Inpatient Auditor with a strong background in cardiovascular coding to join our dynamic team. The ideal candidate will be responsible for performing detailed audits of inpatient records to ensure accurate ICD-10-CM and ICD-10-PCS code assignment, DRG validation, and compliance with official coding guidelines and payer regulations. Cardiovascular expertise is essential to support complex inpatient surgical and procedural reviews.

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

• Perform retrospective and concurrent audits of inpatient medical records to assess coding accuracy, completeness, and compliance with official guidelines.
• Review and validate diagnosis and procedure codes, MS-DRG groupings, POA indicators, and discharge disposition.
• Analyze patterns of coding errors and collaborate with Coding Managers to develop training and improvement plans.
• Prepare clear and detailed audit reports with recommendations for correction or education.
• Communicate audit results to coders and leadership in a constructive, supportive manner.
• Participate in coding quality assurance initiatives and internal or external compliance audits.
• Maintain up-to-date knowledge of ICD-10-CM/PCS, CMS regulations, Official Coding Guidelines, and industry best practices.
• Provide guidance and clarification to coding staff on documentation and coding interpretation.
• Assist in onboarding and training of new inpatient coders as requested.

Minimum Requirements:

Education/Experience/Certification Requirements

• High school diploma or equivalent (GED)
• Certification required: from AHIMA or AAPC
• Minimum 3 years of inpatient coding with cardiovascular experience
• Strong knowledge of ICD-10-CM, MS-DRG assignment, and official inpatient coding guidelines
• Familiarity with electronic health record (EHR) systems and computer-assisted coding (CAC) tools
• Ability to interpret medical record documentation and apply coding rules accurately
• Strong written and verbal communication skills
• Attention to detail and ability to work independently and meet deadlines

Preferred Qualifications:

• Experience with ICD-10-PCS coding (procedures)
• Previous auditing or quality assurance experience in inpatient coding with emphasis on cardiovascular.