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Inpatient Auditor (Fully Remote)
Inpatient Auditor (DRG Validation)
Client: Ensemble Health Partners
Type: 6-Month Contract-to-Hire
Start Date: ASAP
Schedule:
- Training: Monday–Friday, 8:00 AM – 5:00 PM EST (4–6 weeks)
- Post-Training: Flexible hours
Overview
We are partnering with Ensemble Health Partners to bring on a team of experienced Inpatient Coding Auditors to support a large-scale audit initiative. This is a fully remote opportunity focused on DRG validation, coding accuracy, and documentation integrity across acute inpatient services.
This role is ideal for experienced auditors who thrive in high-volume environments and have a strong understanding of MS-DRG, APR-DRG, and inpatient reimbursement methodologies.
Key Responsibilities
- Perform inpatient coding audits and DRG validation reviews
- Ensure documentation supports coded diagnoses, procedures, and DRG assignment
- Identify overpayments, underpayments, and compliance risks
- Analyze medical records using ICD-10-CM/PCS guidelines and AHA Coding Clinic standards
- Write clear, concise audit findings and recommendations
- Collaborate with CDI teams to identify query opportunities
- Maintain productivity expectations of 16–20 audits per day
- Provide education and feedback to coding teams
Required Qualifications
- 5+ years of inpatient coding experience
- 3+ years of inpatient auditing (DRG validation)
- Strong knowledge of:
- MS-DRG / APR-DRG / Tricare reimbursement
- Active certification (one required):
- CPC, CCS, RHIT, RHIA, or CDIP
- Experience with EMRs and encoder tools (3M preferred)
- Strong understanding of ICD-10-CM/PCS guidelines
- Ability to work independently and meet productivity/quality metrics
Preferred Qualifications
- CDI experience or query writing
- Experience in:
- Academic Medical Centers
- Trauma or complex care settings
- Exposure to multiple specialties
Tools & Technology
- 3M Encoder (preferred)
- EMR systems (Epic, Cerner, etc.)
- Microsoft Office Suite
- Ensemble internal platform (EIQ)
Compensation
- Pay Rate: $38–$48/hr
- Conversion Salary Range: $62,500 – $119,700
- Equipment will all be provided
Why This Opportunity
- 100% remote with flexibility after training
- High-impact role supporting revenue accuracy and compliance
- Opportunity to convert full-time with a leading healthcare organization
- Large hiring initiative with strong team environment
Pay: $38.00 - $48.00 per hour
Benefits:
- Dental insurance
- Flexible schedule
- Health insurance
- Vision insurance
Application Question(s):
- How many years of experience do you have working within an AMC or a Trauma Center? Would you be able to give the names of these centers?
- How many years of inpatient auditing experience do you have?
- Do you have experience with DRG validation (MS-DRG, APR-DRG, or Tricare)?
- What coding certifications do you currently hold?
- What are some of the different inpatient specialties you have had hands on experience with?
- What is your desired pay rate/hr?
Work Location: Remote