Certified Inpatient Medical Coding Auditor

Location: Remote nationwide within the United States; occasional travel to hirify.global offices for training or meetings may be required. Work hours are Monday–Friday, 8 hours per day, scheduled between 6 AM and 6 PM.

Salary: $71,100–$97,800 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a Fortune 100 U.S. healthcare and insurance company serving Medicare, Medicaid, military, family, and individual members through insurance and healthcare services.

What you will do

• Review inpatient medical records and hospital claims for accurate coding and reimbursement.
• Assign and validate ICD-10-CM, ICD-10-PCS, and diagnosis-related group codes.
• Audit coding quality and identify opportunities to improve accuracy.
• Investigate and resolve provider disputes using a fair, fact-based approach.
• Analyze complex clinical documentation and coding scenarios.
• Collaborate with other teams to clarify coding and medical information while supporting cost savings.

Requirements

• At least 4 years of MSDRG coding auditing experience.
• RHIA, RHIT, or CCS certification held for at least 4 years.
• Experience conducting inpatient coding audits in a health insurance or hospital setting.
• Experience reading and interpreting claims.
• Ability to gather or reference data across multiple systems simultaneously.
• Dedicated, interruption-free workspace and internet service with at least 25 Mbps download and 10 Mbps upload speeds are required to protect PHI/HIPAA information.

Nice to have

• APDRG coding or auditing experience.
• Financial recovery experience.
• Experience in a metric-driven operational setting.

Culture & Benefits

• Full-time schedule of 40 hours per week.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short-term and long-term disability coverage, life insurance, and additional wellness benefits.