Inpatient Coding Auditor

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Sage Clinical RCM, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2024

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Sage Clinical RCM is a healthcare revenue cycle management company that combines proprietary technology with clinical and financial expertise to provide end-to-end RCM solutions—from patient access through financial close. The firm offers advisory services, revenue cycle management operations, technology adoption (including clinical documentation improvement and autonomous coding), workforce augmentation (coding, documentation, RCM, physician advisory), and analytics-driven platforms (Sage IQ: Validity and VERO) that use automation and AI to unify coding, documentation, vendor performance, compliance, and financial reporting for healthcare organizations.

📋 Description

• Responsible for reviewing inpatient coding to validate accuracy, compliance, and documentation support. • Identify trends, risks, and opportunities for coding improvement. • Provide clear, actionable audit feedback and education to client & internal coding staff. • Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.

🎯 Requirements

• Credentials: CCS, RHIA, or RHIT (active). • Minimum 3+ years of inpatient coding and at least 2 years of auditing experience. • In lieu of auditing experience, 7+ years of coding experience is required. • Strong knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG assignment, and Coding Clinic guidance. • Strong analytical and written communication skills. • Strong understanding of methodologies to validate documentation impacting severity, risk, and reimbursement. • Experience auditing across complex, multi-diagnosis inpatient cases and knowledge of documentation requirements impacting DRG shifts.

🏖️ Benefits

• National exposure to diverse, high-acuity health systems and specialties. • Quality-first culture with realistic expectations (not volume-only). • Flexible work options (FT, PT, and PRN). • Opportunity to expand into other audit, education, and advisory services.