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DRG Validation Auditor

HCA Healthcare - Nashville, TN

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Job Description

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family Jump-start your career as a DRG Validation Auditor today with Parallon. Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role: + Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs + Assists in ensuring HSC coding staff adherence with coding guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or projects + Maintains or exceeds 95% productivity standards + Maintains or exceeds 95% accuracy + Meets all educational requirements as stated in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current What qualifications you will need: + High school diploma and/or GED preferred + Undergraduate degree in HIM/HIT preferred + Minimum of 3 years acute care inpatient/outpatient coding experience preferred + Minimum of 3 years coding auditing/monitoring experience strongly preferred + RHIA, RHIT and/or CCS preferred + Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities. CLICK HERE for more information on Parallon HCA Coding ( Benefits Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services + Wellbeing support, including free counseling and referral services + Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence + Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling + Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing + Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits ( _Note: Eligibility for benefits may vary by location._

Created: 2026-04-14

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