Revenue Integrity Coding Auditor – FT

Full Time Job Category: Business/Professional Clerical Shift Type: Days
Arkansas Heart Hospital Little Rock, AR

Position Summary

Seeking a highly skilled and experienced Revenue Integrity Coding Auditor to join our dynamic team. The ideal candidate should possess a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification and a minimum of 3 years of Inpatient and/or Outpatient coding experience. The Revenue Integrity Coding Auditor will play a crucial role in ensuring accurate coding, MS-DRG assignment, and compliance within our healthcare organization.

Work Schedule

Full-time 40-hour work week – Monday – Friday

Primary Duties

  • The Revenue Integrity Coding Auditor will be responsible for the following key areas, including but not limited to:

    Review Activities:

    – Conduct reviews of Clinical Documentation Improvement (CDI) Mismatches.

    – Evaluate responses to Late Query submissions.

    – Assess Besler Quality Recommendations.

    – Examine coding issues related to Medical Necessity and other concerns.

    – Investigate MS-DRG Denials.

    – Conduct Coding Compliance Research.

    – Perform RVU Analysis.

    – Review high-risk cases such as Impella, TCAR, Aveir DR.

    – Handle Rebill Requests.

    – Address Discharge Not Final Billed Reports.

    – Provide continued support for Charge review.


    – Work closely with Providers, Clinical, Coding, and CDI team members.

    – Respond to coding questions and collaborate with CDI QA team on DRG reconciliation.

    – Collaborate with the Director of HIM/Coding/Billing regarding coding quality and education recommendations.

    Auditing and Reporting:

    – Perform random and focus-selected medical records review for accurate coding and MS-DRG assignment.

    – Summarize audit findings and provide feedback to the Director.

    – Keep detailed records of audits, results, recommendations, and follow-up actions.

    Training and Education:

    – Assist in the training of new coding team members.

    – Contribute to educational activities for all coding team members.

    – Provide education to providers on coding updates, documentation standards, and summary reviews.

    External Audits:

    – Review and respond to third-party coding audits/reviews.


    The successful candidate will contribute to the organization’s overall efficiency, resulting in benefits such as:

    – Increased efficiency in coding processes.

    – Lowering Days Not Final Billed (DNFB).

    – Decreasing Accounts Receivable (AR) days.

    – Providing research support for coding and RVU-related questions.

    – Improving cash flow.

    *Note: This job description is subject to change as the needs of the organization evolve.*


  • Education: High School diploma or equivalent required.
  • Licensure/Certification: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required
  • Experience: Minimum of three years of experience in medical coding with ICD-10 and CPT coding systems required. Detail-oriented and experienced coding professional with a passion for ensuring accuracy and compliance.