Are you an experienced Inpatient DRG Auditor who thrives on complex clinical validation and payer logic? LexiCode is expanding our elite remote audit team supporting national healthcare clients with high-level MS-DRG and APR-DRG validation services. This is a true audit role — not production coding — designed for experts who enjoy analytical review, documentation defense, and detailed rebuttal writing. As a DRG Auditor at LexiCode, you will join a dynamic team of consulting experts dedicated to delivering exceptional audit services to our valued clients. Pay Disclosure: LexiCode is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The pay range for this position starts at $80,000 per year; however, base pay offered may vary depending on job-related knowledge, skills, and experience. Bonus opportunities may be provided as part of the compensation package, in addition to a full range Essential Functions and Responsibilities Performs analysis of medical records and provider claims to validate appropriate DRG and ICD-10-CM/PCS code assignment, including complex medical and surgical cases Ensures that assigned codes and DRGs are supported by clinical documentation utilizing payer-specific clinical criteria Applies Official Guidelines for Coding and Reporting consistently and appropriately Provides detailed written explanations to support or rebut coding/DRG recommendations Qualifications Required: • RHIA, RHIT, or CCS credential from AHIMA or CPC combined with RHIA, RHIT or CCS • 3 or more years of Inpatient/DRG auditing experience in an acute care setting or payer setting • Expertise in ICD-10-CM/PCS, IPPS/MS-DRG and APR-DRG methodology and logic • Excellent knowledge of ICD-10-CM/PCS Official Guidelines for Coding and Reporting, AHA Coding Clinics to support audit findings • Proficiency in identifying clinical indicators to support documented diagnoses • Outstanding computer skills and ability to work in multiple client-specific healthcare systems • Excellent written communication and critical thinking skills • Ability to efficiently review large volumes of documents with high comprehension level • Secure home office environment, compliant with HIPAA and LexiCode’s security requirements Preferred: • Experience in a payer coding/clinical DRG audit setting Prior experience/roles which may qualify: • Inpatient Coding Auditor • Inpatient Audit Specialist • Inpatient Coding Quality Auditor • IP Coding Compliance Auditor • Inpatient Coding Consultant • Facility Coding Auditor (Inpatient) • Inpatient DRG Validation Auditor • DRG Revenue Integrity Auditor • MS-DRG Auditor • DRG Review Specialist • DRG Compliance Auditor • Clinical DRG Auditor • DRG Audit Consultant • Payer DRG Auditor • DRG Reimbursement Auditor #1priority Pay: From $80,000.00 per year Benefits: • 401(k) • Dental insurance • Employee assistance program • Employee discount • Flexible spending account • Health insurance • Health savings account • Life insurance • Paid time off • Referral program • Vision insurance Experience: • Inpatient/DRG auditing experience in acute care or payer: 3 years (Required) • ICD-10-CM/PCS, IPPS/MS-DRG: 3 years (Required) • APR-DRG methodology and logic: 3 years (Required) • ICD-10-CM/PCS Official Guidelines for Coding and Reporting: 3 years (Required) • AHA Coding Clinics to support audit findings: 3 years (Required) License/Certification: • RHIA, RHIT, or CCS credential from AHIMA (Required) Work Location: Remote Apply tot his job