Job Summary:

TruBridge is actively seeking an experienced Team Lead of Inpatient Auditing. The Team Lead of Inpatient Auditing is responsible for conducting detailed reviews of inpatient medical records to ensure accurate code assignment in accordance with ICD-10-CM/PCS, MS-DRG, and other official coding guidelines. The auditor supports organizational compliance, identifies coder education needs, and ensures optimal coding accuracy for reimbursement and reporting purposes. Experience with Inpatient PCS (Procedure Coding System) is highly desirable.

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

· Perform retrospective and concurrent audits of inpatient medical records to assess coding accuracy, completeness, and compliance with official guidelines.

· Review and validate diagnosis and procedure codes, MS-DRG groupings, POA indicators, and discharge disposition.

· Analyze patterns of coding errors and collaborate with Coding Managers to develop training and improvement plans.

· Prepare clear and detailed audit reports with recommendations for correction or education.

· Communicate audit results to coders and leadership in a constructive, supportive manner.

· Participate in coding quality assurance initiatives and internal or external compliance audits.

· Maintain up-to-date knowledge of ICD-10-CM/PCS, CMS regulations, Official Coding Guidelines, and industry best practices.

· Provide guidance and clarification to coding staff on documentation and coding interpretation.

· Assist in onboarding and training of new inpatient coders as requested.

Minimum Requirements:

Education/Experience/Certification Requirements

· High school diploma or equivalent (GED)

· Certification required: from AHIMA or AAPC

· Minimum 3 years of inpatient coding experience in an acute care hospital setting

· Strong knowledge of ICD-10-CM, MS-DRG assignment, and official inpatient coding guidelines

· Familiarity with electronic health record (EHR) systems and computer-assisted coding (CAC) tools

· Ability to interpret medical record documentation and apply coding rules accurately

· Strong written and verbal communication skills

· Attention to detail and ability to work independently and meet deadlines

Preferred Qualifications:

· Experience with ICD-10-PCS coding (procedures)

· Previous auditing or quality assurance experience in inpatient coding