Quality Medical Auditor
Columbia, SC | Up to $36/hr | Contract-to-Hire
Schedule: Monday–Friday, 8:00 AM – 4:30 PM
Work Type: Onsite preferred (remote potential after training)
Job Summary:
We are seeking an experienced and detail-driven Quality Medical Auditor to support a high-volume DRG review initiative. This role is responsible for ensuring the accuracy and integrity of coded medical records, identifying discrepancies, and safeguarding appropriate reimbursement. The ideal candidate will leverage strong auditing and coding expertise to partner with internal teams, resolve complex issues, and drive compliance with regulatory and HIPAA standards. This position plays a critical role in improving documentation quality, reducing risk, and supporting overall revenue integrity.
Conduct DRG audits and validation reviews to ensure coding accuracy
Identify discrepancies and coordinate necessary corrections
Analyze trends and support reporting initiatives
Collaborate with internal stakeholders to resolve coding issues
Ensure compliance with HIPAA and industry regulations
Has hands-on experience with DRG validation and auditing in a high-volume setting
Demonstrates strong knowledge of ICD-10-CM/PCS and reimbursement methodologies
Is highly detail-oriented with a proven ability to identify coding discrepancies and drive resolution
Communicates effectively with both clinical and non-clinical teams
Is proactive, organized, and comfortable managing multiple audits and deadlines simultaneously
Brings a continuous improvement mindset and contributes to process and cost-saving initiatives