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Datavant · 19 hours ago

Inpatient Audit Specialist FT 2,500 Sign on Bonus

United States

Full-time

Remote

Mid Level

$40/hr - $45/hr

3+ years exp

Datavant is a data platform company and the world’s leader in health data exchange. As an Inpatient Auditing Specialist, you will conduct inpatient coding audits, provide coder education, and prepare reports to ensure compliance and enhance documentation in healthcare settings.

BiopharmaClinical TrialsData IntegrationHealth CareSoftware

No H1B

Responsibilities

Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment

Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment

Provide coder education through the auditing process

Prepare preliminary results for review by the facility or CCS HIM director

Review disagreements on APC/DRG changes with the appropriate manager

Prepare the final reports for the coding audit and actively participates in the resolution of audit findings

Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments

Attend coding workshops as necessary

Stay current with regulatory changes

Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution

Demonstrate versatility and exceptional work across a wide range of coded services

Meet with client facility representatives to discuss issues and trends identified in audits

Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation

Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues

Function in a professional, efficient, and positive manner

Adhere to the American Health Information Management Association’s code of ethics

Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession

Conduct audits on external coding staff as needed and provides reports to the manager as directed

Handle a high complexity of work functions and decision-making

Demonstrate strong organizational, teamwork, and leadership skills

Qualification

Inpatient coding auditsICD-10-CMCPT codingDRG validationAPC assignmentCoder educationCerner PowerChart3M360TeamworkCommunication skillsOrganizational skillsLeadership skills

Required

3+ years experience coding and auditing

Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS

Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment

Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment

Provide coder education through the auditing process

Prepare preliminary results for review by the facility or CCS HIM director

Review disagreements on APC/DRG changes with the appropriate manager

Prepare the final reports for the coding audit and actively participates in the resolution of audit findings

Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments

Attend coding workshops as necessary

Stay current with regulatory changes

Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution

Demonstrate versatility and exceptional work across a wide range of coded services

Meet with client facility representatives to discuss issues and trends identified in audits

Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation

Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues

Function in a professional, efficient, and positive manner

Adhere to the American Health Information Management Association's code of ethics

Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession

Conduct audits on external coding staff as needed and provides reports to the manager as directed

Handle a high complexity of work functions and decision-making

Demonstrate strong organizational, teamwork, and leadership skills

Preferred

CCS, RHIT, or RHIA credentials

Recent experience in academic/level 1 trauma centers

Experience coding and auditing inpatient and outpatient records for various facilities

Track record of acceptable productivity standards

Maintain 95% accuracy rate for APC assignment and 95% productivity rate

Experience with various software including EMR, Encoder and Auditing software

In need for a FT IP auditing specialist. Auditing specialist will be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care

Interest in coding IP charts in the event the contract ends

Must be able to work 40 hours/week M-F

Systems: Cerner PowerChart, 3M360