Inpatient Audit Specialist
About The Position
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Seeking: PRN IP Audit Specialist 3+years' experience. Experience with Streamline evaluator, Cerner, 3/m a plus. Will be responsible for onboarding and monthly IP coding QA.
Requirements
- 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
- Maintain 95% accuracy rate for APC assignment and 95% productivity rate
- Experience with various software including EMR, Encoder and Auditing software
Nice To Haves
- preference for CCS
- 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
- Experience with Streamline evaluator, Cerner, 3/m a plus.
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.
- Will be responsible for onboarding and monthly IP coding QA.
Benefits
- Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays
- Free CEUs every year
- Stipend provided to assist with education and professional dues (AHIMA/AAPC)
- Equipment: monitor, laptop, mouse, headset, and keyboard
- Comprehensive training led by a credentialed professional coding manager
- Exceptional service-style management and mentorship (we’re in this together!)
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
Associate degree
