Inpatient Audit Specialist
About The Position
Datavant is a healthcare data collaboration platform serving organizations including providers, health plans, researchers, and life sciences companies. The Inpatient Audit Specialist supports consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. The role provides customer-focused information and solutions, and is fully remote with a flexible schedule. The specialist performs inpatient facility coding audits and explains recommended changes with concise rationale and supporting documentation references. The role also includes keeping current with regulatory changes, managing multiple cases, educating coders through the auditing process, and working professionally in accordance with the American Health Information Management Association’s code of ethics. The position requires independent judgment, strong organization, and the ability to meet productivity and quality expectations.
Requirements
- At least 5 years of facility inpatient coding experience and/or auditing experience.
- Maintain a 95% DRG accuracy rate.
- Excellent query-writing skills.
- Ability to manage multiple clients and cases concurrently.
- Ability to work independently with minimal supervision and demonstrate strong problem-solving and critical-thinking skills.
- Strong prioritization, workload-management, and time-management skills.
- Ability to remain actively engaged in auditing work, minimize non-productive time, and consistently meet productivity and quality expectations.
- Experience with software such as Epic, Cerner, and other prevalent EMRs.
- Customer-service focus, professionalism, flexibility, dependability, willingness to learn, and commitment to excellence and the profession.
- Strong organizational, teamwork, and leadership skills.
Nice To Haves
- Spinal experience.
- CCS certification.
- RHIA or RHIT credential.
Responsibilities
- Perform inpatient facility coding audits for onboarding, focused reviews, service level agreements, and other review types, applying appropriate codes and related coding elements using MS DRGs or APR DRGs.
- Provide clear, concise rationales for identified coding changes, including specific references and documentation locations.
- Keep abreast of regulatory changes.
- Organize and prioritize multiple cases concurrently to support workflow and turnaround time.
- Provide coder education through the auditing process.
- Work in a professional, efficient, and positive manner.
- Adhere to the American Health Information Management Association’s code of ethics.
- Identify and present solutions to customer issues while providing customer-focused service.
Benefits
- Medical, dental, and vision benefits for full-time employees.
- 401(k) savings plan with matching for full-time employees.
- Two weeks of paid time off and paid holidays for full-time employees.
- Floating holidays for full-time employees.
- Free continuing education units each year.
- Stipend to assist with education and professional dues (AHIMA/AAPC), if applicable.
- Monitor, laptop, mouse, headset, and keyboard provided.
- Comprehensive training led by a credentialed professional coding manager.
- Management and mentorship.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
