Inpatient Coding Consultant

Responsibilities

• Coding
• Research and develop inpatient coding criteria that identifies common areas of coding error or discrepancy
• Conduct coding and documentation audits to assess product compliance with coding guidelines and regulations.
• Identify areas for product improvement and provide recommendations for enhancing accuracy.
• Stay informed about industry updates on coding guidelines and materials to ensure product compliance and competitiveness.
• Collaborate with internal teams to understand the implications of coding and clinical documentation requirements on product development.
• Engage with client partners to assess coding practices and responsibilities that would impact product development.
• Research healthcare technology changes and trends affecting documentation and coding , guiding product development accordingly.
• Evaluate coding processes, systems, and documentation practices, implementing strategies to optimize product performance and efficiency.
• Design workflow processes to ensure efficiency and quality for users.
• Collaborate with cross-functional teams, especially the clinical team, to ensure clinical and coding compliance and support organizational initiatives.
• Stay up-to-date with changes in coding regulations, guidelines, and industry trends.
• Prepare coding-related reports, analyses, and recommendations for product development and strategic decision-making.
• Product
• Collaborate with cross-functional teams, serving as the coding subject matter expert
• Collaborate with Data Science to improve inputs to models
• Conduct and coordinate audits and quality checks of product capabilities

Requirements

• Bachelor's degree in Health Information Management (RHIA) or Bachelor degree in related field with appropriate coding certification
• Certification: CCS and/or CIC required , CCDS and/or CCDS preferred
• Experience in monitoring and assessing coding accuracy
• Experience managing a second level review process that identifies coding error or discrepancies
• Experience in developing new technology highly preferred
• 3-5+ years of inpatient coding experience required
• Experience in coding consulting role preferred
• Ability to travel 15-20% of the time.
• ABOUT WAYSTAR
• Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle.
• WAYSTAR PERKS
• Competitive total rewards (base salary + bonus, if applicable)
• Customizable benefits package (3 medical plans with Health Saving Account company match)
• We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 paid holidays
• Paid parental leave (including maternity + paternity leave)
• Education assistance opportunities and free LinkedIn Learning access
• Free mental health and family planning programs, including adoption assistance and fertility support
• 401(K) program with company match
• Pet insurance
• Employee resource groups
• This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Benefits

Additional Information

ABOUT THIS POSITION Reporting to the VP Clinical Product Strategy, the Inpatient Coding Specialist is a member of the Customer Success organization who will provide coding subject matter expertise, insight and an active role to our clinical and business goals including product innovation and development.

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