Inpatient Auditing Specialist FT
External
Datavant2 · RemotePrepare for this interview
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Responsibilities
- Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs.
- Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc.
- Keeps abreast of regulatory changes.
- Organizes and prioritizes multiple cases concurrently to ensure optimal workflow and turnaround time
- Provides coder education via the auditing process
- Function in a professional, efficient, and positive manner
- Adhere to the American Health Information Management Association's code of ethics.
- Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession.
- High complexity of work function and decision making
- Strong organizational, teamwork, and leadership skills
- What You Need to Succeed:
- 5+ years of facility inpatient coding experience and/or auditing.
- CCS (preferred), RHIA or RHIT preferred
- Maintain 95% DRG accuracy rate
- Experience with various software including Epic, Cerner, and other prevalent EMRs.
Benefits
Additional Information
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. ******* 2,500 Sign on Bonus********** 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, 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! Preferred: Seeking an experienced Inpatient Auditing Specialist with a minimum of three years of auditing experience. The ideal candidate will be proficient in conducting rebill second-level reviews, including cases involving myocardial infarction (MI), cerebrovascular accidents (CVA), mortality reviews, query validation, and HAC/PSI analysis. In addition to strong auditing expertise, this role requires an educational component, as the specialist will be expected to provide guidance and answer coding-related questions to support coder development and ensure quality and compliance. Experience with Dolbey Fusion and Trucode is preferred.
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