Inpatient Audit Specialist

ABBTECH; Oklahoma City (OK); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading health data company is seeking an Inpatient Auditing Specialist to conduct audits, provide education, and improve coding quality within a diverse team. This fully remote position offers flexibility and requires strong coding expertise and communication skills. Ideal candidates will have substantial coding experience and relevant certifications, contributing to a high-performance culture in healthcare data solutions.

Benefits

Medical, Dental, Vision

401k Savings Plan with match

Paid time off and holidays

Free CEUs

Educational stipends

Qualifications

• 3+ years experience coding and auditing.
• Certification such as CCS, RHIT, or RHIA preferred.
• Experience with both inpatient and outpatient records.

Responsibilities

• Conduct inpatient coding audits using ICD-10-CM and CPT.
• Review records for proper coding and documentation.
• Provide coder education through the auditing process.

Skills

Inpatient coding expertise

Excellent organizational skills

Strong communication skills

Customer service focus

Education

Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program

Completion of a CCS certification

Tools

EMR

Encoder software

Auditing software

Job description

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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!

You Will:

• 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.

What you will bring to the table:

• 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

• 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

Perks:

• 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) If Applicable

• 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!)

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.

The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

The estimated total cash compensation range for this role is:

$35—$45 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your Rights (https://www.eeoc.gov/know-your-rights-workplace-discrimination-illegal) , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please contact us at [e-mail] . We will review your request for reasonable accommodation on a case-by-case basis.

For more information about how we collect and use your data, please review our Privacy Policy (https://www.datavant.com/privacy-policy) .