Inpatient Audit Specialist

Datavant; United States; Remote; USD 48.000 - 62.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental insurance

Vision insurance

401k with company match

Paid time off (2 weeks)

Zusammenfassung

Datavant is seeking an Inpatient Audit Specialist to remotely support the United States. The role centers on auditing inpatient facility coding, ensuring DRG accuracy, and educating coders while maintaining regulatory compliance.

You will work across multiple clients with a flexible schedule and a focus on quality and service excellence. Responsibilities include performing audits, documenting rationale, and keeping up with AHIMA standards.

Qualifikationen

• 5+ years of facility inpatient coding experience and/or auditing.
• CCS (preferred), RHIA or RHIT preferred.
• Maintain 95% DRG accuracy rate.
• Experience with Epic, Cerner, and other EMRs.

Aufgaben

• Performs Inpatient Facility coding audits according to scope of work, for onboarding, focused reviews or SLAs, using MS DRG or APR DRGs.
• Provides rationale with references and documentation locations.
• Keeps abreast of regulatory changes.
• Organizes and prioritizes multiple cases to ensure timely workflows.
• Provides coder education via auditing process.
• Acts professionally, efficiently and positively.
• Adheres to AHIMA code of ethics.
• Demonstrates customer-service focus and reliability.

Kenntnisse

Inpatient coding

Auditing

Query writing

Multi-tasking

Problem-solving

Ausbildung

CCS (preferred)

RHIA or RHIT (preferred)

Tools

Epic

Cerner

Jobbeschreibung

Inpatient Audit Specialist

Location: Remote - United States

Contract: Full-time regular

Sign On Bonus: 2,500

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, Datavant is 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, 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.

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.
• Functions in a professional, efficient, and positive manner.
• Adheres 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.

Requirements

Spinal experience a plus, excellent query writing skills. Ability to multi-task among multiple clients is required. Candidate should be highly independent, demonstrate strong problem-solving and critical-thinking skills, and be able to prioritize and manage workload with minimal supervision. Strong time-management skills and the ability to remain actively engaged in auditing work, minimize non-productive and consistently meet productivity and quality expectations are essential.

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.

What We Offer

• 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!).

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

The estimated base pay range per hour 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. Know Your Rights, 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.

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 request it here, by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here.

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