Inpatient Audit Specialist PRN

Datavant; Boston, New York, San Diego (MA, NY, CA); Hybrid; USD 48,000 - 62,000; Part time

Benefits offered by this job

401k matching

Equipment provided

Comprehensive training

Mentorship program

Job summary

Datavant seeks an Inpatient Audit Specialist to support remote, part-time auditing, education, and compliance reviews for inpatient coding. The role emphasizes MS DRG/APR DRG usage, strong query-writing, and high-quality documentation.

Spinal experience is a plus, with ~20 hours/week preferred. Responsibilities include performing audits, providing rationales, staying current on regulatory changes, and educating staff while maintaining coding accuracy.

Qualifications

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

Responsibilities

• Performs inpatient facility coding audits per scope of work using MS DRG or APR DRGs.
• Provides concise rationale with references and documentation locations.
• Keeps abreast of regulatory changes.
• Manages multiple cases concurrently to optimize workflow.
• Educates coders via the auditing process.
• Adheres to AHIMA code of ethics and professional standards.

Skills

Inpatient coding

Query writing

Regulatory awareness

Communication

Education

CCS (required)

RHIA or RHIT preferred

Tools

Epic

Cerner

EMR systems

Job description

Inpatient Audit Specialist PRN

8190 Remote - United States Part-time regular

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.

What We’re Looking For:

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! Additional PRN support for IA IP auditing. Spinal experience a plus, excellent query writing skills. Prefer 20 hours/week.

What You Will Do:

• 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 (required), 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 PRN employees: 401k savings plan w/match
• 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.

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.

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