Inpatient Medical Coding Auditor

Davita Inc.; Maryland; Remote; Full time

Job summary

A leading company in healthcare analytics seeks an experienced ICD-10 Auditing Consultant Inpatient to ensure coding accuracy and compliance for inpatient records. This remote position requires a minimum of 5 years' experience and AHIMA certification. The role involves thorough reviews, collaboration with clinical staff, and delivering expert-level education on coding best practices.

Benefits

Medical/Dental/Vision/Life Insurance

Paid holidays plus Paid Time Off

401(k) plan and contributions

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Qualifications

• Minimum 5 years of related experience in facility-based auditing and coding.
• AHIMA credential required.
• Basic-Intermediate level of Microsoft Office knowledge.

Responsibilities

• Ensure coding accuracy and compliance.
• Conduct thorough reviews of inpatient ICD-10 recorded data.
• Collaborate with physicians for accurate clinical documentation.

Skills

Auditing and Coding Experience

Knowledge of Federal regulations

Strong oral and written communication skills

Ability to interpret medical records

Education

High school diploma

AHIMA credential (RHIA,RHIT,CCS)

Tools

Microsoft Office (Word, Excel, Outlook)

Job description

We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs.

Location: Remote (Work-from-Home)

Schedule: Monday to Friday

Experience: Minimum 5 years of related experience (facility-based auditing and coding experience).

Travel: None required

About the role:

As an ICD-10 Auditing Consultant Inpatient, you will make an impact by playing a critical role in ensuring the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records.

You will be a valued member of the Cognizant team and work collaboratively with stakeholders and team.

In this role, you will:

- Ensure Coding Accuracy and Compliance

* Conduct thorough reviews of inpatient ICD-10 coded records to ensure accuracy, completeness, and compliance with regulatory and organizational standards.

- Enhance Clinical Documentation Quality

* Collaborate with physicians through a structured query process to clarify diagnoses and procedures, supporting accurate and complete clinical documentation.

- Deliver Expert-Level Coding and Education

* Assign precise ICD-10-CM and ICD-10-PCS codes using 3M encoder tools and provide ongoing education and mentoring to clients on coding, billing, and compliance best practices.

- Support Quality Assurance and Peer Review

* Perform peer reviews of coding staff to maintain high standards of coding quality and consistency, ensuring a minimum accuracy rate of 98%.

- Drive Continuous Improvement and Client Satisfaction

* Stay current with industry standards and regulatory changes, contributing to audits, reports, and special projects that enhance client outcomes and operational excellence.

What you need to have to be considered:

Required Education and Experience

* High school diploma.

* AHIMA credential (RHIA,RHIT,CCS) required.

* Auditing and Coding Experience. Minimum of 5 years of related work experience facility-based auditing and coding experience.

* Basic- Intermediate level of Microsoft Office (Word, Excel, Outlook)

* Knowledge of Federal, state and payer regulations

* Capable of interpreting medical records reports and chart entries

* Able to work independently and as a team member

* Capable of applying judgment and decision making

* Basic background with computers with ability to be in multiple systems at 1 time

* Well organized and able to handle multipole projects as needed.

* Strong oral and written communication skills.

* Able to be flexible and adaptable to change.

Preferred Qualifications

* ICD-10 Certified Trainer/Ambassador

We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.

The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.

Salary and Other Compensation:

Applications will be accepted until June 30th, 2025.

The hourly rate for this position is between $35.00 - $37.50 depending on experience and other qualifications of the successful candidate.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

* Medical/Dental/Vision/Life Insurance

* Paid holidays plus Paid Time Off

* 401(k) plan and contributions

* Long-term/Short-term Disability

* Paid Parental Leave

* Employee Stock Purchase Plan

Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.