Remote Inpatient Coding Auditor & QA Educator

Remote Jobs; United States; Remote; USD 48,000 - 62,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with match

2 weeks PTO and holidays

Floating holidays

Free CEUs

Education stipend (AHIMA/AAPC)

Equipment provided

Comprehensive training

Mentorship

Job summary

Datavant is a healthcare data collaboration platform enabling secure data sharing across providers, payers, researchers and life sciences. We are seeking an Inpatient Auditing Specialist to conduct inpatient code reviews and education, ensuring accurate DRG/APC assignments and regulatory compliance, in a fully remote, flexible-work environment.

Join a collaborative team driving healthcare data integrity, with onboarding and ongoing QA responsibilities, and opportunities to impact coding

Qualifications

• 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.

Responsibilities

• Conduct inpatient coding audits on medical records using ICD-10-CM, CPT for DRG/APC assignment.
• Review non-CC/MCC records to assess proper coding and documentation.
• Provide coder education through auditing.
• Prepare preliminary results for review by facility or CCS HIM director.
• Review disagreements on APC/DRG changes with the manager.
• Prepare final audit reports and participate in resolution of findings.
• Educate coders via email/conference calls.
• Attend coding workshops and stay current with regulatory changes.
• Organize and prioritize multiple cases for timely workflow.
• Meet with client facility representatives to discuss issues and trends.
• Develop education for physicians and clinical staff to enhance documentation.
• Communicate effectively with team and hospital staff.

Skills

Coding

Auditing

ICD-10-CM

CPT coding

HIM/Med Records

CCS/RHIT/RHIA

Education

AHIMA HIM program

Nursing program

CCS (preferred)

Tools

EMR systems

Auditing software

Encoder software

Job description

Datavant is a healthcare data collaboration platform enabling secure data sharing across providers, payers, researchers and life sciences. We are seeking an Inpatient Auditing Specialist to conduct inpatient code reviews and education, ensuring accurate DRG/APC assignments and regulatory compliance, in a fully remote, flexible-work environment.

Join a collaborative team driving healthcare data integrity, with onboarding and ongoing QA responsibilities, and opportunities to impact coding