Inpatient Audit Specialist

Datavant; Garden City (ID); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare data platform company is seeking an Inpatient Auditing Specialist to perform coding audits and provide educational support. The ideal candidate will have 5+ years of inpatient coding experience, CCS certification, and excellent organizational skills. This role offers a flexible remote arrangement and a competitive pay range of $35—$45 per hour.

Benefits

Medical, Dental, Vision benefits

401k with match

2 weeks paid time off

Free CEUs annually

Equipment provided for remote work

Qualifications

• 5+ years of facility inpatient coding experience and/or auditing required.
• Maintain 95% DRG accuracy rate.
• Experience with various software including Epic and Cerner.

Responsibilities

• Perform inpatient facility coding audits based on scope of work.
• Provide rationale for identified changes in coding.
• Keep abreast of regulatory changes.
• Provide coder education through the auditing process.

Skills

Facility inpatient coding experience

Auditing experience

Customer service focus

Leadership skills

Organizational skills

Education

CCS certification

RHIA or RHIT (preferred)

Tools

Epic

Cerner

SMART software

Job description

Overview

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 enables 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.

Please review the role details below to understand responsibilities and requirements. This role is fully remote with a flexible schedule.

What We’re Looking For

Inpatient Auditing Specialist, you will address consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. You will offer meaningful information tailored to exceed customer expectations and identify and present solutions for customer issues.

Preferred: Ideal candidate will preferably have experience with SMART software. Candidate MUST have 3-5+ years of auditing experience at an Academic/Trauma Level 1 facility.

What You Will Do

• Performs Inpatient Facility coding audits according to scope of work, for onboarding, focused reviews, 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 and location of documentation.
• 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 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

Additional Information

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. Any exemption requests will be reviewed by Datavant Human Resources and determined case-by-case. This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are an Equal Employment Opportunity employer and all qualified applicants will receive consideration without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. See our EEO Commitment Statement and Know Your Rights for more information.

At the end of this application, you will find a set of voluntary demographic questions. Responding is optional and will not affect your application.

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