Inpatient Audit Specialist

Inpatient Audit Specialist

Job Locations US-Remote

Requisition ID

2024-37002

of Openings

Category (Portal Searching)

HIM / Coding

Position Type (Portal Searching)

Employee Full-Time

Equal Pay Act Minimum Range

$35.00-$40.00 per hour

Overview

INPATIENT AUDIT SPECIALIST

PURPOSE

Who we are...

Ciox Health merged with Datavant in 2021, creating the nation's largest health data ecosystems, powering secure data connectivity on behalf of thousands of providers, payers, health data analytics companies, patient-facing applications, government agencies, research institutions and life science companies.

The combined company is focused on improving patient outcomes and reducing costs by removing impediments to the secure exchange of health data.

Ciox, a Datavant company, will offer the ability to access, exchange, and connect data among the thousands of organizations in its ecosystem for use cases ranging from better clinical care and value-based payments to health analytics and medical research.

What we offer...

At Datavant we offer all employees a place to grow and expand their current skills so that they can not only help build Datavant into the greatest health technology company but create a career that you can be proud of.

We offer you complete training and long-term career goals. Our environment is what most of our employees are the proudest of and our Architecture Group is comprised of some of the brightest and most talented individuals.

Give us just a few moments to explain why we need you and hope you will help us change how the health Industry manages its' medical records.

What we need...

The Inpatient Auditing Specialist will use various guidelines and precedents to perform coding quality review services on behalf of Datavant's auditing partners.

The Inpatient Audit Specialist will make determinations on the appropriateness of inpatient coding elements, identify performance trends, and will make recommendations on performance improvement.

The inpatient Auditing Specialist will work cooperatively with auditing peers, auditing leadership, and client partners to develop and sustain optimized auditing practices.

Details :

Location : Remote / Work from home

• Required : 5+ years of facility IP (inpatient) coding experience
• Required : 5+ years of facility IP (inpatient) auditing experience.
• Preferred : CCS, RHIT, or RHIA credentials.
• Preferred : Recent academic medical center or level I trauma center auditing experience.

We Offer :

• Full Benefits : 401k Savings Plan
• 12 free CEUs per year, provided by Ciox
• AAPC / AHIMA dues compensation
• Company equipment will be provided to you (computer, monitor, etc.)
• Comprehensive training lead by a hiring manager

Responsibilities

RESPONSIBILITIES

• Performs inpatient coding audits according to scope of work using appropriate assignment of codes and other coding-related elements.
• Evaluates the integrity of clinical documentation and makes recommendations about areas of opportunity.
• Provides rich rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc.
• Utilizes licensed auditing technology as instructed, assigns outcomes according to established hierarchy
• Utilizes internal workflow and human capital management (HCM) technology as instructed
• Attend coding workshops as necessary to further education
• Keeps abreast of regulatory changes.
• Organizes and prioritizes multiple cases concurrently to ensure optimal workflow and turnaround time
• Escalates any issues, auditing-related or coding related to Auditing Lead
• Shows versatility and flexibility and is able to pivot from one assignment to another as directed by Lead and / or Management.
• Utilizes internal decision support resources (e.g. Teams environment) to make fully-informed decisions
• Demonstrate initiative and judgment in performance of job responsibilities.
• 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

Qualifications

QUALIFICATIONS

• 5+ years of facility inpatient coding experience
• 5+ years of facility (hospital) auditing experience
• CCS and RHIA or RHIT credentials preferred.
• Experience in academic / level 1 trauma centers
• Track record of acceptable productivity standards
• Maintain 95% DRG accuracy rate and 80% accuracy rate for all other coding elements
• Experience with various software including Epic, Cerner, and other prevalent EMRs.

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

The estimated pay range for this role is $35.00 - $45.00 per hour.

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 Ciox 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.

For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.

With very limited exceptions (medical conditions or sincerely held religious beliefs that prohibit you from getting the vaccine), one of the requirements for this job is that you be fully vaccinated against COVID-19.

Except for states where legally prohibited to enforce mandates.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

This job is not eligible for employment sponsorship.

Equal Pay Act Minimum Range

$35.00-$40.00 per hour

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