Inpatient Audit Specialist

🕒 Fevereiro 18

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $35 - $45 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💻 Suporte de TI

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Datavant

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2017

⚕️ Seguro de Saúde

☁️ SaaS

🏢 Corporativo

💰 $40.000.000 Series B em 2020-10

Healthcare Insurance • SaaS • Enterprise

A Datavant é uma empresa de plataforma de dados de saúde comprometida em tornar os dados de saúde do mundo seguros, acessíveis e acionáveis. A empresa oferece uma rede proprietária que facilita a conectividade de dados em todo o ecossistema de saúde, permitindo que mais de 60 milhões de registros de saúde sejam compartilhados entre mais de 70. 000 hospitais e uma vasta rede de parceiros de dados do mundo real. Ao fornecer soluções para planos de saúde, provedores de saúde e ciências da vida, a Datavant desempenha um papel crítico na melhoria do cuidado ao paciente e no impulso de análises no setor de saúde.

Descrição

• Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment • Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment • Provide coder education through the auditing process • Prepare preliminary results for review by the facility or CCS HIM director • Review disagreements on APC/DRG changes with the appropriate manager • Prepare the final reports for the coding audit and actively participates in the resolution of audit findings • Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments • Attend coding workshops as necessary • Stay current with regulatory changes • Organize and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution • Demonstrate versatility and exceptional work across a wide range of coded services • Meet with client facility representatives to discuss issues and trends identified in audits • Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation • Communicate effectively with co-workers, management, and hospital staff regarding clinical and reimbursement issues • Function in a professional, efficient, and positive manner • Adhere to the American Health Information Management Association’s code of ethics • Maintain a customer-service focus and exhibits professionalism, flexibility, dependability, a desire to learn, commitment to excellence, and commitment to the profession • Conduct audits on external coding staff as needed and provides reports to the manager as directed • Handle a high complexity of work functions and decision-making • Demonstrate strong organizational, teamwork, and leadership skills

🎯 Requisitos

• 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

🏖️ Benefícios

• Medical • Dental • Vision • 401k Savings Plan w/match • 2 weeks of paid time off • 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!)