Inpatient Facility Auditor

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August 6

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iMedX

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Healthcare Insurance • Fintech • SaaS

iMedX is a leader in revenue cycle management and clinical documentation solutions. The company specializes in services such as medical coding, coding audits, and medical transcription, aimed at improving cash flow and patient outcomes for healthcare providers. By combining human expertise with technology, iMedX helps hospitals and physician groups streamline their revenue cycle processes, reduce errors, and enhance the quality of clinical documentation.

1001 - 5000 employees

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

💰 $4M Venture Round on 2013-12

📋 Description

• The Inpatient Coding Auditor reviews client records to assure coders have assigned accurate and complete ICD-10-CM and PCS codes in accordance with the Official Guidelines for Coding and Reporting and results in the appropriate DRG assignment. • Performs coding quality and accuracy audits on facility charts. • Identifies and verifies the principal and secondary diagnoses based on Official Guidelines for Coding and Reporting. • Identifies procedures based on UHDDS and Official Coding Guidelines and validates ICD-10-PCS codes. • Assigns the MS-DRG or other DRG for inpatient cases based on official guidelines. • Reviews facility health records for accuracy and completeness of coding and DRG assignment. • Provides education to coders on proper utilization of facility guidelines, Official Coding Guidelines, and Coding Clinic advice. • Understands and adheres to all requirements in the iMedX Corporate Compliance Program. • Performs coding and review in an efficient and productive manner utilizing good time management and professional work habits. • Meets productivity standards for position. • Refers coding questions to manager or designee in a timely manner for feedback and coding guideline development. • Seeks assistance only after exhausting all resources. • Continually enhances coding skills. • Participates in coding roundtables, meetings and educational conferences to ensure coding practice is up-to-date. • Maintains confidentiality and safeguards the privacy of protected health information. • Promote the Company’s values.

🎯 Requirements

• Minimum of five (5) years of coding work experience • Two years of audit and coding review experience and coder education experience encompassing a working knowledge of the ICD-10-CM and ICD-10-PCS coding systems; medical terminology; anatomy and physiology; and health record content. • Demonstrated fluency coding multiple types of inpatient records: Acute care, Swing Bed, Inpatient Rehabilitation, Skilled Nursing Facility, Long-Term Acute Care • PC proficiency in word processing, spreadsheet and database software • Communicates daily with clients and supervisor exhibiting adaptability, excellent customer service, and professional written and verbal communications skills. • Maintains enthusiasm and a sense of urgency towards work. • Accepts responsibility and accountability willingly. • In all activities, uses analytical, judgment, and decision-making skills in meeting the objectives of the position with an excellent eye for detail.