Inpatient Auditor – Coding Integrity Specialist

🕒 April 11

🇺🇸 United States – Remote

💵 $26 - $36 / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Huron

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2002

🤝 B2B

🏢 Enterprise

💸 Finance

B2B • Enterprise • Finance

Huron Consulting Group is a global consultancy that provides a wide range of services including strategy, operations, advisory, digital, technology, and analytics solutions to various sectors such as healthcare, education, energy, and financial services. Huron helps organizations navigate complex challenges and drive growth through tailored solutions and innovative strategies. The company employs a team of experts dedicated to delivering high-impact solutions that address the unique needs of each client, focusing on areas such as managed services, outsourcing, and leadership development.

📋 Description

• Perform a variety of activities involving the coding of medical records, resolving coding related denials, and the auditing of coders to ensure coding accuracy standards are met. • Knows, understands, incorporates, and demonstrates Huron’s Vision, and Values in behaviors, practices, and decisions. • Coding of Medical Records • Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. • Assigns appropriate code(s) by utilizing coding guidelines established by: • The Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting • American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification • The American Medical Association (AMA) for CPT codes and CPT Assistant • American Health Information Management Association (AHIMA) Standards of Ethical Coding • Responsible for the auditing of inpatient coders and/or inpatient “audit the auditors” to ensure coding accuracy and DRG accuracy of a minimum of 95% is met. • Perform quality checks/audits on visits coded as per client SOPs. • Perform calibration audits. • Suggest improvements and schedule calibration sessions with offshore team counterparts and leaders. • May assist in preparing audit reports, share direct feedback to coders and auditors on areas of opportunity, participate in client interactions and internal stakeholder meetings. • Firm understanding of the clinical documentation guidelines. • Monitor compliance of coding guidelines and ensure errors are identified during audits are corrected as appropriate, and corrective action is initiated before the claim is rebilled to the insurance. • Conduct analysis and present summary of findings to leadership in a clear, concise, convincing, and actionable format.

🎯 Requirements

• Current permanent United States Work Authorization required • Working in the United States Day shift schedule required • 2+ years previous experience as an inpatient coding auditor • 3+ years previous experience in coding inpatient hospital accounts • Advanced proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint) • Analytical skills (problem solving, quantitative, workflow process, etc.) • Ability to pay close attention to details; strong follow-up and follow-through skills • Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment • Requires the use of independent judgement, discretion and decision-making abilities • Ability to interact with internal and external customers in a professional manner • Ability to ramp up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible • Financial acumen and analytical skills are required • Experience working with data from various sources preferred • Familiarity with revenue cycle systems, deep understanding of revenue cycle process flow and financial analysis • Desire to work as part of a team in a partnership role • Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required • Flexible and adaptable to changes.

🏖️ Benefits

• medical, dental and vision coverage • 401(k) plan with a generous employer match • employee stock purchase plan • generous Paid Time Off policy • paid parental leave and adoption assistance • Wellness Program that supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops