Senior Consultant, Inpatient Auditor Quality & Education

Job not on LinkedIn

🕒 4 days ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔎 Auditor

👻 Ghost score 15%

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UASI

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1984

🏥 Healthcare

💼 Consulting

🤝 B2B

💰 $7M Debt on 2020-05

Healthcare • Consulting • B2B

UASI is a healthcare-focused revenue cycle consulting and services firm that helps hospitals and health systems optimize coding, clinical documentation improvement (CDI), denials and revenue integrity, quality and risk management, and AI adoption. With 40+ years of experience, UASI offers consulting, program design and implementation, assessments and audits, managed services and staffing, technology, and education and training. The company serves more than 1,250 hospital facilities and physician groups and employs 800+ nationally credentialed experts; it is KLAS-recognized and positions itself to find and fill gaps, fix processes, or run functions on behalf of clients (domestic, offshore, or both).

📋 Description

• Perform inpatient coding quality audits and reviews of UASI internal coders and auditors across varied inpatient facility record types • Evaluate coding accuracy, documentation support, coding guidelines, client-specific requirements, audit standards, and regulatory compliance • Run reports and provide audit score results • Identify and analyze coding trends, patterns, and improvement opportunities • Formulate recommendations for corrective action, education, and quality improvement • Research audit findings using authoritative resources such as AHA Coding Clinic and ICD-10-CM/PCS Official Guidelines • Provide education, feedback, and coaching to internal coders and auditors • Deliver in-service education to clients as requested • Participate in peer review, audit-the-auditor, calibration, and quality assurance activities • Assist with educational programs and training for clients and staff • Maintain current knowledge of inpatient coding guidelines, regulatory requirements, and industry guidance • Collaborate on senior-level projects, including ICD-10 assessment and analysis, audit tools, staff education, applicant coding tests, and client coding-advice articles

🎯 Requirements

• Active RHIA, RHIT or CCS certification • Minimum of 2–5 years of experience performing inpatient facility coding audits and reviews, in addition to previous inpatient coding experience • Advanced knowledge and demonstrated auditing experience across the full range of inpatient facility coding • Experience auditing complex inpatient cases across a broad range of diagnoses, procedures, and service lines • Knowledge of ICD-10-CM/PCS code assignment and sequencing, POA indicators, discharge disposition, MS-DRG and APR-DRG assignment, including CC/MCC, SOI, and ROM impacts • Ability to manage multiple priorities, audit assignments, and deadlines while maintaining accuracy and attention to detail • Demonstrated initiative in research and maintaining inpatient coding knowledge and expertise • Ability to remain impartial and objective when evaluating, finalizing, and presenting audit findings • Willingness to take ownership of responsibilities and deadlines • Strong organizational, time-management, and critical-thinking skills • Strong computer skills, including use of UASI audit software and secure file transfer in compliance with HIPAA policies and requirements • Excellent verbal and written communication skills • Detail-oriented, quality-focused, self-directed, and adaptable • Ability to work effectively in a fast-paced environment

🏖️ Benefits

• Full benefits • PTO • Flexible work-from-home arrangement • Dynamic work environment • Career development • Strong leadership • Competitive salaries

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