Inpatient Audit Specialist FT

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.

By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. ****** 2,500 Sign on Bonus * ****** As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues.

This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Preferred: In need for a FT IP auditing specialist. Auditing specialist will be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care.

Interest in coding IP charts in the event the contract ends. Must be able to work 40 hours/week M-F. Systems: Cerner PowerChart, 3M360; CCS certification.

You Will: 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.

Preferred: In need for a FT IP auditing specialist. Auditing specialist will be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care. Interest in coding IP charts in the event the contract ends.

Must be able to work 40 hours/week M-F. Systems: Cerner PowerChart, 3M360.