Inpatient Auditing 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.

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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, 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: Seeking an experienced Inpatient Auditing Specialist with a minimum of three years of auditing experience. The ideal candidate will be proficient in conducting rebill second-level reviews, including cases involving myocardial infarction (MI), cerebrovascular accidents (CVA), mortality reviews, query validation, and HAC/PSI analysis. In addition to strong auditing expertise, this role requires an educational component, as the specialist will be expected to provide guidance and answer coding-related questions to support coder development and ensure quality and compliance. Experience with Dolbey Fusion and Trucode is preferred. What You Will Do:

• Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs.
• Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc.
• Keeps abreast of regulatory changes.
• Organizes and prioritizes multiple cases concurrently to ensure optimal workflow and turnaround time
• Provides coder education via the auditing process
• Function in a professional, efficient, and positive manner
• Adhere to the American Health Information Management Association's code of ethics.
• Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession.
• High complexity of work function and decision making
• Strong organizational, teamwork, and leadership skills

Preferred: Seeking an experienced Inpatient Auditing Specialist with a minimum of three years of auditing experience. The ideal candidate will be proficient in conducting rebill second-level reviews, including cases involving myocardial infarction (MI), cerebrovascular accidents (CVA), mortality reviews, query validation, and HAC/PSI analysis. In addition to strong auditing expertise, this role requires an educational component, as the specialist will be expected to provide guidance and answer coding-related questions to support coder development and ensure quality and compliance. Experience with Dolbey Fusion and Trucode is preferred. What You Need to Succeed:

• 5+ years of facility inpatient coding experience and/or auditing.
• CCS (preferred), RHIA or RHIT preferred
• Maintain 95% DRG accuracy rate
• Experience with various software including Epic, Cerner, and other prevalent EMRs.

What We Offer:

• Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and 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!)

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy. Apply tot his job Apply To this Job