Inpatient Audit Specialist

Overview

Datavant protects, connects, and delivers the world’s health data to power better decisions and advance human health. We are a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners. 

 

By joining Datavant today, you’re stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We hire for three traits: we want people who are smart, nice, and get things done. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs.  

 

We’re looking for experienced and credentialed IP Auditing Specialists to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!

 

The Inpatient Auditing Specialist will use various guidelines and precedents to perform coding quality review services on behalf of Datavant’s auditing partners.  The Inpatient Audit Specialist will make determinations on the appropriateness of inpatient coding elements, identify performance trends, and will make recommendations on performance improvement. The inpatient Auditing Specialist will work cooperatively with  auditing peers, auditing leadership, and client partners to develop and sustain optimized auditing practices.

Responsibilities

What you will do:

• Performs inpatient coding audits according to scope of work using  appropriate assignment of codes and other coding-related elements.
• Evaluates the integrity of clinical documentation and makes recommendations about areas of opportunity.
• Provides rich rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc.
• Utilizes licensed auditing technology as instructed, assigns outcomes according to established hierarchy
• Utilizes internal workflow and human capital management (HCM) technology as instructed
• Attend coding workshops as necessary to further education
• Keeps abreast of regulatory changes.
• Organizes and prioritizes multiple cases concurrently to ensure optimal workflow and turnaround time
• Escalates any issues, auditing-related or coding related to Auditing Lead
• Shows versatility and flexibility and is able to pivot from one assignment to another as directed by Lead and/or Management.
• Utilizes internal decision support resources (e.g. Teams environment) to make fully-informed decisions
• Demonstrate initiative and judgment in performance of job responsibilities.
• 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

Qualifications

What you will bring to the table: 

• 5+ years of facility inpatient coding experience
• 5+ years of facility (hospital) auditing experience
• CCS and RHIA or RHIT credentials preferred.
• Experience in academic/level 1 trauma centers
• Track record of acceptable productivity standards
• Maintain 95% DRG accuracy rate and 80% accuracy rate for all other coding elements
• Experience with various software including Epic, Cerner, and other prevalent EMRs.

Perks:

• Full Benefits including a 401k Savings Plan
• Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development
• Compensation for AAPC/AHIMA dues 
• Company-provided equipment including computer, monitor, mouse, etc
• Comprehensive training led by a credentialed professional coding manager
• Exceptional service-style management and mentorship (we’re in this together!)

 

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