Inpatient Audit Specialist

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!

Spinal experience a plus, excellent query writing skills. Ability to multi-task among multiple clients is required. Candidate should be highly independent, demonstrate strong problem-solving and critical-thinking skills, and be able to prioritize and manage workload with minimal supervision. Strong time-management skills and the ability to remain actively engaged in auditing work, minimize non-productive and consistently meet productivity and quality expectations are essential.

Spinal experience a plus, excellent query writing skills. Ability to multi-task among multiple clients is required. Candidate should be highly independent, demonstrate strong problem-solving and critical-thinking skills, and be able to prioritize and manage workload with minimal supervision. Strong time-management skills and the ability to remain actively engaged in auditing work, minimize non-productive and consistently meet productivity and quality expectations are essential.

• 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.

• →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