Inpatient Coding Auditor

Description:

About e4health

At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do:

• Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth.
• Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day.
• WE GROW: We believe in win/win outcomes—when our customers win, we win.
• GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions.
• Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully.

Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our solutions streamline clinical, financial, and health information workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health.

POSITION TITLE:

Inpatient Auditor

ROLE TYPE:

Full Time / Part Time

EMPLOYMENT TYPE:

Non-Exempt

JOB SUMMARY:

The Inpatient Auditor is responsible for completing quality assurance reviews on internal and external inpatient coders. This includes onboarding audits and training of newly hired e4health inpatient coders. The role validates that coders accurately abstract data into client electronic medical record systems, following Official ICD-10-CM and ICD-10-PCS Guidelines, UHDDS guidelines, and CMS directives. The auditor also validates Present on Admission (POA) indicators per AHA POA guidelines and identifies missing or inappropriate provider queries. The Inpatient Auditor plays a key role in reporting quality results, tracking educational opportunities, responding to client needs, and providing educational support and training.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Complete scheduled quality assurance reviews for both internal teams and external client organizations
• Conduct onboarding audits and training for newly hired inpatient coders
• Deliver training sessions and educational feedback to coders, including those at client sites
• Communicate quality issues and audit findings to management and client contacts.
• Assist in drafting, implementing, and monitoring quality improvement action plans for coders
• Maintain reports and accuracy rates for coders and clients
• Respond to client QA needs and inquiries as directed by management
• Provide educational sessions on error trends to coders and client teams
• Notify management of compliance concerns or incidents
• Demonstrate knowledge of HIPAA Privacy and Security Regulations through appropriate handling of patient information
• Promote confidentiality and discretion in handling patient information
• Attend educational conference calls and client meetings as required
• Perform other duties as assigned for the project
• Maintain required productivity and quality standards
• Maintain coding credential requirements

BENEFITS:

We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, vision, life, short/long term disability insurance, and PTO policy.

PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:

• This role requires prolonged periods of desk working on a computer
• Talking, hearing, and near vision are required to perform computer-based tasks and virtual communications
• Sensory perception (visual, auditory, and tactile) is essential for computer and phone use

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:

This is a remote role; work is performed in a home office environment.

e4health is an equal opportunity employer and will consider all applications without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, gender, sexual orientation, gender identity or any other legally protected category.

Applicants for U.S. based positions with e4health must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not available for this position.

Requirements:

REQUIRED QUALIFICATIONS:

• Candidate must possess an approved AHIMA coding credential
• Minimum 5 years’ coding experience recommended; 3 years of inpatient coding in an acute care setting required
• Recommend minimum 3 years of Trauma Level 1 and Academic Teaching facility experience
• Minimum 2 years of auditing experience preferred
• Must be proficient at ICD-10-PCS coding

KEY SUCCESS ATTRIBUTES:?

• Integrity, passion, and ethics are required
• Demonstrates strong collaboration skills
• Has strong analytic and problem-solving abilities and techniques
• Exhibit consistent initiative with strong drive for results and success
• Demonstrate commitment to a team environment?
• Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
• Ability to self-motivate and self-direct
• Possess strong time management and organizational skills
• Commitment and adherence to company Core Values

CORE COMPETENCIES:

• High level of integrity & ethical judgement
• Communication
• Consistency and Reliability
• Meeting Standards