Talent.com
Inpatient Audit Specialist
Inpatient Audit SpecialistDatavant • Helena, MT, US
Inpatient Audit Specialist

Inpatient Audit Specialist

Datavant • Helena, MT, US
14 days ago
Job type
  • Full-time
Job description

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.

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 : An experienced FT auditor (at least 30 hours / week). MUST have 3-5+ years of audit experience at an Academic / Trauma Level 1 facility. Experience with SMART software tool 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

What You Need to Succeed :

Preferred : An experienced FT auditor (at least 30 hours / week). MUST have 3-5+ years of audit experience at an Academic / Trauma Level 1 facility. Experience with SMART software tool preferred.

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.

The estimated base pay range per hour for this role is : $35 - $45 an hour.

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

The estimated base pay range per hour for this role is

$35-$45 USD

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 (https : / / www.datavant.com / eeo-commitment-statement) . Know Your Rights (https : / / www.eeoc.gov / know-your-rights-workplace-discrimination-illegal) , 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, (https : / / peopleteam.datavant.com / portal / en / newticket?departmentId=248697000248790029&layoutId=248697000248795462) 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 (https : / / app.tango.us / app / workflow / Greenhouse Locating-Requisition-ID-2c7d618c8a8a423da4330ff12330695e) . 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 (https : / / www.datavant.com / privacy-policy) .

Create a job alert for this search

Audit Specialist Audit • Helena, MT, US

Related jobs
Patient Account Associate I Credit Balances

Patient Account Associate I Credit Balances

Montana Staffing • Helena, MT, US
Full-time
Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, a...Show more
Last updated: 4 days ago • Promoted
Patient Access Specialist I - Clinic Registration

Patient Access Specialist I - Clinic Registration

Montana Staffing • Helena, MT, US
Full-time
The role of a Patient Access Specialist (PAS) is to assist in providing seamless, patient-oriented and timely access to services provided at St. Peter's Health Medical Group (SPHMG) Clinics / Regional...Show more
Last updated: 6 days ago • Promoted
Senior Accounts Receivable Specialist (Meritain Health)

Senior Accounts Receivable Specialist (Meritain Health)

Montana Staffing • Helena, MT, US
Full-time
Senior Accounts Receivable Specialist.At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming...Show more
Last updated: 4 days ago • Promoted
Patient Assistance Rep

Patient Assistance Rep

Montana Staffing • Helena, MT, US
Full-time
Cvs Health Home Infusion Coordinator.At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ...Show more
Last updated: 4 days ago • Promoted
Claims Examiner | Multi-Line | Public Entity | Remote

Claims Examiner | Multi-Line | Public Entity | Remote

Montana Staffing • Helena, MT, US
Remote
Full-time
Claims Examiner | Multi-Line | Public Entity | Remote.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who ...Show more
Last updated: 6 days ago • Promoted
Insurance Policy Compliance Specialist 2

Insurance Policy Compliance Specialist 2

Montana Staffing • Helena, MT, US
Full-time
Insurance Policy Compliance Specialist 2.The Montana State Auditor, Commissioner of Securities and Insurance (CSI), has an exciting opportunity for an Insurance Policy Compliance Specialist 2 in ou...Show more
Last updated: 6 days ago • Promoted
Patient Account Associate Credit

Patient Account Associate Credit

Montana Staffing • Helena, MT, US
Full-time
Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, a...Show more
Last updated: 4 days ago • Promoted
Claims Examiner, Bodily Injury

Claims Examiner, Bodily Injury

Montana Staffing • Helena, MT, US
Full-time
Claims Examiner, Bodily Injury.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpect...Show more
Last updated: 4 days ago • Promoted
SPM Intake Analyst

SPM Intake Analyst

Montana Staffing • Helena, MT, US
Full-time
We help people get the medicine they need to feel better and live well.It fuels our passion and drives every decision we make. The SPM Intake Analyst will act as a liaison among business operations,...Show more
Last updated: 4 days ago • Promoted
Patient Access Specialist I - Specialty Clinic Registration

Patient Access Specialist I - Specialty Clinic Registration

Montana Staffing • Helena, MT, US
Full-time
The role of a Patient Access Specialist (PAS) is to assist in providing seamless, patient-oriented and timely access to services provided at St. Peter's Health Medical Group (SPHMG) Clinics / Regional...Show more
Last updated: 6 days ago • Promoted
Claims Advisor, Environmental (Professional Liability)

Claims Advisor, Environmental (Professional Liability)

Montana Staffing • Helena, MT, US
Full-time
Claims Advisor, Environmental (Professional Liability).By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who...Show more
Last updated: 6 days ago • Promoted
Data Entry Specialist - Medical Records (Remote)

Data Entry Specialist - Medical Records (Remote)

Montana Staffing • Helena, MT, US
Remote
Full-time
Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven...Show more
Last updated: 6 days ago • Promoted
Patient Access Specialist I - Admitting -Scheduling

Patient Access Specialist I - Admitting -Scheduling

Montana Staffing • Helena, MT, US
Full-time
The role of a Patient Access Specialist (PAS) is to assist in providing seamless, patient-oriented and timely access to services provided at St. Peter's Health Medical Group (SPHMG) Clinics / Regional...Show more
Last updated: 6 days ago • Promoted
Auto Claims Representative | PIP | Remote

Auto Claims Representative | PIP | Remote

Montana Staffing • Helena, MT, US
Remote
Full-time
By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your c...Show more
Last updated: 3 days ago • Promoted
Claim Examiner Liability

Claim Examiner Liability

Montana Staffing • Helena, MT, US
Full-time
By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your c...Show more
Last updated: 4 days ago • Promoted
Medical Coding Reviewer (DRG)

Medical Coding Reviewer (DRG)

Centene Corporation • Helena, MT, United States
Full-time +1
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offe...Show more
Last updated: 1 day ago • Promoted
Medical Claims Processor - Remote

Medical Claims Processor - Remote

Montana Staffing • Helena, MT, US
Remote
Full-time
Fully Remote Us Based Medical Claims Processor.Cognizant is a large IT Consulting Firm that leverages modern technologies to transform a variety of business operations. We are seeking Fully Remote U...Show more
Last updated: 3 days ago • Promoted
Claims Engineer

Claims Engineer

Montana Staffing • Helena, MT, US
Full-time
We are seeking a skilled and detail-oriented Claims Engineer to join our team.The successful candidate will be responsible for managing and analyzing claims using the Impact software.This role requ...Show more
Last updated: 4 days ago • Promoted