Datavant
Healthcare
InpatientAuditingSpecialist
Neural analysis suggests this role is
optimal for Mid candidates.
“Inpatient Auditing Specialist at Datavant. Skills: Inpatient auditing, Coding education, Compliance assessments. Perform inpatient facility coding audits. Assign codes using MS DRG or APR DRGs”
What You'll Achieve.
Maintain 95% DRG accuracy rate
Industry & Context.
What They're Looking For.
Must Have
5+ years facility inpatient coding experience, 5+ years auditing experience, Maintain 95% DRG accuracy rate
Nice to Have
CCS preferred, RHIA preferred, RHIT preferred, Dolbey Fusion experience preferred, Trucode experience preferred
What You'll Do.
Perform inpatient facility coding audits
Assign codes using MS DRG or APR DRGs
Provide rationale for code changes
Keep abreast of regulatory changes
Organize and prioritize multiple cases
Ensure optimal workflow and turnaround time
Provide coder education via auditing process
Function in a professional manner
Adhere to AHIMA code of ethics
Full Job Description
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. ******* 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
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