IP Auditing Specialist - CIOX Health

IP Auditing Specialist



Job Locations

US-Remote





Requisition ID

2024-37707



# of Openings

1



Category (Portal Searching)

HIM / Coding



Position Type (Portal Searching)

Employee Full-Time



Equal Pay Act Minimum Range

$35.00 - $45.00 per hour






































Overview









Datavant is a data platform 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 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. As an Inpatient Auditing Specialist, you will use various guidelines and precedents to perform coding quality review services on behalf of Datavant. The Internal 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 coding operations to develop and sustain optimized auditing practices.













Responsibilities









You Will:

Performs inpatient coding audits according to scope of work, for the purpose of onboarding, focused reviews, or service level agreements, using appropriate assignment of codes and other coding-related elements
• Provides rich rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc.
• Utilizes internal workflow and timekeeping 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
• Strong organizational, teamwork, and leadership skills
  
  
  
  
  
  
  
  
  
  
  
  
  
  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 EMRsPerks:
  
  Full Benefits: 401k Savings Plan20-24 free CEUs per year, provided by Datavant AAPC/AHIMA dues compensationCompany equipment will be provided to you (including computer, monitor, etc.)Comprehensive training lead by a hiring managerWe are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. 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.Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on level, responsibilities, skills, and experience for a specific job. The estimated pay range for this role is $35.00 - $45.00 per hour.At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be anonymous and used to help us identify areas of improvement in our recruitment process. (We can only see aggregate responses, not individual responses. In fact, we aren't even able to see if you've responded or not.) Responding is your choice and it will not be used in any way in our hiring process. This job is not eligible for employment sponsorship.
  
  
  
  
  
  
  
  
  
  
  
  
  
  Equal Pay Act Minimum Range
  
  
  
  
  
  
  
  
  
  $35.00 - $45.00 per hour
  
  
  
  
  
  
  
  
  
  
  
  
  
  
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