Remote - Inpatient Audit Specialist - Facility
Company: CIOX Health
Location: Alpharetta
Posted on: April 30, 2024
Job Description:
Remote - Inpatient Audit Specialist - Facility
Job Locations
US-Remote
Requisition ID
2024-35955
# of Openings
2
Category (Portal Searching)
HIM / Coding
Position Type (Portal Searching)
PRN
Equal Pay Act Minimum Range
$35.00 - $45.00 per hour
Overview
Who we are...Ciox Health merged with Datavant in 2021, creating the
nation's largest health data ecosystems, powering secure data
connectivity on behalf of thousands of providers, payers, health
data analytics companies, patient-facing applications, government
agencies, research institutions and life science companies. The
combined company is focused on improving patient outcomes and
reducing costs by removing impediments to the secure exchange of
health data. Ciox, a Datavant company will offer the ability to
access, exchange, and connect data among the thousands of
organizations in its ecosystem for use cases ranging from better
clinical care and value-based payments to health analytics and
medical research. What we offer...At Ciox Health we offer all
employees a place to grow and expand their current skills so that
they can not only help build Ciox Health into the greatest health
technology company but create a career that you can be proud of. We
offer you complete training and long-term career goals. Our
environment is what most of our employees are the proudest of and
our Architecture Group is comprised of some of the brightest and
most talented individuals. Give us just a few moments to explain
why we need you and hope you will help us change how the health
Industry manages its' medical records. What we need...The Inpatient
Auditing Specialist will respond to consulting and education needs
related to coding quality, compliance assessments, external payer
reviews, coding education, interim coding management and coding
workflow operations reviews. Offer meaningful information to meet
customer expectations including identifying and proposing solutions
for customer issues. Develop and maintain account relationships
through responsiveness and calm, reflective work practices. Work
cooperatively with the Data Quality & Coding Compliance leadership
and scheduling for optimal services outcome. Details:
- Location: Remote/Work from home
- Required: 5+ years of facility IP (inpatient) coding
experience
- Required: 5+ years of facility IP (inpatient) auditing
experience.
- Preferred: CCS, RHIT, or RHIA credentials.
- Preferred: Recent academic medical center or level I trauma
center auditing experience. We Offer:
- 20-24 free CEUs per year, provided by Datavant
- AAPC/AHIMA dues compensation
- Company equipment will be provided to you (including computer,
monitor, etc.)
- Comprehensive training lead by a hiring manager
Responsibilities
- Performs inpatient and outpatient coding audits medical records
and abstracts using ICD-10-CM CPT and appropriate coding references
for appropriate DRG and APC assignment.
- Reviews non-CC/MCC records to determine if record was properly
coded or if additional
- documentation is needed. Reviews all HCPCS and CPT codes
impacting APC assignment
- Provides coder education via the auditing process
- Prepares preliminary results for review by the facility or CCS
HIM director
- Reviews APC/DRG change disagreements with appropriate
manager
- Prepares the final reports for the coding audit. Participates
in settlement of audit findings.
- Provides coder education via email and/or conference call using
the audit spreadsheet findings and comments
- Attends coding workshops as necessary
- Keeps abreast of regulatory changes
- Organizes and prioritizes multiple cases concurrently to ensure
departmental workflow and case resolution
- Shows versatility and exemplary work including a wide range of
services coded
- Meets with client facility representatives to discuss issues
and trends identified in audit
- Develops and implements education for physician, nursing, and
other clinical staff to improve documentation
- Demonstrate initiative and judgment in performance of job
responsibilities
- Communicates with co-workers, management, and hospital staff
regarding clinical and reimbursement issues
- 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
- Audits external coding staff as needed and provides reports to
manager as directed
- High complexity of work function and decision making
- Strong organizational, teamwork, and leadership skills
Qualifications
- 5+ years of facility inpatient coding experience
- 5+ years of facility (hospital) auditing experience
- CCS and RHIA or RHIT credentials preferred
- Recent experience in academic/level 1 trauma centers
- Experience coding or auditing inpatient and outpatient records
for various facilities
- Track record of acceptable productivity standards
- Maintain 95% accuracy rate for APC assignment and 95%
productivity rate
- Experience with various software including EMR, Encoder and
Auditing software
- Experience with Ortho, Neural, and/or Cardiology preferredPay
ranges for this job title may differ based on location,
responsibilities, skills, experience, and other requirements of the
role. The estimated pay range for this role is $40.00 - $45.00 per
hour. 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 Ciox 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.
For remote work, this position requires that you provide a
high-speed internet connection, subject to applicable expense
reimbursement requirements (if any), and a work environment free
from distractions.With very limited exceptions (medical conditions
or sincerely held religious beliefs that prohibit you from getting
the vaccine), one of the requirements for this job is that you be
fully vaccinated against COVID-19. *Except for states where legally
prohibited to enforce mandates. All qualified applicants will
receive consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, national
origin, disability, or status as a protected veteran.
Equal Pay Act Minimum Range
$35.00 - $45.00 per hour
Need help finding the right job?
We can recommend jobs specifically for you!
Click here to get started.
Keywords: CIOX Health, Marietta , Remote - Inpatient Audit Specialist - Facility, Accounting, Auditing , Alpharetta, Georgia
Didn't find what you're looking for? Search again!
Loading more jobs...