Lead HIM Inpatient Audit Specialist

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 a Lead HIM Inpatient Auditing Specialist, you will be responsible for coordinating and monitoring the quality and quantity of work to “Deliver Awesome” to our clients.   

Responsibilities

You Will:

• Serves as liaison between front line auditors and auditing management
• Coordinates and monitors workload and assigns work as appropriate to available auditors
• Communicates status of workload, workflow, and process efficacy to management
• Ensures auditors have adequate work throughout the day and work week    
• Utilizes Datavant auditing workflow technology and reports to ensure internal customer deliverables are delivered on time and in accordance with expectations
• Identifies challenges and issues in a timely manner and escalates appropriately
• Reviews reports for accuracy prior to reports being submitted to the client  
• Attends meetings as directed
• Provides and/or assists with clinical documentation/coding education through email, reports and/or presentations as appropriate for their team members
• Provides or assists auditing management with education/presentations as appropriate to internal customers and staff
• Performs inpatient coding audits on medical records to validate ICD-10-CM, ICD-10-PCS, Discharge Disposition, POA, HAC’s,  MS-DRG, APR-DRG, SOI, SOM CPT, modifiers and other elements as required.
• Identified and cites appropriate coding references as required to audit findings
• Function in a professional, efficient, and positive manner
• Queries providers or makes recommendations to query providers when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
• Keeps abreast of coding guidelines and reimbursement reporting guidelines
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. 
• Identify and implement improvement measures that will enhance department operations and customer service. 
• Monitor and report all required performance measures to include the development of department goals and assist in the assessment of goal attainment. 
• Conduct and recommend trainings to improve team performance. 
• Ensure management is informed of any employee personnel issues. 
• Function as a resource to employees for questions and additional training. 
• 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
• Shows versatility and exemplary work including a wide range of services audited
• Adhere to the American Health Information Management Association’s code of ethics
• Other duties as assigned.

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 EMRs.

Perks:

• Full Benefits: 401k Savings Plan
• 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

We 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 $40.00 - $50.00 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