[Hiring] Medical Facility Inpatient Auditor @IKS Health

Role Description

IKS Health is seeking to hire a Facility Inpatient Auditor.

Job Summary:

• Conducts clinical coding audits as defined by client contracts for audit service and internal quality assessment according to operational guidelines.
• Contributes to the ongoing development and refinement of proprietary audit tools.
• Participates in mentor/trainer activities to internal coders as required by the deliverables of the contract.
• Provides educational feedback and instruction to staff for coding guidelines as part of the internal quality review or external audit service projects.

Essential Job Responsibilities:

• Client-Related Duties:
  • Coordinate and oversee the coder onboarding process for assigned clients.
  • Manage the performance of all quality for assigned clients.
  • Monitor and enforce IKS's compliance and quality program.
  • Ensure adherence to State and National Practice Standards for coding.
  • Serve as an official resource for coding-related questions from the coding staff.
  • Provide project status reports to operational leadership, as requested.
• Auditing Team Duties:
  • Work directly with the coding management team to ensure the educational needs of coders are met.
  • Provide coaching, as needed.
  • Assures internal coding audits are completed accurately and timely.
  • Conducts coding audits adhering to nationally recognized coding guidelines and standards.
  • Generates narrative audit summary reports as needed.
  • Perform auditing for a broad spectrum of cases.
  • Provide input and advice regarding educational topics based on audit trends.
  • Represent company via professional meeting attendance and communication.
  • Interact with audit peers, manager, coding staff, and operations team.
  • Abides by the Standards of Ethical Coding as set forth by AHIMA.
  • Maintains appropriate QA/QI and/or productivity logs or record entries.
• Maintain Coding Knowledge and Serve as Coding Expert:
  • Attend internal and external meetings, as needed and requested to provide input.
  • Act as a coding information resource/expert.
  • Ensure IK's compliance with all regulatory agencies.
  • Ensure AQuity is HIPAA compliant at all times.
  • Maintain all CEUs required for the position and attend educational seminars as needed.
• IKS Excellence:
  • Demonstrate a commitment to excellence in serving the client.
  • Demonstrate the AQuity Core Values of Integrity, Quality, Team, Continuous Improvement, Expertise, and Innovation.

Qualifications

• Education/Certification: RHIT, RHIA, CCS
• Experience: Minimum 5 years recent experience in auditing inpatient facility claims.
• Advanced knowledge of CPT, HCPCS, ICD-10 coding, and CMS billing policies for facility services, E/M auditing and/or healthcare compliance DRG Validation.
• Broad-based audit experience with inpatient and outpatient ICD-10-CM/PCS and CPT coding.
• Requires strong interpersonal communication skills, both verbal and written.
• Requires a high level of coding accuracy and attention to detail.
• Experience with using multiple encoders and systems.
• Excellent oral and written communication skills – must be detailed and articulate.
• Strong knowledge of Microsoft Word, Excel, PowerPoint, and Outlook is required.

Requirements

• Remote working environment; travel as required, extended periods of computer-based work.
• Prolonged computer screen usage, keyboarding.
• Long periods of sitting are commensurate with computer-based work and work-related phone calls.
• Normal Travel Requirements.

Benefits

• The pay range for this position is $41/hr - $44/hr.
• Pay is based on several factors, including but not limited to current market conditions, location, education, work experience, certifications, etc.
• Aquity Solutions offers a competitive benefits package including healthcare, 401(k), and paid time off (all benefits are subject to eligibility requirements for full-time employees).