Senior Consultant: Inpatient Auditor Quality & Education
UASI
Senior Consultant: Inpatient Auditor Quality & Education Remote Join Our Award-Winning Team and Work with the Best! We are thrilled to share that UASI has been recognized as a Top Workplace by the Cincinnati Enquirer in both 2022, 2023 and 2024. With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we’ve built and the long-term success of our dedicated team. We are currently seeking an experienced Inpatient Facility Coding Auditor to join our Quality Management and Education team. The Coding Auditor will perform inpatient coding quality audits and reviews of internal coders and auditors to promote coding accuracy, consistency, and compliance with established coding guidelines and regulatory requirements. This role also supports ongoing quality improvement through the identification of coding trends and educational opportunities. Additional responsibilities include: Perform coding audits and quality reviews of UASI internal coders and auditors across a variety of inpatient facility record types, utilizing client documentation and applicable coding guidelines, client-specific requirements, and established audit standards. Advanced knowledge and demonstrated auditing experience across the full range of inpatient facility coding, including ICD-10-CM/PCS code assignment and sequencing, Present on Admission (POA) indicators, discharge disposition, and MS-DRG and APR-DRG assignment, including associated CC/MCC, SOI, and ROM impacts. Experience must include auditing complex inpatient cases across a broad range of diagnoses, procedures, and service lines, with the ability to evaluate coding accuracy, documentation support, and appropriate application of official coding guidelines and regulatory requirements. Ability to run reports and provide audit score results; identify and analyze coding trends, patterns, and areas of opportunity; and formulate recommendations for corrective action, education, and ongoing quality improvement. Perform necessary research to support audit findings and provide clear, defensible rationale. Examples of this research include AHA Coding Clinic, ICD-10-CM/PCS Official Guidelines for Coding and Reporting, the AHA Coding Handbook, and other authoritative coding resources. Provide education, feedback, and coaching to internal coders and auditors, as well as in-service education to clients as requested, based on audit findings, identified coding trends, and performance or educational opportunities. Participate in peer review, audit-the-auditor, calibration, and other quality assurance activities to promote consistency, accuracy, and standardization across the auditing team. Assist in the development and delivery of educational programs and training for clients and staff, including, as needed, initiatives designed to strengthen coding knowledge, expand coding competencies, and support coder development and progression into inpatient coding roles. Maintain current knowledge of inpatient coding guidelines, regulatory requirements, industry guidance, and changes affecting coding and auditing practices. Work with other members of the HIM Consulting Division on Senior Level Projects such as ICD-10 assessment and analysis, development of tools to assist in the audit process, development of education for staff, develop coding test material for applicants and develop coding content for short articles with coding advice for clients The ideal candidate will be detail-oriented, quality-focused, self-directed, and adaptable, with the ability to work effectively in a fast-paced environment. Additional qualifications include: Active RHIA, RHIT or CCS certification. Minimum of 2-5 years of experience performing inpatient facility coding audits and reviews, in addition to previous inpatient coding experience. Ability to effectively manage multiple priorities, audit assignments, and deadlines in a fast-paced environment while maintaining accuracy and attention to detail. Demonstrated initiative in performing research and maintaining a high level of inpatient coding knowledge and expertise. Ability to remain impartial and objective in evaluating, finalizing and presenting audit findings. Willingness to take ownership of responsibilities and deadlines. Strong organizational, time-management, and critical-thinking skills. Strong computer skills including the ability to utilize UASI audit software and the ability to transfer files in a secure manner in compliance with HIPAA policies and requirements. Excellent verbal and written communication skills, including the ability to clearly and confidently communicate audit findings, education, and recommendations in one-on-one, group, virtual, and client-facing settings. At UASI, we offer HIM professionals the perfect balance: an exciting and fulfilling role that challenges you to utilize and enhance your expertise, combined with the flexibility and comfort of working from home. We also recognize that our employees are our greatest asset and in return for your talents, we offer full benefits, PTO, a dynamic work environment, career development, strong leadership and competitive salaries. We invite applicants to share their demographic background. If you choose to complete this survey, your responses may be used to identify areas of improvement in our hiring process. As set forth in UASI's Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law. A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service. An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. #J-18808-Ljbffr UASI
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