Senior Consultant, Inpatient Auditor Quality & Education

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct quality audits and reviews of inpatient coding performed by UASI's internal coders and auditors across various types of inpatient facility records.

• Assess coding accuracy, support documentation, adherence to coding guidelines, client-specific requirements, audit standards, and regulatory compliance.

• Generate reports and deliver audit score results.

• Identify and evaluate coding trends, patterns, and areas for improvement.

• Develop recommendations for corrective actions, educational initiatives, and quality enhancements.

• Investigate audit findings utilizing authoritative resources such as the AHA Coding Clinic and ICD-10-CM/PCS Official Guidelines.

• Offer education, feedback, and coaching to internal coders and auditors.

• Provide in-service education to clients upon request.

• Engage in peer review, audit-the-auditor, calibration, and quality assurance activities.

• Support educational programs and training for both clients and staff.

• Keep up-to-date with current inpatient coding guidelines, regulatory requirements, and industry best practices.

• Collaborate on senior-level projects, including ICD-10 assessment and analysis, audit tools, staff training, applicant coding assessments, and client coding-advice publications.

⛳️ Requirements

• Valid RHIA, RHIT, or CCS certification.

• 2 to 5 years of experience in conducting inpatient facility coding audits and reviews, alongside prior inpatient coding experience.

• In-depth knowledge and proven experience in auditing across the complete spectrum of inpatient facility coding.

• Expertise in auditing complex inpatient cases covering a wide array of diagnoses, procedures, and service lines.

• Understanding of ICD-10-CM/PCS code assignment and sequencing, POA indicators, discharge disposition, and MS-DRG and APR-DRG assignment, including impacts of CC/MCC, SOI, and ROM.

• Capacity to handle multiple priorities, audit tasks, and deadlines while ensuring accuracy and attention to detail.

• Proven initiative in research and maintaining current knowledge and expertise in inpatient coding.

• Ability to remain unbiased and objective when evaluating, finalizing, and presenting audit findings.

• Readiness to take ownership of responsibilities and meet deadlines.

• Strong organizational, time-management, and critical-thinking capabilities.

• Proficient computer skills, including the use of UASI audit software and secure file transfer in accordance with HIPAA policies and regulations.

• Excellent verbal and written communication abilities.

• Detail-oriented, quality-driven, self-motivated, and adaptable.

• Ability to work efficiently in a fast-paced environment.

🏝️ Benefits

• Comprehensive benefits package.

• Paid Time Off (PTO).

• Flexible work-from-home options.

• Dynamic work atmosphere.

• Opportunities for career development.

• Strong leadership support.

• Competitive salary structure.