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 for UASI's internal coders and auditors across a variety of inpatient facility record types.

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

• Generate reports and present audit score outcomes.

• Detect and analyze coding trends, patterns, and opportunities for improvement.

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

• Investigate audit findings using authoritative resources, including AHA Coding Clinic and ICD-10-CM/PCS Official Guidelines.

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

• Provide in-service education to clients upon request.

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

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

• Stay updated on current inpatient coding guidelines, regulatory requirements, and industry best practices.

• Collaborate on senior-level projects, including ICD-10 assessments and analyses, audit tools, staff education, applicant coding evaluations, and client coding-advice articles.

⛳️ Requirements

• Possession of an active RHIA, RHIT, or CCS certification.

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

• Advanced knowledge and proven auditing experience across the complete spectrum of inpatient facility coding.

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

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

• Capability to manage multiple priorities, audit tasks, and deadlines while ensuring precision and attention to detail.

• Demonstrated initiative in research and in maintaining expertise in inpatient coding.

• Ability to remain impartial and objective when assessing, finalizing, and presenting audit findings.

• Willingness to take ownership of responsibilities and meet deadlines.

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

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

• Exceptional verbal and written communication skills.

• Detail-oriented, quality-focused, self-directed, and adaptable.

• Ability to thrive in a fast-paced environment.

🏝️ Benefits

• Comprehensive benefits package.

• Paid Time Off (PTO).

• Flexible work-from-home options.

• Vibrant work environment.

• Opportunities for career development.

• Strong leadership support.

• Competitive salary offerings.