Remote Auditing Specialist

Overview

Who we are...

Ciox Health merged with Datavant in 2021, creating the nation's largest health data ecosystems, powering secure data connectivity on behalf of thousands of providers, payers, health data analytics companies, patient-facing applications, government agencies, research institutions and life science companies. The combined company is focused on improving patient outcomes and reducing costs by removing impediments to the secure exchange of health data. Ciox, a Datavant company will offer the ability to access, exchange, and connect data among the thousands of organizations in its ecosystem for use cases ranging from better clinical care and value-based payments to health analytics and medical research.

What we offer…

At Ciox Health we offer all employees a place to grow and expand their current skills so that they can not only help build Ciox Health into the greatest health technology company but create a career that you can be proud of. We offer you complete training and long-term career goals. Our environment is what most of our employees are the proudest of and our Billing Review Team is comprised of some of the brightest and most talented individuals. Give us just a few moments to explain why we need you and hope you will help us change how the health Industry manages its’ medical records.

What we need…

The Auditing Specialist will respond to Denials Writing and Billing Reviews and work cooperatively with the Data Quality & Coding Compliance leadership and scheduling for optimal services outcome.

We Offer:

• Fully remote/work from home
• Full Benefits: 401k Savings Plan
• 20-24 free CEUs per year, provided by Ciox
• AAPC/AHIMA dues compensation
• Company equipment will be provided to you (including computer, monitor, etc.)
• Comprehensive training lead by a hiring manager

Responsibilities

What You Will Do...

• Perform inpatient and outpatient coding audits medical records and billing reviews for appropriate DRG and APC assignment.
• Provide coder education via the auditing process
• Prepare preliminary results for review by the facility or CCS HIM director
• Review APC/DRG change disagreements with appropriate manager
• Prepare the final reports for the coding audit. Participates in settlement of audit findings.
• Keep abreast of regulatory changes
• Organize and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
• Show versatility and exemplary work including a wide range of services coded
• Meet with client facility representatives to discuss issues and trends identified in audit
• Develop and implements education for physician, nursing, and other clinical staff to improve documentation
• Demonstrate initiative and judgment in performance of job responsibilities
• Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues
• Function in a professional, efficient and positive manner
• Adhere to the American Health Information Management Association’s code of ethics
• Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession

Qualifications

What You Need...

• 3 years experience with DRG auditing, review, Denials Writing, and Billing experience
• CCS, CPC, RHIA/RHIT, or CCS-P credentials preferred.
• Recent experience in academic/level 1 trauma centers
• Experience DRG/auditing inpatient and outpatient records for various facilities
• Track record of acceptable productivity standards
• Maintain 95% accuracy rate for APC assignment and 95% productivity rate
• Experience with various software including EMR, Encoder and Auditing software
• Strong organizational, teamwork, and leadership skills
• High complexity of work function and decision making capabilities

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated pay range for this role is $26.74 - $29.18 per hour. 

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.  Any requests to be exempted from these requirements will be reviewed by Ciox Human Resources and determined on a case-by-case basis.  Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.

Equal Pay Act Minimum Range

Salary : $27 - $29