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e4health

Inpatient Auditor - Client Facing Opportunity! at e4health

e4health Pittsburgh, PA

Job Description

Job DescriptionJob DescriptionDescription:About e4healthAt e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do:Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth.Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day.WE GROW: We believe in win/win outcomes—when our customers win, we win.GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions.Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully.Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our solutions streamline clinical, financial, and health information workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health.POSITION TITLE:Inpatient AuditorROLE TYPE:Full Time (x2 openings)EMPLOYMENT TYPE:Non-ExemptJOB SUMMARY:The Inpatient Auditor is responsible for completing quality assurance reviews on internal and external inpatient coders. This includes onboarding audits and training of newly hired e4health inpatient coders. The role validates that coders accurately abstract data into client electronic medical record systems, following Official ICD-10-CM and ICD-10-PCS Guidelines, UHDDS guidelines, and CMS directives. The auditor also validates Present on Admission (POA) indicators per AHA POA guidelines and identifies missing or inappropriate provider queries. The Inpatient Auditor plays a key role in reporting quality results, tracking educational opportunities, responding to client needs, and providing educational support and training.ESSENTIAL DUTIES AND RESPONSIBILITIES:Complete scheduled quality assurance reviews for both internal teams and external client organizationsConduct onboarding audits and training for newly hired inpatient coders Deliver training sessions and educational feedback to coders, including those at client sitesCommunicate quality issues and audit findings to management and client contacts. Assist in drafting, implementing, and monitoring quality improvement action plans for codersMaintain reports and accuracy rates for coders and clientsRespond to client QA needs and inquiries as directed by managementProvide educational sessions on error trends to coders and client teams Notify management of compliance concerns or incidentsDemonstrate knowledge of HIPAA Privacy and Security Regulations through appropriate handling of patient informationPromote confidentiality and discretion in handling patient informationAttend educational conference calls and client meetings as requiredPerform other duties as assigned for the projectMaintain required productivity and quality standardsMaintain coding credential requirementsBENEFITS:We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, vision, life, short/long term disability insurance, and PTO policy.PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:This role requires prolonged periods of desk working on a computerTalking, hearing, and near vision are required to perform computer-based tasks and virtual communicationsSensory perception (visual, auditory, and tactile) is essential for computer and phone useWORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:This is a remote role; work is performed in a home office environment.e4health is an equal opportunity employer and will consider all applications without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, gender, sexual orientation, gender identity or any other legally protected category.Applicants for U.S. based positions with e4health must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not available for this position.Requirements:REQUIRED QUALIFICATIONS:Candidate must possess CCSMinimum 5 years’ auditing experience requiredRecommend minimum 3 years of Trauma Level 1 and Academic Teaching facility experienceExperience with CDI reconciliation and feedback, second-level reviews (audit of coder work and of vendor billing-company reviews) and resolution of Epic work queues, providing feedback & removing barriersExperience providing education/creating tip sheetsMust possess strong analytical and critical-thinking abilities and strong written and verbal communication skillsMust be self-motivated, organized, and able to manage multiple tasks/duties throughout the day, with comfortability adapting to evolving prioritiesKEY SUCCESS ATTRIBUTES:Integrity, passion, and ethics are required Demonstrates strong collaboration skills Has strong analytic and problem-solving abilities and techniques Exhibit consistent initiative with strong drive for results and success Demonstrate commitment to a team environment? Well-developed written, verbal, and presentation communication skills including deep listening and attention to detailAbility to self-motivate and self-directPossess strong time management and organizational skillsCommitment and adherence to company Core Values CORE COMPETENCIES:High level of integrity & ethical judgementCommunicationConsistency and Reliability Meeting Standards

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