Inpatient DRG Quality Auditor
HumanaSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Hospital & Health SystemsIndustries
Requirements
Candidates should possess a Bachelor’s degree in Health Information Management, Medical Coding, or a related field, and have at least three years of experience in clinical data quality auditing and coding, with a strong understanding of ICD-10-CM/PCS, CPT, and HCPCS coding systems. Demonstrated knowledge of hospital coding standards and regulatory requirements is essential, along with experience conducting internal and external audits.
Responsibilities
The HIM Clinical Data Quality Auditor and Educator will be responsible for conducting internal audits of hospital coding practices, overseeing external audits, and providing comprehensive training and education to hospital coders. They will also develop and implement a coding compliance plan, participate in system administration maintenance for coding software, and collaborate with other hospital departments to resolve coding issues and ensure accurate account processing. Furthermore, the role involves creating and maintaining coding training resources for the entire team and assisting in the coordination between CDI specialists.
Skills
ICD-10-CM
ICD-10-PCS
CPT
HCPCS
Coding Standards
Auditing
Compliance
Training & Education
System Maintenance
Resource Development
Interdepartmental Collaboration
Virta Health
Reverses type 2 diabetes through personalized care
About Virta Health
Virta Health focuses on reversing type 2 diabetes through a combination of personalized nutrition, continuous remote care, and behavioral science. Their treatment is designed for individuals diagnosed with type 2 diabetes, healthcare providers, and enterprise partners like employers and health plans. Unlike many competitors, Virta Health operates on a performance-based model, meaning they only receive payment if they achieve successful outcomes for their patients. This aligns their financial incentives with patient health improvements. The company's goal is to reverse type 2 diabetes in 100 million people, making their approach not just about managing diabetes but actively working towards its reversal.
Key Metrics
Denver, ColoradoHeadquarters
2014Year Founded
$362.8MTotal Funding
SERIES_ECompany Stage
Biotechnology, HealthcareIndustries
501-1,000Employees