With an unwavering commitment to service and support, VitalWare empowers providers and partners to realize revenue cycle success through innovative documentation, coding, billing and auditing solutions.
The Coding Integrity Auditor/Analyst performs ICD-10-CM/PCS and/or CPT code auditing activities as defined by VitalWare client contracts for audit service. The Coding Integrity Auditor/Analyst contributes to the ongoing development and refinement of proprietary audit tools. This position also provides education to audit clients as required by the deliverables of the contract and acts as coding subject matter expert as needed.
The Coding Integrity Auditor/Analyst must be self-motivated and use independent judgment while working with minimal direction. He/she will function as a coding and billing subject matter expert providing guidance and specific source documentation to VitalWare clients specific to the areas of health information management, coding, billing and related compliance. This will be done via VitalWare’s MyAdvisor and VitalAlert functions as well as through routine webinars and other venues/processes as determined by client requests/needs.
The Coding Integrity Auditor/Analyst will be chiefly accountable for responding to and managing VitalWare’s MyAdvisor forum of client-submitted questions creating a library of guidelines related to specific, real-world scenarios. He/she will also have primary responsibility of developing, researching, analyzing and writing the content for VitalWare’s VitalAlerts. These Alerts are intended to assist VitalWare’s clients to quickly identify and respond to coding and regulatory changes that affect the healthcare revenue cycle.
The Coding Integrity Auditor/Analyst also supports the Coding and Content Quality Team as needed with VitalWare software content review and analysis.
Knowledge of hospital inpatient/outpatient and physician payment systems.
Prefer hands-on experience with charge capture integrity and payer edits resolution
Must be experienced with coding software (encoding, grouper, and abstracting software).
Strong written, listening and verbal communication skills required; previous technical and/or business writing skills preferred.
Strong customer service skills.
Strong data analysis and research skills.
Demonstrated proficiency with intermediate PC skills in Word, Excel, Outlook required. Advanced keyboarding skills.
Advanced problem solving and high analytical skills required.
Must be self-motivated and able to work independently addressing objectives without supervision.
Able to handle and resolve issues/objections diplomatically and respectfully.
Other characteristics such as personal characteristics
Flexibility and a comfort with a fast-paced environment where areas of focus can change quickly.
One of the following certifications is required: Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); or Certified Coding Specialist (CCS).
Minimum of 10 years inpatient/outpatient combined coding experience required.
Minimum of 5 years coding experience in a hospital environment required.
Previous auditing, consulting and/or education experience preferred.
High school diploma or GED required.
1-2 years college in related field preferred.
Associate’s or Bachelor’s degree preferred.
Salary is dependent on qualifications. This position is a remote work position with full benefits available.
Instructions for Resume Submission:
Email resumes to email@example.com