Inpatient Coding Specialist

WaystarAtlanta, GA
2d

About The Position

Reporting to the VP Clinical Product Strategy, the Inpatient Coding Specialist is a member of the Customer Success organization who will provide coding subject matter expertise, insight and an active role to our clinical and business goals including product innovation and development.

Requirements

  • Bachelor's degree in Health Information Management (RHIA) or Bachelor degree in related field with appropriate coding certification
  • Certification: CCS and/or CIC required, CCDS and/or CCDS preferred
  • Experience in monitoring and assessing coding accuracy
  • Experience managing a second level review process that identifies coding error or discrepancies
  • Experience in developing new technology highly preferred
  • 3-5+ years of inpatient coding experience required
  • Ability to travel 15-20% of the time.

Nice To Haves

  • Experience in coding consulting role preferred

Responsibilities

  • Coding Research and develop inpatient coding criteria that identifies common areas of coding error or discrepancy
  • Conduct coding and documentation audits to assess product compliance with coding guidelines and regulations.
  • Identify areas for product improvement and provide recommendations for enhancing accuracy.
  • Stay informed about industry updates on coding guidelines and materials to ensure product compliance and competitiveness.
  • Collaborate with internal teams to understand the implications of coding and clinical documentation requirements on product development.
  • Engage with client partners to assess coding practices and responsibilities that would impact product development.
  • Research healthcare technology changes and trends affecting documentation and coding, guiding product development accordingly.
  • Evaluate coding processes, systems, and documentation practices, implementing strategies to optimize product performance and efficiency.
  • Design workflow processes to ensure efficiency and quality for users.
  • Collaborate with cross-functional teams, especially the clinical team, to ensure clinical and coding compliance and support organizational initiatives.
  • Stay up-to-date with changes in coding regulations, guidelines, and industry trends.
  • Prepare coding-related reports, analyses, and recommendations for product development and strategic decision-making.
  • Collaborate with cross-functional teams, serving as the coding subject matter expert
  • Collaborate with Data Science to improve inputs to models
  • Conduct and coordinate audits and quality checks of product capabilities

Benefits

  • Competitive total rewards (base salary + bonus, if applicable)
  • Customizable benefits package (3 medical plans with Health Saving Account company match)
  • We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 paid holidays
  • Paid parental leave (including maternity + paternity leave)
  • Education assistance opportunities and free LinkedIn Learning access
  • Free mental health and family planning programs, including adoption assistance and fertility support
  • 401(K) program with company match
  • Pet insurance
  • Employee resource groups
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