Navigant Managing Consultant - Inpatient Coding Auditor - Remote Location in BOULDER, Colorado

Navigant (NYSE: NCI) is a specialized, global professional services firm that helps clients defend, protect, and create value in the midst of transformational change or when facing significant regulatory or legal pressures. Enhanced by senior level engagement with clients, Navigant professionals provide services that extend from expert and advisory work through implementation and outsourcing. The firm combines deep technical expertise with business pragmatism to address clients’ needs in highly regulated industries including Healthcare, Energy, Financial Services and Construction.

Our team of more than 4,500 global professionals are bound through a shared commitment to excellence and purpose of enabling our clients to shape the world. There are several ties that bind regardless of an employee's role in the organization including:

  • We work on issues that matter to a lot of people, both today and tomorrow.

  • We navigate complexity and remove barriers so clients can focus on what they do best.

  • We are invigorated by a good challenge and don’t shy away from ambiguity or difficulty.

  • We anticipate where the world is headed based on our deep market insights.

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The Healthcare Revenue Management Sub-Practice focuses on assisting their clients achieve the highest levels of efficiency, adapt core strategies to deal with dynamic market forces, optimize the deployment of financial resources and manage the risks of ever present 'unknowns'. The Revenue Management encompasses all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. It involves core business processes that cross administrative, financial and clinical department boundaries. The Revenue Management begins and ends with the patient. It is optimized and improved through strategic initiatives that are embraced by leadership and consider organizational strategy, people, process and enabling technologies.

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Job Summary/Objective

Navigant Consultant, the KLAS award winner for Clinical Documentation, has opening for experienced Inpatient Coding Auditors.

Remote Position and limited travel.

Essential Functions and Responsibilities

  • Performs analysis of medical records and provider claims to validate appropriate DRG and ICD-10 code assignment

  • Ensures that assigned codes and DRG are supported by clinical documentation

  • Applies Official Guidelines for Coding and Reporting consistently and appropriately

  • Provides written explanations to support or rebut coding recommendations

Qualifications

Required:

  • RHIA, RHIT, or CCS credential from AHIMA

  • 3 or more years of Inpatient/DRG coding experience in an acute care setting.

  • ICD10 certification

  • Expertise in IPPS/MS-DRG and APR-DRG methodology and logic

  • Excellent knowledge of Official Guidelines for Coding and Reporting, AHA Coding Clinics to support audit findings

  • Outstanding computer skills (audit software, excel,powerpoint)

  • Excellent written communication skills

  • Ability to efficiently review large volumes of documents with high comprehension level

  • Secure home office environment, compliant with HIPAA

Preferred:

  • Inpatient Auditing experience

  • Demonstrated ICD-10-CM/PCS coding experience

Mental and Physical Requirements:

  • Frequently communicates with clients and coworkers and must be able to share information effectively

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Work as a member of a team as well as be a self-motivator with ability to work independently

  • Flexibility and responsiveness in managing multiple projects in sometimes high-pressure situations simultaneously

  • Able to travel via airplane with minimal assistance to client sites across the US and potentially internationally

  • Usually remains stationary for the majority of the day

  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

The company offers competitive compensation packages including an incentive compensation plan, comprehensive medical/dental/life insurance, 401(k) and employee stock purchase plans.

Navigant does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Navigant and Navigant will not be obligated to pay a placement fee.

Navigant is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender identity or expression, age, or any other basis protected by law, ordinance, or regulation.