Inpatient Clinical & Coding Specialist - Senior

FIND YOUR FUTURE

We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.

Overview

The Clinical & Coding Specialist-Senior will be responsible for reviewing coding and clinical decisions on cases involving complex clinical presentation with correlating coding complexity. They will aid in training other team members, evaluating appeals, and share audit trends across the team. Expertise and proficiency demonstrated by long-standing, consistent results, advanced coding knowledge and auditing skills evidenced by their ability to train others, to identify coding patterns and share knowledge and audit tips across the team. The Clinical & Coding Specialist-Senior will support the leadership in Hospital Audit in accomplishing all aspects of the audit plan.

Qualifications

• Associates degree required. Bachelor's degree preferred. An additional two (2) years of experience will be considered in lieu of degree.
• Minimum of one of the following certifications or licensures : Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), Certification Denials and Appeals Management (C-DAM), or NYS licensed RN or LPN required. LPN or RN preferred.
• Four (4) years of experience working in a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred.
• Knowledge of ICD-10-CM and ICD-10-PCS coding systems, as well as respective reimbursement methodologies associated with each coding system preferred.
• Experience and proficiency reviewing health care delivery against clinical quality, as well as financial established guidelines.
• Analytical and critical thinking skills. Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to prepare quantitative and qualitative studies at conclusion of audit. Ability to recalculate reimbursement following conclusion of audit in accordance with corporate provider contracts and / or Independent Health policy and procedures.
• Autonomous / independent worker, minimal supervision, including process management skills. Subject matter expert in all coding systems and / or inpatient clinical expertise.
• Ability to serve as effective team member of cross-functional teams and / or proven ability to facilitate teams and foster collaboration internally and externally.
• Understanding of organizational business strategies as well as audit and reimbursement related business strategies.
• Organizational skills, verbal & written communication skills with ability to effectively communicate with personnel and providers externally.
• PC / Windows skills with proficiency in Microsoft Word and Excel. Experience with remote access - citrix, VPN, external EMR access.
• Knowledge of facility contract reimbursement policies.
• Proven examples of displaying the IH values : Passionate, Caring, Respectful, Trustworthy, Collaborative, and Accountable.

Essential Accountabilities

Immigration or work visa sponsorship will not be provided for this position.

Hiring Compensation Range : $33.50 - $38.00 hourly. Compensation may vary based on factors including but not limited to skills, education, location and experience.

In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.

As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant's race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law.

Current Associates must apply internally via the Job Hub app.

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