Remote Clinical Coding Analyst - Any state except CA and NY
Job Summary :
The Clinical Coding Analyst is responsible for conducting pre-bill reviews of inpatient charts, focusing on MS DRG assignment.
The analyst's role involves identifying opportunities for revenue generation and ensuring compliance based on the Official ICD-10-CM / PCS Guidelines for Coding and Reporting, AHA Coding Clinics, disease processes, procedure recognition, and clinical knowledge.
You'll be a great fit for this role if you have :
- AHIMA credential of CCS, CDIP, or ACDIS credential of CCDS, with a preference for AHIMA Approved ICD-10 CM / PCS Trainer
- Completed an accredited Health Information Technology or Administration program, with a preference for AHIMA credential of RHIT or RHIA
- At least 7 years of experience in acute inpatient hospital coding, auditing, and / or CDI in a large tertiary hospital
- Experience with CDI programs (Clinical Documentation Improvement)
- Extensive knowledge of ICD-10 CM / PCS
- Experience with electronic health records (., Cerner, Meditech, Epic,
- Experience working remotely
- Excellent oral and written communication skills
- Analytical ability, initiative, and resourcefulness
- Ability to work independently
- Excellent planning and organizational skills
- Teamwork and flexibility
- Proficiency in Microsoft Office Word and Excel programs
Essential Job Duties and Responsibilities :
- Conduct daily pre-bill chart reviews within a 24-hour time frame for assigned client(s)
- Provide daily client volumes to Audit Manager by 7am EST
- Review electronic health records to identify revenue opportunities and coding compliance issues
- Conduct verbal case reviews and physician query opportunities with Company Physician(s)
- Ensure all work is uploaded into the MS DRG Database for assigned client(s)
- Prepare and communicate recommendations to clients within 24 hours of review
- Handle client questions and rebuttals within 24 hours
- Review and appeal Medicare and / or third-party denials
- Review inclusions and exclusions for quality measures on specific cohorts
- Maintain IT access at assigned client sites
- Stay updated on ICD-10-CM / PCS code changes, AHA Coding Clinic, and Medicare regulations
- Utilize internal resources for coding and clinical validation
- Adhere to all company policies and procedures
Schedule :
You have the flexibility to choose your work hours, but reporting daily client volumes to the Audit Manager by 7am EST is mandatory.
The company typically operates from 8am-5pm EST / CST. You will schedule daily meetings with the Physician team within their availability of 7 : 30am-6pm EST.
Home Office Requirements :
- High-speed internet connection
- Dedicated secure workspace for HIPAA compliance
- The company will provide a laptop and necessary resources for the job
Interview Process :
- Case Study Skills Assessment (PCS Coding and Clinical Validation)
- Audit Manager / Team Lead Meeting - Video Call (1 hour)
- Verbal Case Study Discussion - Video Call (1 hour)
Clinical Coding Analyst (Remote)
Remote Clinical Coding Analyst - Any state except CA and NY. The analyst's role involves identifying opportunities for revenue generation and ensuring compliance based on the Official ICD-10-CM/PCS Guidelines for Coding and Reporting, AHA Coding Clinics, disease processes, procedure recognition, and...
Clinical Coding Analyst (Remote)
Clinical Coding Analysts are assigned to a specific client(s) and have the primary. AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge. ICD-10-CM/PCS coding rules, AHA Coding. Case Study Skills Assessment (PCS Coding and Clinical Validation). ...
Clinical Coding Analyst (Remote)
Clinical Coding Analysts are assigned to a specific client(s) and have the primary. AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge. ICD-10-CM/PCS coding rules, AHA Coding. Case Study Skills Assessment (PCS Coding and Clinical Validation). ...
Clinical Coding Analyst (Remote)
Clinical Coding Analysts are assigned to a specific client(s) and have the primary. AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge. ICD-10-CM/PCS coding rules, AHA Coding. Case Study Skills Assessment (PCS Coding and Clinical Validation). ...
Clinical Coding Analyst (Remote)
Clinical Coding Analysts are assigned to a specific client(s) and have the primary. AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge. ICD-10-CM/PCS coding rules, AHA Coding. Case Study Skills Assessment (PCS Coding and Clinical Validation). ...
Clinical Coding Analyst (Remote)
Clinical Coding Analysts are assigned to a specific client(s) and have the primary. AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge. ICD-10-CM/PCS coding rules, AHA Coding. Case Study Skills Assessment (PCS Coding and Clinical Validation). ...
Clinical Coding Analyst (Remote)
Clinical Coding Analysts are assigned to a specific client(s) and have the primary. AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge. ICD-10-CM/PCS coding rules, AHA Coding. Case Study Skills Assessment (PCS Coding and Clinical Validation). ...
Clinical Coding Analyst (Remote)
Clinical Coding Analysts are assigned to a specific client(s) and have the primary. AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge. ICD-10-CM/PCS coding rules, AHA Coding. Case Study Skills Assessment (PCS Coding and Clinical Validation). ...
Clinical Coding Analyst (Remote)
This role requires a strong understanding of medical terminology, ICD-10 and CPT coding, as well as knowledge of major insurance carriers, insurance verification, benefits, and referrals. Ensure accurate and timely medical coding using. ...
Clinical Coding Analyst (Remote)
Clinical Coding Analysts are assigned to a specific client(s) and have the primary. AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge. ICD-10-CM/PCS coding rules, AHA Coding. Case Study Skills Assessment (PCS Coding and Clinical Validation). ...