Job Description

Clinical Coding Analyst - Remote Position As a Clinical Coding Analyst, you will be intricately involved in analyzing and reviewing inpatient charts for accurate MS DRG assignment, identifying revenue opportunities, and ensuring compliance with medical coding standards. This pivotal role directly impacts the financial and operational efficiency of healthcare providers by enhancing coding accuracy and compliance. If you are meticulous, experienced in hospital coding, and wishing to make a significant impact from the comfort of your home, this is the perfect opportunity for you. Salary: DOE per year Essential Duties and Responsibilities: Conduct daily pre-bill chart reviews specific to MS DRG assignment for assigned client(s). Communicate findings and recommendations to clients within 24 hours of review. Collaborate closely with company physicians to discuss potential MS DRG recommendations and/or physician query opportunities. Report daily client volumes to the Audit Manager by 7am EST to align work assignments. Maintain meticulous records in the MS DRG Database, including updated data elements for each patient. Respond to client queries and manage rebuttals regarding coding recommendations within 24 hours. Review and, if necessary, appeal Medicare or third-party denials as part of the MS DRG Assurance program. Participate in reviews focusing on 30-day readmissions and mortality quality measures for specific payer groups. Ensure consistent IT access by managing logins and passwords to client platforms. Stay updated with changes in ICD-10-CM/PCS coding guidelines, AHA Coding Clinic, and Medicare regulations. Minimum Position Qualifications: AHIMA credentials of CCS, CDIP, or a minimum of 7 years acute inpatient hospital coding in a large tertiary hospital. Extensive knowledge and experience with ICD-10 CM/PCS necessary. Familiarity with electronic health records systems like Cerner, Meditech, Epic, etc. Must demonstrate excellent oral and written communication skills. Proven ability to work independently with minimal supervision. Proficiency in Microsoft Office Word and Excel is required. Preferred Qualifications: AHIMA Approved ICD-10 CM/PCS Trainer preferred. Graduate from an accredited Health Information Technology or Administration program with AHIMA credential of RHIT or RHIA. Experience with Clinical Documentation Improvement (CDI) programs. Strong analytical skills, initiative, and resourcefulness. Excellent planning and organizational skills. Skills: Advanced competency in various medical coding systems and databases. Ability to quickly adapt to new technologies and coding software tools. Strong teamwork skills and flexibility to adapt to client needs. Ability to maintain high attention to detail and accuracy in a highly dynamic environment. Benefits: Flexible work schedule with remote work capability. Dedicated secure workspace and company-provided laptop to handle sensitive information. Opportunity to impact patient care and healthcare services directly. #J-18808-Ljbffr Software Placement Group

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