Clinical Coding Analyst (Remote)

Abacus Search Staffing; Dallas (TX); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare staffing company is seeking a Clinical Coding Analyst for remote work in Dallas, TX. The role involves pre-bill chart reviews, identifying revenue opportunities, and ensuring compliance with coding guidelines. Candidates should have significant experience in inpatient coding and excellent communication skills. The position offers flexible hours and requires a high-speed internet connection.

Benefits

Company-provided laptop

Secure workspace

Qualifications

• Minimum of 7 years of acute inpatient hospital coding experience.
• Extensive knowledge of ICD-10 CM / PCS required.

Responsibilities

• Conduct daily pre-bill chart reviews for specific clients.
• Identify revenue opportunities and compliance issues based on coding rules.
• Prepare and communicate recommendations within 24 hours.

Skills

Communication

Analytical Ability

Teamwork

Education

AHIMA credential of CCS

AHIMA credential of RHIT or RHIA

Tools

Microsoft Office

Electronic Health Records

Job description

Not hiring out of CA, DC, MN, CO, HI, NJ, CT, IL, NV, DE, MA, or NY.

Job Summary :

The Clinical Coding Analyst is responsible for pre-bill inpatient chart reviews specific to MS DRG assignment. The analyst identifies revenue opportunities and compliance risks based on the Official ICD-10-CM / PCS Guidelines for Coding and Reporting, AHA Coding Clinics, disease process, 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 is required. AHIMA graduate of an accredited Health Information Technology or Administration program, with AHIMA credential of RHIT or RHIA preferred.
• Minimum of 7 years of acute inpatient hospital coding, auditing, and/or CDI experience in a large tertiary hospital.
• Experience with CDI (Clinical Documentation Improvement) programs preferred.
• Extensive knowledge of ICD-10 CM / PCS required.
• Experience with electronic health records (e.g., Cerner, Meditech, Epic) required.
• Experience working remotely required.
• Excellent oral and written communication skills required.
• Demonstrated analytical ability, initiative, and resourcefulness.
• Ability to work independently and possess excellent planning and organizational skills.
• Teamwork and flexibility required.
• Proficiency in Microsoft Office Word and Excel programs.

Essential Job Duties and Responsibilities :

• Assigned to specific clients for daily pre-bill chart reviews and communication within a 24-hour timeframe.
• Provides daily client volumes to Audit Manager by 7am EST.
• Reviews electronic health records to identify revenue opportunities and potential coding compliance issues based on ICD-10-CM / PCS coding rules, AHA Coding Clinics, and clinical knowledge.
• Provides verbal reviews on cases with potential MS DRG recommendations and physician query opportunities prior to submitting recommendations to the client.
• Ensures daily work list is uploaded into the MS DRG Database and enters required data elements for each patient recommendation.
• Prepares and communicates recommendations, including reimbursement adjustments, within 24 hours of record review.
• Follows internal protocols on client questions and rebuttals within 24 hours.
• Responsible for review and appeal of Medicare and third-party denials through the MS DRG Assurance program.
• Reviews inclusions and exclusions related to 30 Day Readmissions and Mortality quality measures for specific cohorts.
• Maintains IT access for assigned client sites, ensuring logins and passwords are current.
• Stays updated on ICD-10-CM / PCS code changes, AHA Coding Clinic, and utilizes internal resources like TruCode, I10 Wiki, and CDocT.
• Adheres to all company policies and procedures.

Schedule :

You choose your specific work hours, but all CCAs must report daily client volumes by 7am EST. The typical work hours are 8am-5pm EST/CST. You will schedule meetings with the Physician team within the available hours of 7:30am-6pm EST.

Home Office Requirements :

• High-speed internet connection and a dedicated secure workspace to ensure HIPAA compliance.
• The company provides a laptop and necessary resources for the role.

Interview Process :

• Case Study Skills Assessment (PCS Coding and Clinical Validation)
• Meeting with Audit Manager / Team Lead – Video Call (1 hour)
• Verbal Case Study Discussion – Video Call (1 hour)

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Clinical Analyst Coding Remote • Dallas, TX