Clinical Coding Analyst (Remote)

Ilocatum; Dallas (TX); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading company is seeking a Clinical Coding Analyst to conduct pre-bill chart reviews for inpatient cases. The role involves identifying revenue opportunities and compliance risks while adhering to coding guidelines. Candidates should have extensive knowledge of ICD-10 CM/PCS and experience in hospital coding. This position offers flexible work hours and requires strong communication and analytical skills.

Benefits

Laptop provided

High-speed internet allowance

Qualifications

• AHIMA CCS, CDIP or ACDIS CCDS required.
• Minimum of 7 years' experience in acute inpatient hospital coding.

Responsibilities

• Review pre-bill charts daily for assigned clients.
• Identify revenue opportunities and coding compliance issues.
• Conduct verbal reviews with Company Physician(s).

Skills

Analytical ability

Communication

Teamwork

Resourcefulness

Planning

Organization

Education

Health Information Technology

Health Administration

Tools

Microsoft Office

Electronic health records

Job description

The Clinical Coding Analyst role involves conducting pre-bill chart reviews for inpatient cases, focusing on MS DRG assignment. The analyst is responsible for identifying both revenue opportunities and compliance risks, utilizing the Official ICD-10-CM / PCS Guidelines for Coding and Reporting, AHA Coding Clinics, knowledge of disease processes, procedures, and clinical knowledge.

About You :

• AHIMA credential of CCS, CDIP or ACDIS credential of CCDS required. AHIMA Approved ICD-10 CM / PCS Trainer preferred.
• Preferably a graduate of an accredited Health Information Technology or Administration program with AHIMA credential of RHIT or RHFA.
• Minimum of 7 years' experience in acute inpatient hospital coding, auditing, and / or CDI 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 (., Cerner, Meditech, Epic, required.
• 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.
• Proficient in Microsoft Office Word and Excel programs.

Essential Job Duties and Responsibilities :

• Review pre-bill charts daily for assigned clients within a 24-hour timeframe.
• Provide daily client volumes to Audit Manager by 7am EST.
• Identify revenue opportunities and coding compliance issues through review of electronic health records.
• Conduct verbal reviews with Company Physician(s) for potential MS DRG recommendations and physician queries.
• Upload daily work list and enter required data elements into MS DRG Database.
• Compose and communicate recommendations to clients within 24 hours.
• Address client questions and rebuttals within 24 hours.
• Review and appeal Medicare and / or third-party denials on charts processed through the MS DRG Assurance program.
• Review 30 Day Readmissions and Mortality quality measures for specific clients.
• 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 can choose your specific work hours, but you must report daily client volumes to the Audit Manager by 7am EST. The company typically operates between 8am-5pm EST / CST. You will need to schedule daily meetings with the Physician team within their availability of 7 : 30am-6pm EST.

Home Office Requirements :

• High-speed internet connection and a dedicated secure workspace to ensure HIPAA compliance.
• The company will provide a laptop and access to necessary resources.

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)

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Clinical Analyst Coding Remote • Dallas, TX