Healthcare Clinical Coding & Documentation Specialist

Pyramid Consulting Healthcare; United States; Remote; USD 65.000 - 87.000; Vollzeit

Zusammenfassung

Pyramid Consulting Healthcare is seeking a Healthcare Clinical Coding & Documentation Specialist for a 06+ months contract, remote in the United States. The role focuses on inpatient chart reviews, MS-DRG assignment, and CDI outcomes in a remote setting with travel not required.

Ideal candidates hold RN/BSN/MSN/MD or foreign medical grads, with 4+ years nursing or physician experience and 2+ years inpatient CDI experience, plus ICD-10-CM and MS-DRG knowledge; 3M CDI experience is a plus.

Qualifikationen

• RN/BSN/MSN/MD or Foreign Medical Graduate required.
• Minimum 4 years of clinical nursing or physician experience.
• Minimum 2 years of inpatient CDI experience.
• Experience with DRG assignment.
• Knowledge of ICD-10-CM, MS-DRGs, SOI/ROM.
• BSN/MSN/MD or higher clinical degree.
• CCDS/CDIP/CCS/CPC/RHIA/RHIT certification.
• Experience with 3M CDI and coding applications.
• Inpatient ICU/ED/HIM/Case Management CDI experience.

Aufgaben

• Perform concurrent and retrospective inpatient chart reviews.
• Review provider documentation for completeness and accuracy.
• Assign and validate MS-DRGs.
• Improve Severity of Illness (SOI) and Risk of Mortality (ROM) capture.
• Collaborate with physicians, coders, CDI, HIM, Case Management and Quality teams.
• Identify CC/MCC opportunities and documentation gaps.
• Support denial prevention and clinical validation initiatives.
• Maintain productivity and quality standards while working remotely.

Kenntnisse

Inpatient CDI experience

DRG assignment

ICD-10-CM knowledge

MS-DRGs

3M CDI software

Ausbildung

RN, BSN, MSN, MD or Foreign Medical Graduate

CCDS, CDIP, CCS, CPC, RHIA, RHIT certifications

Tools

3M CDI

Jobbeschreibung

Immediate need for a talented Healthcare Clinical Coding & Documentation Specialist. This is a 06+months contract opportunity with long‑term potential and is located in U.S(Remote).

Job ID:26-17415

Pay Range: $55/hour. Traveler benefits as per agency package. (Benefits vary by vendor and assignment).

Key Responsibilities:

• Perform concurrent and retrospective inpatient chart reviews
• Review provider documentation for completeness and accuracy
• Assign and validate MS-DRGs
• Improve Severity of Illness (SOI) and Risk of Mortality (ROM) capture
• Collaborate with physicians, coders, CDI, HIM, Case Management and Quality teams
• Identify CC/MCC opportunities and documentation gaps
• Support denial prevention and clinical validation initiatives
• Maintain productivity and quality standards while working remotely

Key Requirements and Technology Experience:

• RN, BSN, MSN, MD or Foreign Medical Graduate
• Minimum 4 years of clinical nursing or physician experience
• Minimum 2 years of inpatient CDI experience
• Experience with DRG assignment
• Knowledge of ICD-10-CM, MS-DRGs, SOI/ROM
• BSN, MSN, MD, or higher clinical degree.
• CCDS, CDIP, CCS, CPC, RHIA, or RHIT certification.
• Experience with 3M CDI and coding applications.
• ICU, Critical Care, Emergency Department, Hospitalist, Case Management, Utilization Review, or CDI experience.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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