Inpatient Clinical & Coding Specialist - Senior

Kentucky Bar Association; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

The Clinical & Coding Specialist-Senior at the Kentucky Bar Association will review complex coding decisions, support audits, and train team members to ensure compliance with healthcare coding standards. Candidates will need strong analytical skills and experience in clinical coding, with additional benefits offered.

Benefits

Comprehensive benefits

Generous paid time off

Potential scorecard incentives

Qualifications

• Requires one of the following certifications: CIC, RHIA, RHIT, CCDS, CCS-H.
• Four years of coding experience in a clinical setting required.
• Knowledge of ICD-10-CM and ICD-10-PCS preferred.

Responsibilities

• Review coding and clinical decisions on complex cases.
• Train and support team members in coding practices.
• Aid in achieving the audit plan goals.

Skills

Analytical skills

Critical thinking

Team collaboration

Organizational skills

Communication skills

Education

Associates degree

Bachelor's degree preferred

Tools

Microsoft Word

Excel

Citrix

VPN tools

EMR systems

Job description

The Clinical & Coding Specialist-Senior will be responsible for reviewing coding and clinical decisions on cases involving complex clinical presentations with correlating coding complexity. They will aid in training other team members, evaluating appeals, and sharing audit trends across the team. Expertise and proficiency demonstrated by consistent results, advanced coding knowledge, and auditing skills evidenced by their ability to train others, identify coding patterns, and share knowledge and audit tips across the team. The Clinical & Coding Specialist-Senior will support hospital leadership in accomplishing all aspects of the audit plan.

Qualifications include:

• Associates degree required; Bachelor’s degree preferred; an additional two (2) years of experience may be considered in lieu of degree.
• Minimum of one of the following certifications or licensures: Certified Inpatient Coder (CIC), RHIA, RHIT, CCDS, CCS-H, CCS-P, C-DAM, or NYS licensed RN or LPN (LPN or RN preferred).
• Four (4) years of experience in a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred.
• Knowledge of ICD-10-CM and ICD-10-PCS coding systems and associated reimbursement methodologies preferred.
• Experience reviewing healthcare delivery against clinical quality and financial guidelines.
• Strong analytical and critical thinking skills, with the ability to ensure accurate clinical information translation into claim coding compliance and to prepare audit studies.
• Ability to recalculate reimbursements post-audit per contracts and policies.
• Autonomous worker with process management skills; subject matter expert in coding systems and inpatient clinical expertise.
• Effective team collaboration skills and understanding of organizational and business strategies.
• Excellent organizational, verbal, and written communication skills.
• Proficiency in Microsoft Word and Excel; experience with remote access tools like Citrix, VPN, EMR.
• Knowledge of facility contract reimbursement policies.
• Demonstrated alignment with IH core values: Passionate, Caring, Respectful, Trustworthy, Collaborative, and Accountable.

Hiring Compensation Range: $33.50 - $38.00 hourly. Compensation may vary based on skills, education, location, and experience. Benefits include potential scorecard incentives, comprehensive benefits, and generous paid time off. Salaries are subject to future adjustments.

This is an equal opportunity employer. We do not discriminate based on race, color, creed, religion, sex, sexual orientation, gender identity, age, national origin, marital status, disability, or other protected characteristics under law.