Medical Coder

Hornet Staffing, Inc, a GEE Group company; Columbia (SC); On-site; Part time

Job summary

A staffing agency seeks a Remote Records Administrator to conduct validation reviews of healthcare coding and serve as a resource for coding issues. The role involves managing records and ensuring HIPAA compliance. Candidates must have active RN licensure or be a Registered Records Administrator. Experience with methodology development and coding practices is essential. This position operates remotely, though local candidates in Columbia, South Carolina, are preferred.

Qualifications

• Registered Records Administrator or Technician, or active RN licensure from the United States.
• Certified Coding skills with abilities to develop methodologies and respond to inquiries.

Responsibilities

• Perform validation reviews of DRGs, APC, and Never Events for all lines of business.
• Manage records retrieval, compliance, and document management.

Skills

Develops methodologies

Follows processes

Responds to inquiries

Writes for impact

Education

Registered Records Administrator or Technician

Active unrestricted RN licensure

Job description

Notes: This is a remote position, but we are currently considering local candidates in Columbia. If you are interested in the role, please share your most updated resume.

Responsibilities

• Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department.
• 75% Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates. •15% Manages records retrieval, release, HIPAA compliance, and all aspects of document management. •10% Serves as expert resource on methodology and procedures for medical records and coding issues.

Required Training and Qualifications

• Registered Records Administrator or Technician, OR; active, unrestricted RN licensure from the United States and in the state of hire; OR active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC).
• Certified Codi Skills and Abilities: •Develops methodologies •Follows processes •Responds to Inquiries •Writes for Impact

Seniority Level

• Executive

Employment Type

• Contract

Job Function

• Other, Customer Service, and Accounting/Auditing

Industries

• Staffing and Recruiting, Hospitals and Health Care, and Insurance