Clinical Coding Analyst (Remote)

Type

Direct Hire

REMOTE AVAILABLE

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 is responsible for identifying 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

Approved ICD-10 CM / PCS Trainer preferred.

with AHIMA credential of RHIT or RHIA preferred.

in a large tertiary hospital required.

Essential Job Duties and Responsibilities :

responsibility of daily pre-bill chart reviews and communication to the client(s) within a

24-hour time frame for each chart reviewed.

potential coding compliance issues-based ICD-10-CM / PCS coding rules, AHA Coding

Clinics, and clinical knowledge.

physician query opportunities with the Company Physician(s) via telephone call prior to

submitting recommendations to the client.

client(s) and enter required data elements for each patient recommendation into MS

DRG Database.

decreased reimbursement, and “FYI” for each account and communicates that to the

client within 24 hours of receiving and reviewing the electronic medical record.

24 hours of receipt.

on charts processed through the MS DRG Assurance program.

Mortality quality measures on specific cohorts for traditional Medicare payers for

specific clients.

and passwords have not expired.

Medicare regulations.

Schedule : You choose your specific work hours, however, all CCAs are required to report daily

client volumes to the Audit Manager by 7am EST for appropriate assignment. Our company

typically runs 8am-5pm EST / CST. You will schedule daily meetings with the Physician team and

will choose which times those meetings will occur. The Physician team is available between

7 : 30am-6pm EST, so ideally your work schedule will align within this timeframe. Home Office Requirements :

adherence to HIPAA Privacy and Security policies and procedures when viewing protected

health information (PHI).

Interview Process :