Talent.com
Clinical Coding Analyst (Remote)
Clinical Coding Analyst (Remote)OneSource Technical, Inc • Miami, FL
Clinical Coding Analyst (Remote)

Clinical Coding Analyst (Remote)

OneSource Technical, Inc • Miami, FL
[job_card.variable_hours_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [filters.remote]
[job_card.job_description]

Not hiring out of CA

Essential Job Duties and Responsibilities :

  • Clinical Coding Analysts are assigned to a specific client(s) and have the primary

responsibility of daily pre-bill chart reviews and communication via recommendations,

questions, and / or rebuttals to the client within a 24-hour time frame for each chart

reviewed.

  • Reviews the electronic health record to identify both revenue opportunities and
  • potential coding compliance issues-based ICD-10-CM / PCS coding rules, AHA Coding

    Clinics, and clinical knowledge.

  • Provide verbal review on all cases with a potential MS DRG recommendation and / or
  • physician query opportunities with the Physician(s) via telephone call prior to

    submitting recommendations to the client.

  • Ensures that the daily work list is uploaded into the MS DRG Database for assigned
  • client(s) and enter required data elements for each patient recommendation into MS

    DRG Database.

  • Prepares and composes all recommendations, including increased reimbursement,
  • decreased reimbursement, and “FYI” for each account and communicates that to the

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

  • Follows internal protocol on all client questions and rebuttals on cases reviewed within
  • 24 hours of receipt.

  • Responsible for review and appeal, if warranted, on Medicare and / or third-party denials
  • on charts processed through the MS DRG Assurance program.

  • Responsible for reviewing inclusions and exclusions specific to 30 Day Readmissions and
  • Mortality quality measures on specific cohorts for traditional Medicare payers for

    specific clients.

  • Maintains IT access at all client sites that have been assigned by ensuring that log on
  • and passwords have not expired.

  • Maintain current knowledge of ICD-10-CM / PCS code changes, AHA Coding Clinic, and
  • Medicare regulations.

  • Utilizes internal resources, such as TruCode, and CDocT.
  • Adhere to all company policies and procedures. Requirements :
  • AHIMA credential of CCS, CDIP or ACDIS credential of CCDS is required. AHIMA
  • Approved ICD-10 CM / PCS Trainer preferred.

  • Graduate of an accredited Health Information Technology or Administration program
  • with AHIMA credential of RHIT or RHIA preferred.

  • Minimum of 7 years of acute inpatient hospital coding, auditing and / or CDI experience
  • in a large tertiary hospital required.

  • Experience with CDI (Clinical Documentation Improvement) programs preferred.
  • Extensive knowledge of ICD-10 CM / PCS required.
  • Experience with electronic health records (i.e., Cerner, Meditech, Epic, etc.) required.
  • Experience working remotely required.
  • Excellent oral and written communication skills required.
  • Must demonstrate analytical ability, initiative, and resourcefulness.
  • Ability to work independently required.
  • Excellent planning and organizational skills required.
  • Teamwork and flexibility required.
  • Must be proficient in Microsoft Office Word and Excel programs.
  • Schedule : Your schedule can be flexible based on your time zone and preferences. While our

    company generally operates between 8 : 00 AM and 5 : 00 PM EST / CST, you will schedule your

    two daily 20-minute Physician meetings anytime between 7 : 30 AM and 6 : 00 PM EST, allowing

    you to align your workday within this window for optimal collaboration. If you need to adjust

    your schedule for appointments or personal commitments, you can coordinate with your

    manager to ensure all charts are completed within the required timeframe. Video Call (1 hour)

    [job_alerts.create_a_job]

    Clinical Analyst • Miami, FL

    [internal_linking.similar_jobs]
    Remote Hospital Based Inpatient Coder III

    Remote Hospital Based Inpatient Coder III

    Memorial Healthcare System • Miami, FL, US
    [filters.remote]
    [job_card.full_time]
    Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical re...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Coder I - Radiation Oncology

    Coder I - Radiation Oncology

    Memorial Healthcare System • Miami, FL, US
    [job_card.full_time]
    Memorial is seeking an experienced Medical Coder with a strong background in professional billing for Radiation Oncology services. The ideal candidate will have in-depth knowledge of CPT, ICD-10, an...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Care Review Clinician (RN)

    Care Review Clinician (RN)

    Molina Healthcare • Miami, FL, United States
    [job_card.full_time]
    JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established cl...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Analyst, Network Strategy, Pricing & Analytics (VBC) - REMOTE

    Senior Analyst, Network Strategy, Pricing & Analytics (VBC) - REMOTE

    Molina Healthcare • Miami, FL, United States
    [job_card.full_time]
    Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people recei...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Bilingual Analyst, Case Management - Field - Must reside in Miami Florida

    Bilingual Analyst, Case Management - Field - Must reside in Miami Florida

    CVS Health • Miami, FL, United States
    [job_card.full_time]
    At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading h...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Analyst, Reporting & Analytics - Medicare Operations

    Senior Analyst, Reporting & Analytics - Medicare Operations

    Molina Healthcare • Miami, FL, United States
    [job_card.full_time]
    Under general supervision, applies analytics and reporting methods to the design, development, integration, and support of enterprise reporting solutions. This role also supports project coordinatio...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Client Accounts Analyst

    Client Accounts Analyst

    Akerman • Miami, FL, United States
    [job_card.full_time]
    Founded in 1920, Akerman is recognized as one of the nation’s premier law firms, with more than 700 lawyers across the United States. Akerman is seeking a Client Accounts Analyst in the Financial Se...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Client Coordinator (Healthcare)

    Remote Client Coordinator (Healthcare)

    TEKsystems • Miami, FL, United States
    [filters.remote]
    [job_card.full_time]
    These individuals will be taking in information from clients, and entering it into their systems.Most of the information are independent Medical Reviews. When new cases come in (the information) the...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Analyst, COE

    Analyst, COE

    Independent Purchasing Cooperative • Pinecrest, FL, United States
    [job_card.full_time]
    The Data Analyst is responsible for the quality, integrity, and development of proprietary supply chain applications and data, including day-to-day activities related to these programs that reinfor...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Coder

    Medical Coder

    Insight Global • Miami, FL, US
    [job_card.full_time]
    Required Skills & Experience : .Minimum of 3 Years in IRF (Inpatient Rehab Coding).One of the following in active status : . Registered Health Information Administrator (RHIA).Registered Health Info...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Analyst SUR Crit Care ONC CM

    Analyst SUR Crit Care ONC CM

    Healthcare Systems of America • Coral Gables, FL, United States
    [job_card.full_time]
    WE ARE HEALTHCARE SYSTEMS OF AMERICA.Our mission is to elevate healthcare standards, improve patient outcomes, and create value for communities across the United States. Healthcare Systems of Americ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    LMHT (Remote)

    LMHT (Remote)

    Headway • Miami, FL, United States
    [filters.remote]
    [job_card.full_time]
    Licensed Mental Health Therapist (LMHT) Wage : Between $120-$131 an hour Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Analyst, Healthcare Analytics (Marketplace) - REMOTE

    Senior Analyst, Healthcare Analytics (Marketplace) - REMOTE

    Molina Healthcare • Miami, FL, United States
    [job_card.full_time]
    Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthca...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Clinical Research Coordinator 1

    Clinical Research Coordinator 1

    The University of Miami • Miami, FL, United States
    [job_card.full_time]
    If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Patient Billing Specialist BOS

    Patient Billing Specialist BOS

    iCoreConnect • Pinecrest, FL, United States
    [job_card.full_time]
    The Patient Billing Specialist is responsible for reviewing patient and guarantor accounts, generating and sending patient statements, and accurately tracking patient balances.This role supports re...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Coding Educator - Remote

    Coding Educator - Remote

    UnitedHealth Group • Miami, FL, US
    [filters.remote]
    [job_card.full_time]
    Explore opportunities with Shared Services, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Bilingual Analyst, Case Management - Field - Must reside in Kendall Florida

    Bilingual Analyst, Case Management - Field - Must reside in Kendall Florida

    CVS Health • Miami, FL, United States
    [job_card.full_time]
    At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading h...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Analyst, Network Strategy, Pricing & Analytics - REMOTE

    Senior Analyst, Network Strategy, Pricing & Analytics - REMOTE

    Molina Healthcare • Miami, FL, United States
    [job_card.full_time]
    Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people recei...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]