Talent.com
Clinical Coding Analyst (Remote)
Clinical Coding Analyst (Remote)Retail Options • Houston, TX
[error_messages.no_longer_accepting]
Clinical Coding Analyst (Remote)

Clinical Coding Analyst (Remote)

Retail Options • Houston, TX
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.permanent]
  • [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 Coding Analyst Remote • Houston, TX

    [internal_linking.similar_jobs]
    Senior Inpatient Coding Compliance

    Senior Inpatient Coding Compliance

    VirtualVocations • Pasadena, Texas, United States
    [job_card.full_time]
    A company is looking for a Senior Inpatient Coding Compliance professional to manage coding compliance for inpatient cases. Key Responsibilities Assist coders and documentation staff with complex ...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Certified Coding Specialist Analyst

    Certified Coding Specialist Analyst

    VirtualVocations • Pasadena, Texas, United States
    [job_card.full_time]
    A company is looking for a Senior Recovery Resolution Analyst.Key Responsibilities : Perform clinical review of professional claims against medical records to assess support for claims Maintain p...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Inpatient Coder II ICD-10-CM / CPT Expert

    Remote Inpatient Coder II ICD-10-CM / CPT Expert

    Memorial Hermann Health System • Houston, TX, United States
    [filters.remote]
    [job_card.full_time]
    A healthcare organization is looking for a Certified Coder II for a full-time remote position in Houston, Texas.The role involves reviewing clinical documentation for accurate coding and compliance...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Coding Account Resolution Specialist-Inpatient

    Coding Account Resolution Specialist-Inpatient

    HCA • Pasadena, TX, United States
    [job_card.full_time] +2
    Description Introduction Do you want to join an organization that invests in you as a Coding Account Resolution Specialist-Inpatient? At Parallon, you come first. HCA Healthcare has committed up t...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Certified Inpatient Coder

    Certified Inpatient Coder

    VirtualVocations • Pasadena, Texas, United States
    [job_card.full_time]
    A company is looking for a Remote Inpatient Coding specialist.Key Responsibilities Maintain knowledge of ICD-9-10 PCS and CPT coding principles, regulations, and guidelines Ensure accurate codin...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Coder II- Pro-fee Inpatient Hospitalist (Remote)

    Coder II- Pro-fee Inpatient Hospitalist (Remote)

    Memorial Hermann Health System • Houston, TX, United States
    [filters.remote]
    [job_card.full_time]
    Certified Coder II - Inpatient Hospitalist (Remote).Memorial Hermann Health System.Fulltime Remote Position (40 hour work week). Inpatient Hospitalist Experience needed for this role.Responsible for...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    HIM / MEDICAL RECORDS ANALYST / CODING SPECIALIST-FT

    HIM / MEDICAL RECORDS ANALYST / CODING SPECIALIST-FT

    Universal Health Services, Inc. • Houston, TX, United States
    [job_card.full_time]
    HIM / Medical Records Analyst / Coding Specialist Opportunity.Houston area and surrounding communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed re...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Registered Nurse Navigator Home Health Review-Health Admin - Relocation Required

    Registered Nurse Navigator Home Health Review-Health Admin - Relocation Required

    CHRISTUS Health • Houston, TX, US
    [job_card.full_time]
    The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. They are a member of the patient’s care team and act as a p...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Coding Quality Analyst

    Medical Coding Quality Analyst

    VirtualVocations • Pasadena, Texas, United States
    [job_card.full_time]
    A company is looking for a Content Quality Analyst specializing in Medical Coding and Regulatory Content.Key Responsibilities Validate curated content against authoritative source documentation ...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Medical Coding Supervisor

    Medical Coding Supervisor

    VirtualVocations • Pasadena, Texas, United States
    [job_card.full_time]
    A company is looking for a Medical Coder Supervisor (Remote).Key Responsibilities Supervise and mentor medical coding staff to ensure accurate and timely coding of medical records Review and aud...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Medical Coder - Remote / Nationwide

    Medical Coder - Remote / Nationwide

    Signature Performance • Houston, TX, United States
    [filters.remote]
    [job_card.full_time] +1
    This is a remote based position.Applicants can be located nationwide.Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description. You are a person who has Profee...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    RN Coder

    RN Coder

    TEKsystems • Houston, TX, United States
    [job_card.full_time]
    Registered Nurse Clinical Coder - DRG Audit (100% Remote) • •Position Type : • Contract.Experience Level : • Intermediate (5+ years). Overview • Our client is seeking an experienced •Registered Nurse Clin...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Clinical Policy Coding Administrator

    Clinical Policy Coding Administrator

    VirtualVocations • Pasadena, Texas, United States
    [job_card.full_time]
    A company is looking for a Clinical Policy Coding Administrator.Key Responsibilities Collect and analyze data to evaluate medical policy implementation and support utilization management activiti...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

    Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

    Stout • Houston, Texas, US
    [job_card.full_time]
    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence.Both our client service and culture are second to none, stemming from our firmwide embrace of our...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Coding & Reimbursement Specialist - Kelsey Seybold Clinic

    Coding & Reimbursement Specialist - Kelsey Seybold Clinic

    UnitedHealth Group • Pearland, TX, United States
    [job_card.full_time]
    Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses.Work with one of the nation's leading health care organizations and build your career at one of our 40+ loca...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    RN Clinical Supervisor

    RN Clinical Supervisor

    Aveanna Healthcare • Houston, TX, US
    [job_card.full_time]
    Position : Clinical Supervisor (RN).Join a Company That Puts People First!.Aveanna Healthcare is one of the largest private-duty nursing companies in the nation, with a growing presence and an award...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Colorado Licensed Coding Auditor

    Colorado Licensed Coding Auditor

    VirtualVocations • Pasadena, Texas, United States
    [job_card.full_time]
    A company is looking for a Coding Audit Training Coordinator.Key Responsibilities Provides advanced training to hospital coding staff, compliance, and clinical teams Audits clinical documentatio...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Coding Specialist III

    Coding Specialist III

    VirtualVocations • Pasadena, Texas, United States
    [job_card.full_time]
    A company is looking for a Coding Specialist III, responsible for coding vascular surgery cases.Key Responsibilities Review and translate patient medical records into codes for insurance claims p...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]