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Clinical Coding Analyst (Remote)
Clinical Coding Analyst (Remote)Butler Recruitment Group • Miami, FL, US
Clinical Coding Analyst (Remote)

Clinical Coding Analyst (Remote)

Butler Recruitment Group • Miami, FL, US
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Job Description

Job Description

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.
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