Talent.com
Clinical Coding Analyst (Remote)
Clinical Coding Analyst (Remote)Career Transitions • Scottsdale, AZ
No longer accepting applications
Clinical Coding Analyst (Remote)

Clinical Coding Analyst (Remote)

Career Transitions • Scottsdale, AZ
17 days ago
Job type
  • Full-time
  • Remote
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)

    Create a job alert for this search

    Clinical Coding Analyst Remote • Scottsdale, AZ

    Similar jobs
    Remote Accounting Expert - AI Trainer ($50-$60 / hour)

    Remote Accounting Expert - AI Trainer ($50-$60 / hour)

    Data Annotation • Maricopa, Arizona
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show more
    Last updated: 19 days ago • Promoted
    Remote TurboTax Product Expert - Schedule of Your Choice

    Remote TurboTax Product Expert - Schedule of Your Choice

    Intuit - TurboTax • Maricopa, AZ, US
    Remote
    Full-time
    Join TurboTax as a TurboTax Product Expert and be the friendly face our customers rely on during tax season.We're looking for individuals with excellent communication skills and a passion for assis...Show more
    Last updated: 2 days ago • Promoted
    RN Field Case Manager, Home Health - Maricopa Full Time

    RN Field Case Manager, Home Health - Maricopa Full Time

    Assisted Home Health & Hospice • Maricopa, AZ, United States
    Full-time +1
    We are looking for RNs for the Maricopa - Full Time.Have your weekends free - we do not require for our RN's to be on-call during weekends!. Assisted offers great and rewarding career opportunities ...Show more
    Last updated: 30+ days ago • Promoted
    Medical Records Specialist

    Medical Records Specialist

    Hospice of the Valley • Phoenix, Arizona, United States, 85014
    Full-time
    Join Arizona’s largest, most prominent not-for-profit hospice, serving the valley since 1977.Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan...Show more
    Last updated: 4 days ago
    Behavior Analyst (ABA)

    Behavior Analyst (ABA)

    Soar Autism Center • Scottsdale, Arizona, United States, 85250
    Full-time
    Shape the Future of Autism Care.At Soar Autism Center, we’re more than an ABA clinic—we’re a.Here’s what makes Soar different : . Exclusive training opportunity : .Soar invests in getting all our BCBAs....Show more
    Last updated: 18 days ago
    Behavior Analyst (BCBA)

    Behavior Analyst (BCBA)

    Soar Autism Center • Scottsdale, Arizona, United States, 85250
    Full-time
    At Soar Autism Center, youll join a team thats deeply committed to delivering exceptional, ethical care for young children. We practice play-based, trauma-informed ABA aligned with the Early Start D...Show more
    Last updated: 18 days ago
    Senior Business Analyst (Healthcare)

    Senior Business Analyst (Healthcare)

    Hospice of the Valley • Phoenix, Arizona, United States, 85014
    Full-time
    Senior Business Analyst (Healthcare).Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan area since 1977. A mission-driven, not-for-profit organi...Show more
    Last updated: 1 day ago
    Billing Associate

    Billing Associate

    Latitude Inc • Scottsdale, Arizona, United States, 85250
    Full-time
    A leading technology and defense organization is seeking a skilled Advanced Billing Associate to support their finance team. This organization develops cutting-edge solutions across multiple domains...Show more
    Last updated: 18 days ago
    Certified Behavioral Analyst

    Certified Behavioral Analyst

    Action Behavior Centers • Maricopa, AZ, United States
    Full-time
    We review applications daily, and you can expect a response within 24 hours.We focus on small caseloads and a compassionate approach to care. Our core values shape our daily work and commitment to e...Show more
    Last updated: 11 days ago • Promoted
    Survey Taker : Earn up to $25 per survey (Remote)

    Survey Taker : Earn up to $25 per survey (Remote)

    Earn Haus • Maricopa, AZ, US
    Remote
    Full-time +1
    Looking for people to participate in taking online surveys for Fortune 500 brands.All you need to do is complete online surveys by sharing your opinion. You will help influence brand decisions on se...Show more
    Last updated: 14 days ago • Promoted
    RN Clinical Manager, Home Health

    RN Clinical Manager, Home Health

    Centerwell • Phoenix, AZ, United States
    Full-time
    Become a part of our caring community and help us put health first.Reports To : Associate Director, Home Health Branch Administrator. This branch is commonly referred to as CWHH - North Charleston.Th...Show more
    Last updated: 1 day ago • Promoted
    Board Certified Behavior Analyst (BCBA)

    Board Certified Behavior Analyst (BCBA)

    Action Behavior Centers • Maricopa, AZ, United States
    Full-time
    At ABC, we prioritize our patients and their experience, making sure every employee feels valued and empowered to make a real impact. Here's why you should consider a career with us : .Our small casel...Show more
    Last updated: 10 days ago • Promoted
    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Data Annotation • Maricopa, Arizona
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show more
    Last updated: 30+ days ago • Promoted
    Online Survey Participant : Work Remote and Earn Up To $25 Per Survey

    Online Survey Participant : Work Remote and Earn Up To $25 Per Survey

    Earn Haus • Maricopa, AZ, US
    Remote
    Full-time +1
    Looking for people to participate in taking online surveys for Fortune 500 brands.All you need to do is complete online surveys by sharing your opinion. You will help influence brand decisions on se...Show more
    Last updated: 14 days ago • Promoted
    CMA - Chronic Care Navigator

    CMA - Chronic Care Navigator

    Phamily Staffing - External Care Manager Roles • Paradise Valley, AZ, US
    Full-time
    Chronic Care Coordinator – Hybrid, Arizona.This role can be located in any location, with the following offices preferred : . Please review the following for a complete list of locations.Certifi...Show more
    Last updated: 30+ days ago • Promoted
    Remote Benefits Sales Representative (69k+ per year)

    Remote Benefits Sales Representative (69k+ per year)

    HMG Careers • Maricopa, Arizona
    Remote
    Full-time
    Quick Apply
    This full-time position offers flexible work hours and ample opportunities for advancement into management roles.You will work remotely to serve clients and offer valuable advice and protection to ...Show more
    Last updated: 9 days ago • Promoted
    TurboTax Remote Support Representative (Paid Training)

    TurboTax Remote Support Representative (Paid Training)

    Turbotax USA • Maricopa, Arizona
    Remote
    Full-time
    Work from home with TurboTax Product Expert.Get a $405 Certification bonus³.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴.Earn an ...Show more
    Last updated: 1 hour ago • Promoted • New!
    RN UM Care Review Clinician Remote

    RN UM Care Review Clinician Remote

    Molina Healthcare • Chandler, AZ, US
    Remote
    Full-time
    The RN Care Review Clinician provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established cli...Show more
    Last updated: 1 hour ago • Promoted • New!