Talent.com
Clinical Coding Analyst (Remote)
Clinical Coding Analyst (Remote)Welsh & Associates • Miami, FL
No se aceptan más aplicaciones
Clinical Coding Analyst (Remote)

Clinical Coding Analyst (Remote)

Welsh & Associates • Miami, FL
Hace más de 30 días
Tipo de contrato
  • A tiempo completo
  • Teletrabajo
Descripción del trabajo

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)

    Crear una alerta de empleo para esta búsqueda

    Clinical Coding Analyst Remote • Miami, FL

    Ofertas similares
    Remote Hospital Based Inpatient Coder III

    Remote Hospital Based Inpatient Coder III

    Memorial Healthcare System • Miami, FL, US
    Teletrabajo
    A tiempo completo
    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...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Coder I - Radiation Oncology

    Coder I - Radiation Oncology

    Memorial Healthcare System • Miami, FL, US
    A tiempo completo
    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...Mostrar más
    Última actualización: hace 17 días • Oferta promocionada
    Senior Clinical Trial Manager (Sponsor-Dedicated, Remote - US)

    Senior Clinical Trial Manager (Sponsor-Dedicated, Remote - US)

    Syneos Health / inVentiv Health Commercial LLC • Miami, FL, United States
    Teletrabajo
    A tiempo completo
    Senior Clinical Trial Manager (Sponsor-Dedicated, Remote - US).Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.We translate...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Reimbursement Analyst (CCS or CPC) Coding Chargemaster / Projects Corporate 42nd Street-Full-Time Days- Hybrid

    Reimbursement Analyst (CCS or CPC) Coding Chargemaster / Projects Corporate 42nd Street-Full-Time Days- Hybrid

    Mount Sinai Hospital • Miami, FL, US
    A tiempo completo
    Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the high signal to noise ratio, making the content beautiful and condensed.Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Acute Care Inpatient Coding Specialist

    Acute Care Inpatient Coding Specialist

    HCA • Miami, FL, United States
    A tiempo completo +1
    Description Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Outpatient Billing and Coding Specialist

    Outpatient Billing and Coding Specialist

    VirtualVocations • Olympia Heights, Florida, United States
    A tiempo completo
    A company is looking for a Billing and Coding Specialist - Outpatient.Key Responsibilities Perform retrospective coding and billing reviews on outpatient hospital claims Provide accurate and tim...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Certified Coding Auditor

    Certified Coding Auditor

    VirtualVocations • Olympia Heights, Florida, United States
    A tiempo completo
    A company is looking for a HIM Coding Auditor.Key Responsibilities Conducts monthly and quarterly coding quality audits and provides education to address deficiencies Collaborates with clinical ...Mostrar más
    Última actualización: hace 2 días • Oferta promocionada
    Coding Account Resolution Specialist-Outpatient

    Coding Account Resolution Specialist-Outpatient

    HCA • Miami, FL, United States
    A tiempo completo +1
    Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, ...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Certified Coding Supervisor

    Certified Coding Supervisor

    VirtualVocations • Olympia Heights, Florida, United States
    A tiempo completo
    A company is looking for a Supervisor, Coding, Provider Practice - Cardiology and Vascular.Key Responsibilities Provide leadership and coaching to a team of Coders specializing in Cardiology and ...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    HIM Coder

    HIM Coder

    VirtualVocations • Olympia Heights, Florida, United States
    A tiempo completo
    A company is looking for a HIM Coder, Per Diem.Key Responsibilities Review medical records to assign appropriate diagnostic and procedural codes using coding systems such as ICD-10-CM, CPT, and H...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Inpatient Coder 1

    Inpatient Coder 1

    Public Health Trust of Dade Co • Miami, FL, United States
    A tiempo completo
    Miami, FL | Full-Time Health Information Management.HIM Inpatient Coder 1 is responsible for reviewing the clinical documentation contained in the in-patient health records to accurately assign and...Mostrar más
    Última actualización: hace 21 días • Oferta promocionada
    Coding Account Resolution Specialist-Inpatient

    Coding Account Resolution Specialist-Inpatient

    HCA • Miami, FL, United States
    A tiempo completo +2
    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 to 300 million...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Sr Reimbursement Medicare Analyst, REMOTE, FT, 08A-4 : 30P

    Sr Reimbursement Medicare Analyst, REMOTE, FT, 08A-4 : 30P

    Baptist Health • Miami, FL, US
    Teletrabajo
    A tiempo completo
    Analyst, Reimbursement Medicare.Reporting directly to the Director, AR Reimbursement and Statutory accounting, the Sr.Analyst, Reimbursement Medicare is responsible for providing accurate informati...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Regional Coding Operations Manager WFH

    Regional Coding Operations Manager WFH

    Nashville Staffing • Miami, FL, US
    Teletrabajo
    A tiempo completo +1
    Regional Coding Operations Manager Wfh.This position is incentive eligible.The Regional Coding Operations Manager (RCOM) is responsible for assisting in the development and evolution of the overall...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    South Carolina Licensed Coder III

    South Carolina Licensed Coder III

    VirtualVocations • Olympia Heights, Florida, United States
    A tiempo completo
    A company is looking for a Coder III-2.Key Responsibilities : Provide mentoring and support to new coders to facilitate their professional development and ensure consistency in coding practices D...Mostrar más
    Última actualización: hace 4 días • Oferta promocionada
    Certified Medical Coding Manager

    Certified Medical Coding Manager

    VirtualVocations • Olympia Heights, Florida, United States
    A tiempo completo
    A company is looking for a Medical Coding Manager to lead a remote coding team, ensuring accurate and compliant coding practices. Key Responsibilities Lead and support a remote team of medical cod...Mostrar más
    Última actualización: hace 2 días • Oferta promocionada
    Certified ProFee Coding Specialist

    Certified ProFee Coding Specialist

    VirtualVocations • Olympia Heights, Florida, United States
    A tiempo completo
    A company is looking for a Multispecialty Profee Coding Specialist to provide coding services for various specialties.Key Responsibilities Provide CPT, HCPCS, and ICD-10-CM coding for a minimum o...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Urgent Care Coding Specialist

    Urgent Care Coding Specialist

    VirtualVocations • Olympia Heights, Florida, United States
    A tiempo completo
    A company is looking for an Urgent Care Coding Quality and Education Specialist.Key Responsibilities Conduct audits of charges to validate coding accuracy and ensure compliance with regulatory an...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada