Talent.com
Clinical Coding Analyst (Remote)
Clinical Coding Analyst (Remote)Kyler Professional Search • Miami, FL
Clinical Coding Analyst (Remote)

Clinical Coding Analyst (Remote)

Kyler Professional Search • Miami, FL
12 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 • Miami, FL

    Similar jobs
    Clinical Coding Analyst (Remote)

    Clinical Coding Analyst (Remote)

    Butler Recruitment Group LLC • Miami, Florida, United States
    Remote
    Full-time
    Quick Apply
    Essential Job Duties and Responsibilities : .Clinical Coding Analysts are assigned to a specific client(s) and have the primary . Reviews the electronic health record to identify both revenue opp...Show more
    Last updated: 9 days ago
    Travel Cath Lab Tech - $2,848 per week in Miami, FL

    Travel Cath Lab Tech - $2,848 per week in Miami, FL

    AlliedTravelCareers • Miami, FL, US
    Full-time
    AlliedTravelCareers is working with Coast Medical Service to find a qualified Cath Lab Tech in Miami, Florida, 33133!.Coast Medical Service is a nationwide travel nursing & allied healthcare st...Show more
    Last updated: 1 day ago • Promoted
    SERVICENOW ANALYST

    SERVICENOW ANALYST

    Healthcare Systems of America • Miami, FL, US
    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: 30+ days ago • Promoted
    Senior Statistical Programmer - Remote (US)

    Senior Statistical Programmer - Remote (US)

    MMS • Miami, FL, US
    Remote
    Full-time
    Are you looking to join a company where your contributions truly matter, and where you'll be part of a supportive, innovative team? MMS is a award-winning, data-focused clinical resea...Show more
    Last updated: 12 days ago • Promoted
    Clinical Resource Director - Healthcare

    Clinical Resource Director - Healthcare

    HCA Florida Kendall Hospital • Miami, FL, US
    Full-time +1
    This position is incentive eligible.Do you want to join an organization that invests in you as a Clinical Resource Director? At HCA Florida Kendall Hospital, you come first.HCA Healthcare has commi...Show more
    Last updated: 18 hours ago • Promoted • New!
    Lead Clinical Research Coordinator

    Lead Clinical Research Coordinator

    Medix • Miami, FL, US
    Permanent
    Lead Clinical Research Coordinator Opportunity in Miami, FL (33155).The Clinical Research Coordinator plays an integral role in supporting the day-to-day operations of clinical trials at the invest...Show more
    Last updated: 3 days ago • Promoted
    Configuration Analyst

    Configuration Analyst

    Independent Living Systems • Miami, FL, US
    Full-time
    We are seeking a Care Manager to join our team at Independent Living Systems (ILS).ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committe...Show more
    Last updated: 5 days ago • Promoted
    Clinical Coding Analyst (Remote)

    Clinical Coding Analyst (Remote)

    Butler Recruitment Group • Miami, FL, US
    Remote
    Full-time
    Essential Job Duties and Responsibilities : .Clinical Coding Analysts are assigned to a specific client(s) and have the primary. Reviews the electronic health record to identify both revenue opportuni...Show more
    Last updated: 7 days ago • Promoted
    Travel Cath Lab Tech - $2,493 per week in Miami, FL

    Travel Cath Lab Tech - $2,493 per week in Miami, FL

    AlliedTravelCareers • Miami, FL, US
    Full-time
    Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Cath Lab Tech clinician for an exciting new travel job in Miami, FL 33133. This rewarding travel job operates ...Show more
    Last updated: 1 day ago • Promoted
    Travel CT Tech - $2,107 per week in Miami, FL

    Travel CT Tech - $2,107 per week in Miami, FL

    AlliedTravelCareers • Miami, FL, US
    Full-time
    Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced CT Tech clinician for an exciting new travel job in Miami, FL 33175. This rewarding travel job operates on 5 s...Show more
    Last updated: 1 day ago • Promoted
    Survey Taker : Earn up to $25 per survey (Remote)

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

    Earn Haus • Princeton, FL, 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: 8 days ago • Promoted
    Ambulatory Surgical Center Coder

    Ambulatory Surgical Center Coder

    Addison Group • Doral, FL, US
    Full-time
    Candidate Must come onsite one week for training in Doral, FL.Our Client is seeking an experienced.Monday–Friday, 8 : 00 AM–5 : 00 PM EST. Flexibility for appointments as needed.Professional...Show more
    Last updated: 3 days ago • Promoted
    Travel Cath Lab Tech - $2,548 per week in Miami, FL

    Travel Cath Lab Tech - $2,548 per week in Miami, FL

    AlliedTravelCareers • Miami, FL, US
    Full-time
    Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Cath Lab clinician for an exciting new travel job in Miami, FL 33180. This rewarding travel job operates on 4 ...Show more
    Last updated: 1 day ago • Promoted
    Licensed Mental Health Counselor - Remote

    Licensed Mental Health Counselor - Remote

    BetterHelp • Miami, FL, US
    Remote
    Full-time
    Private practice with no doors and no overhead.BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not adm...Show more
    Last updated: 30+ days ago • Promoted
    Clinical Value Analysis Director

    Clinical Value Analysis Director

    HCA Florida Kendall Hospital • Miami, FL, US
    Full-time +1
    This position is incentive eligible.Do you want to join an organization that invests in you as a Clinical Resource Director? At HCA Florida Kendall Hospital, you come first.HCA Healthcare has commi...Show more
    Last updated: 18 hours ago • Promoted • New!
    Clinical Resource Director

    Clinical Resource Director

    HCA Florida Kendall Hospital • Miami, FL, US
    Full-time +1
    This position is incentive eligible.Do you want to join an organization that invests in you as a Clinical Resource Director? At HCA Florida Kendall Hospital, you come first.HCA Healthcare has commi...Show more
    Last updated: 18 hours ago • Promoted • New!
    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

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

    Data Annotation • Miami, Florida
    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 • Goulds, FL, 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: 8 days ago • Promoted