Clinical Coding Analyst

This job is posted on behalf of Twenty80 LLC by Top Echelon.

Clinical Coding Analyst
Fully Remote (United States)
Direct Hire, $100,000 to $110,000

Our client is hiring a Clinical Coding Analyst to perform daily pre-bill chart reviews for an assigned client health system. This is a fully remote role with a flexible schedule set around your time zone.

What you will do

• Complete daily pre-bill chart reviews and return recommendations, questions, and rebuttals to the client within 24 hours of reviewing each chart.
• Review the EHR to identify revenue opportunities and coding compliance issues using ICD-10-CM/PCS, AHA Coding Clinics, and clinical knowledge.
• Discuss cases carrying a potential MS-DRG recommendation or physician query opportunity with the physician by phone before the recommendation goes to the client.
• Upload the daily work list into the MS-DRG database and record the required data elements for each patient recommendation.
• Prepare recommendations covering increased reimbursement, decreased reimbursement, and FYI findings.
• Review and, where warranted, appeal Medicare and third party denials on charts processed through the MS-DRG Assurance program.
• Review inclusions and exclusions for 30 day readmission and mortality quality measures on traditional Medicare cohorts.
• Maintain current knowledge of ICD-10-CM/PCS code changes, AHA Coding Clinic guidance, and Medicare regulations.

What you need

• An active AHIMA CCS, CDIP, or ACDIS CCDS credential. This one is required.
• Four or more years of inpatient coding or inpatient CDI experience.
• Extensive ICD-10-CM/PCS knowledge.
• EHR experience (Cerner, Meditech, Epic, or similar).
• Prior experience working fully remote.
• Strong written and verbal communication, and the ability to work independently against a 24 hour turnaround.

Nice to have

• AHIMA Approved ICD-10-CM/PCS Trainer.
• Graduate of an accredited Health Information Technology or Health Information Administration program, with an RHIT or RHIA credential.
• Clinical Documentation Improvement program experience.
• Experience in a Level 1 or Level 2 trauma center, or a major university affiliated health system.

Schedule and process

our client generally operates 8:00 AM to 5:00 PM ET and CT, and your hours are flexible around your own time zone. The role includes two 20 minute physician meetings each day, scheduled between 7:30 AM and 6:00 PM ET. The interview process includes a one hour video call.

Twenty80 Talent is recruiting for this role on behalf of our client.