REMOTE Inpatient Coder (CCS/RHIA/RHIT)

Location: Irving, TX
Date Posted: 02-01-2019
CareNational
Remote Coder (CCS/RHIA/RHIT) – Health System
Irving, TX (Greater Dallas - Ft. Worth area)
 
*** This is a Full-Time, Benefits Available, CONTRACT assignment, expected to last 6 months or longer! ***

Coder Job Summary:
 
  • Reviews and analyzes medical information from medical records against billed procedures to apply accurate coding of diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements.
  • Accurately assigns correct principal and secondary codes, primarily Hierarchical Condition Category (HCC) codes, and abstracts pertinent information from patient’s records to ensure codes are assigned.
  • Audit vendors to ensure accurate HCC codes are captured; provide feedback / corrections as needed.
  • Performs a detailed review of the inpatient medical record to verify you have coded each line with the appropriate diagnosis, procedure, and revenue code and that the ICD-9 / ICD-10 diagnosis and procedure codes were coded and sequenced correctly to achieve the appropriate MS-DRG, AP-DRG, or APR-DRG.
  • Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts.
  • Makes corrections as needed to ensure accurate billing and reimbursement processing; if needed, provides written justification for use by client organizations to adjust claims.
  • Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes.
  • Maintains and helps to disseminate up-to-date technical knowledge of legal / regulatory information, including all ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates and changes.
  • For all assigned records assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.
  • Process 2+ inpatient charts per hour on average.

 
Coder Background:
  • Requires Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) .
  • 5+ years of a variety of coding and auditing experience.
  • 3+ years of Hierarchical Condition Category (HCC) coding experience.
  • Possess medical knowledge, skills and abilities to identify non-compliance in areas of coding practices and medical record documentation.
  • Advanced knowledge of ICD-9-CM, ICD-10-CM, CPT coding, medical terminology and regulatory requirements are required.
  • Able to work independently with a high degree of attention to detail and reliable decision-making abilities.
  • Computer skills necessary to provide accurate medical record reviews and any corresponding documentation of results through remote access. Experience with an encoder preferred.
  • Experience with One Content Electronic Medical Record, 3M Encoder, and Optum Encoder CAC preferred.
  • Ability to maintain at least a 95% accuracy rate.

#ADMIN
 
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KEVIN SLAFKOSKY
DIVISION VICE PRESIDENT
CareNational
kevin@carenational.com
410.885.4745 (CALL – TEXT – FAX)

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