This role focuses on optimizing hospital reimbursement by auditing and monitoring inpatient and outpatient records, and investigating unbilled cases. The primary tasks include coding and abstracting diagnostic and procedural information from physician documentation in medical records.
Auditing and Coding: Utilize the 3M Audit Expert program to accurately assign ICD-10 diagnostic and procedural codes based on medical record documentation. Use computerized encoding systems to review and investigate coded data for both inpatient and outpatient cases. Ensure proper sequencing of diagnoses and procedures in compliance with ICD-10 Uniform Hospital Discharge Data Set (UHDDS) for Medicare, Medicaid, and other requirements.
Quality Assurance: Conduct routine audits of coding, abstracting, and DRG assignment, providing detailed feedback to coding staff on quality scores. Assist in the development and growth of apprentice coders.
Data Review and Projects: Perform detailed reviews and special projects as assigned by management, including coding reviews for external departments such as quality management and Clinical Documentation Improvement (CDI).
Documentation and Reporting: Review medical records to assign ICD-10-CM, ICD-10-PCS, and CPT4 codes, abstract data for billing and reporting, and assign DRG, APC, and APG codes as appropriate.
Monitoring and Investigation: Monitor inpatient and outpatient records, investigate unbilled cases, and address concerns regarding poor quality with management.
Collaboration and Training: Work closely with the Medical Coding Trainer to assist in developing educational topics and communicate trends or concerns about coding quality.
Confidentiality and Compliance: Maintain patient confidentiality and adhere to HIPAA policies. Ensure a secure remote work environment away from household traffic.
Experience: Seven years of experience in coding ICD-10-CM/PCS and CPT codes, or five years with an HIM-related Associate's degree or higher. At least one year of leadership, supervisory, or auditing experience providing quality feedback to staff. Experience with 3M 360 and EPIC preferred. Proficient in using an encoder and expert in reading medical records to assign appropriate codes.
Education: High school diploma or equivalent required. Associate's degree or higher in an HIM-related field preferred. Candidates currently enrolled in an HIM college degree program may be considered.
Certifications: Certified Coding Specialist (CCS) required. Registered Health Information Administrator (RHIA) and/or Registered Health Information Technician (RHIT) preferred. Must maintain continuing education credits per AHIMA, AMA, and/or AAP.
$21.42 - $35.31 per hour, based on experience, qualifications, shift, and location.
Pay Grade: H10
Compensation may vary depending on factors including overall experience, qualifications, and specific job requirements.
Andra Pradesh :
Anantapur | Bhimavaram | Chittoor | Guntur | Gurgaon | Mangalagiri | Tirupathi | Visakhapatnam |Assam :
Dibrugarh | Diburghar | Guwahati |Bihar :
Hajipur | Patna |Chhattisgarh :
Bilaspur | Raipur |Delhi :
Delhi | India | New Delhi | PAN-India |Goa :
Goa | Panaji |Gujarat :
Ahmedabad | Baroda | Gandhinagar | Mehsana | Tarasadi | Vadodara | Vapi |Haryana :
Ambala | Hisar | Kurukshetra | Panchkula | Rohtak |Himachal Pradesh :
Solan |Jharkhand :
Ranchi |Karnataka :
B.G Nagara | Bangalore | Belgaum | Bengaluru | Mangaluru | Mysore | Udupi |Kerala :
Kannur | Kochi | Malappuram | Thiruvananthapuram |Madhya Pradesh :
Dewas | Gwalior | Indore |Maharashtra :
Ambernath | Amravati | Aurangabad | Jalgaon | Kolhapur | Mumbai | Nagpur | Navi Mumbai | Pune | Pune city | Shirpur | Tarapur | Thane |PAN-India :
Panjab :
Punjab :
Bathinda | Bela | Chandigarh | Moga | Mohali | Patiala | Phagwara | Rajpura |Rajasthan :
Banasthali | Jaipur | Pilani | Udaipur |Tamil Nadu :
Annamalainagar | Chennai | Coimbatore | Erode | Madurai | Nagercoil | Ooty | Srivilliputtur | Tiruchirappalli | Trichy |Uttar Pradesh :
Gajraula | Gautam buddha Nagar | Ghaziabad | Greater Noida | Jhansi | Lucknow | Mathura | Noida | Park City | Prayagraj | Varanasi |Uttarakhand :
Dehradun | Nainital | Rishikesh |West Bengal :
Kolkata | Mukundapur |Arizona :
Chandler | Tempe | Tucson |California :
Brisbane | Davis | Emeryville | Foster City | Fremont | Irvine | La Jolla | Los Angeles | Mountain View | Nevada | Pasadena | Pleasanton | Riverside | Sacramento | San Bernardino | San Diego | San Francisco | San Gabriel | Santa Clara | Santa Monica | Simi Valley | Stanford | West Valley City |Colorado :
Denver |Connecticut :
Storrs |D.C :
Washington |Florida :
Coral Gables | Gainesville | Jacksonville | Orlando | Rueil-Malmaison | Tallahassee | West Palm Beach |Georgia :
Atlanta |Hawaii :
Honolulu |Illinois :
Abbott Park | Champaign | Chicago | Deerfield | Lombard | Naperville |Indiana :
Bloomington | West Lafayette |Kansas :
Lawrence |Maryland :
Baltimore | Rockville |Massachusetts :
Boston | Cambridge | Medford and Somerville | Rockland |Minnesota :
Minneapolis and St. Paul, Minnesota. |Missouri :
Fulton | St. Louis |New Jersey :
Basking Ridge | Bloomfield | Branchburg Township | Bridgewater | Brunswick | Burlington | Charlotte | Clark | Cranbury | East Brunswick | Edison | Fairfield | Far Hills | Flemington | Hackensack | Indianapolis | Linden | Livingston | Lyndhurst | Mahwah | Monmouth Junction | Mount Arlington | New Brunswick | Newark | Nutley | Paramus | Parsippany | Passaic | Paterson | Peapack-Gladstone | Pine Brook | Piscataway Township | Plainsboro | Princeton Junction | Rahway | Raritan | Somerset | Somerville | South Plainfield | Sparta | Summit | Titusville | Trenton | Warren Grove | West Orange | Westfield | Wharton | Whippany |New York :
Biddle | Buffalo | Ithaca | Morningside Heights | New York | Syracuse |North Caroline :
Chapel Hills | Durham | Morrisville | Raleigh | Scottsdale |Ohio :
Columbus, |Pennsylvania :
Ambler | Philadelphia | Pittsburgh |Puerto Rico :
San Juan |Republic of Mexico :
Mexico |Tennessee :
Nashville |Texas :
Austin | Dallas | Houston | Richardson |Virginia :
Blacksburg | Charlottesville | Falls Church |Washington :
Pullman | Seattle |WI :
Madison | Wausau |Wisconsin :
Baden-Wurttemberg :
Freiburg | Grenzach | Heidelberg | Karlsruhe | Konstanz | Stuttgart | Tubingen |Bavaria :
Bayreuth | Erlangen | Munich | Regensburg | Wurzburg |Berlin :
Mitte |Brandenburg :
Berlin |Hesse :
Marburg |Hessen :
Frankfurt |Lower Saxony :
Gottingen | Hannover | Leipzig |Mecklenburg Vorpommern :
Rostock |Munich :
Bavaria |North Rhine Westphalia :
Aachen | Bielefeld | Bochum | Bonn | Cologne | Dortmund | Duisburg | Dusseldorf | Munster |Rhineland Palatinate :
Mainz |Rotherbaum :
Hamburg |Saarland :
Saarbrucken |Saxony Anhalt :
Halle |Schleswig Holstein :
Kiel |New South Wales :
Sydney |Queensland :
Queensland |Republic of Western Australia :
Nedlands |Republic of China :
Beijing |Tokiyo :
Osaka | Tokyo |Republic of Colombia :
Bogota |Zagreb :
Zagreb |Republic of Egypt :
Cairo |United Kingdom :
Salt Lake City | London |Republic of Ireland :
Limerick | Dublin |Republic of Korea :
Seoul |Capital of Netherland :
Amsterdam |Remote :
Remote - Europe | Switzerland | Remote | Remote, USA |Makkah :
Khulais | Najran | Jeddah | Rabigh | Riyadh |Catalonia :
Barcelona |Republic of Thailand :
Bangkok |