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Inpatient Coding Specialist
2 months ago
Dahl Consulting is currently partnering with a health care network consisting of numerous hospitals, clinics, and several specialty care centers throughout Central Minnesota. They are looking to add a coding specialist to their team.
Job Title: Inpatient Coding Specialist
Location: fully remote | candidates must reside in one of the approved states listed below*
Pay: $23.93-$35.90 per hour depending on experience
Top Ask:
- Inpatient hospital coding experience
*Approved states: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Iowa, Louisiana, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, West Virginia, Wisconsin, Wyoming
What you'll do:
- Analyzing and auditing clinical documentation while applying knowledge of relationship of disease management, medications and ancillary test results to:
◦ ensure it meets requirements for assignment of and conversion to accurate ICD-CM/PCS, MS DRG and APR-DRG assignment
◦ assign present on admission indicator (POA) for all diagnoses to ensure appropriate reimbursement from Medicare's pay-for performance system
◦ reconcile charges following applicable charge correction policies and procedures
◦ allow for abstraction of pertinent information and validate that it accurately reflects the care provided
- Analyzes inpatient clinical presentation and diagnostic data to identify cases where additional physician documentation is needed to more accurately reflect the patient’s clinical picture and severity of illness.
- As necessary, initiate physician queries based on manifestation, underlying pathology, severity, instigating and precipitating cause, and complications of each condition that has the potential for being a diagnosis.
- Knowledge of UHDDS (Uniform Hospital Discharge Data Set) billing requirements to allow for appropriate facility reimbursement by accurate assignment of admission point of origin and discharge disposition.
- Thorough knowledge of Revenue Cycle Operations and monitoring DNFB (discharged not final billed) and AR (accounts receivable) days in addition to following up on missing, incorrect or incomplete information to support claims submission.
- Maintains up-to-date knowledge on requirements set forth by:
◦ the Centers for Medicare and Medicaid Services (CMS)
◦ the American Hospital Association (AHA) Official Coding Guidelines
◦ American Health Information Management Association or American Academy of Professional Coders coding ethics
◦ Provider/Payer Bulletins/transmittals/requirements
◦ National Center of Health Statistics (Coding Clinic)
◦ American Medical Association's (AMA) Current Procedural Terminology (CPT)
◦ hospital specific coding guidelines
- Acknowledge, investigate, resolve and adhere to payer edits/policies/timely filing limits, to include but not limited to the CMS 3-day rule, to assure that compliant diagnosis/procedure codes are assigned on inpatient accounts to allow for maximized reimbursement.
- Acts as liaison and coding expert to physicians, ancillary departments, administration, and other relevant staff members by answering questions or providing support and/or education as issues arise.
- Participates in initiatives and activities related to data integrity, Quality of Care/Evidence-based care indicators or billing processes associated with the healthcare system.
- Collaborate with the Clinical Documentation Integrity team to ensure clinical validation of documentation.
- Actively engages in identifying ideas for system changes and/or edits that will improve coding workflow to allow for efficient and timely submission of claims.
- Demonstrates proficient use of specialized software integral to completion of coding.
- Demonstrates ability to meet or exceed departmental quality expectations of 95% and productivity standards.
- Abides by the standards of ethical coding and adheres to official coding guidelines.
What you'll bring to the role:
- 1+ years experience in a medical office.
- Experience in ICD CM/PCS.
- Previous experience working with EPIC
- Registered Health Information Technician (RHIT) current certification with AHIMA.
- Certified Coding Specialist (CCS) current certification with AHIMA or AAPC.
- Registered Health Information Administrator (RHIA) current certification with AHIMA
- Certified Coding Associate (CCA) current certification with AHIMA
Seniority Level
Mid-Senior level
Industry
- Hospitals and Health Care
Employment Type
Full-time
Job Functions
- Administrative
- Other
Skills
- ICD
Our clients know they can depend on our efforts, as we hold their priorities in high regard. We genuinely care about each and every relationship and promise to work with the utmost of respect, integrity and high energy, as we continually strive to build long-term relationships.Company DescriptionOur promise is simple. DAHL has proven year after year that we are flexible, consistent and easy to work with, which is why our clients and consultants have stayed with us, and we've continued to grow throughout the years.\r
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Our clients know they can depend on our efforts, as we hold their priorities in high regard. We genuinely care about each and every relationship and promise to work with the utmost of respect, integrity and high energy, as we continually strive to build long-term relationships.
