Clinical Coding Specialist

2 days ago


Miami, Florida, United States ITech Consulting Partners Full time
About the Role

We are seeking a skilled Clinical Coding Specialist to join our team at ITech Consulting Partners. This is an exciting opportunity for a detail-oriented individual with expertise in ICD-10 CM/PCS coding rules, AHA Coding Clinics, and clinical knowledge.

As a Clinical Coding Specialist, you will be responsible for pre-bill chart reviews, identifying revenue opportunities, and ensuring compliance with Medicare regulations.

Responsibilities
  1. Clinical Coding Specialists will be assigned to specific clients and have primary responsibility for daily pre-bill chart reviews and communication within a 24-hour time frame.
  2. Provide daily client volumes to the Audit Manager by 7am EST.
  3. Reviews electronic health records to identify both revenue opportunities and potential coding compliance issues based on ICD-10-CM/PCS coding rules, AHA Coding Clinics, and clinical knowledge.
  4. Verbal review of all cases with a potential MS DRG recommendation and/or physician query opportunities with Company Physician(s) via telephone call prior to submitting recommendations to the client.
  5. Ensures that the daily work list is uploaded into the MS DRG Database for assigned client(s) and enters required data elements for each patient recommendation into MS DRG Database.
Requirements
  • AHIMA credential of CCS, CDIP or ACDIS credential of CCDS is required.
  • 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 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.
Compensation

The estimated salary range for this role is $60,000 - $90,000 per year, depending on experience and qualifications.

This compensation package includes a competitive base salary and opportunities for professional growth and development.



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