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Inpatient Coding Specialist

2 months ago

Fort Lauderdale, Florida, United States The CSI Companies Full time
Vendor Resource Inpatient Coding Lead

CSI Companies is seeking a skilled professional to fill the role of Vendor Resource Inpatient Coding Lead. As a key member of our team, you will be responsible for maintaining high coding standards within the department.

Key Responsibilities:
  • Perform quality reviews of inpatient and/or outpatient records as needed, including concurrent coding, and validate physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level II Codes, and facility E/M levels and injection/infusion procedure codes assigned by vendor coders.
  • Validate the accuracy of codes assigned by the Computer Assisted Coding (CAC) tool and assist in monitoring coders' CAC adoption behavior.
  • Monitor and assist vendors in the monthly random, focus, prebill review, and Ad Hoc quality review process.
  • Submit and review coding appeals as necessary.
  • Monitor and maintain communication logs between the HSCs and the coding vendors, including mailbox escalations, CIMRR logs, and VRM vendor error logs.
What We Offer:
  • Excellent benefits package, including health, dental, vision, LTD, STD, life, and 401(k) with company match.
  • Competitive PTO and paid holidays.
  • Tuition assistance, weight watchers, employee assistance programs, and more.
  • A great business culture and numerous opportunities for career advancement.
Requirements:
  • Associate degree or undergraduate degree in HIM/HIT preferred.
  • Any of the following certifications are acceptable: CCS, RHIA, or RHIT.
  • Minimum of 6 years of inpatient and/or outpatient coding experience.
  • Extensive knowledge in DRG audits, specialty audits, vendor management is a must.
  • Proficiency in Excel spreadsheets and pivot tables.
  • Management/Supervisory experience in a healthcare-related field is required.
Compensation Range:

$30.00-$41.69 based on experience.