GENERAL RESPONSIBILITIES Responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. This position is on onsite role with potential opportunity for some remote work after successful completion of training/introductory period.
DUTIES Validate and verify submitted codes for DRG validation.
Apply national coding standards and regulations to the claims and clinical data.
Provide subject matter input and support agency-wide projects.
Other duties as assigned.
SCHEDULE Monday-Friday 8am-5:30pm (40 hours a week)
LOCATION remote (can sit anywhere in the US but must be able to work EST hours)
PAY $30-36/hr
DURATION long term open ended contract (includes benefits, sick time, 401k, weekly pay)
QUALIFICATIONS Excellent interpersonal and communication (written and verbal) skills with the ability to successfully communicate and interact with all internal and external parties.
The ability to relate effectively with medical, technical, analytical and administrative personnel.
The ability to work independently, as well as in a team environment.
Proficient in the use of standard EHR applications, office technology and Microsoft applications including Word, Excel, and PowerPoint.
Ability to handle sensitive and confidential information.
Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required.
Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required.
Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing.
EDUCATION & EXPERIENCE Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required.
Bachelor’s Degree in healthcare administration or Health Information Management preferred (Associate's degree at minimum)
Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required.
Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing.
Experience in utilization reviews preferred.
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