Pay Range: $19/hr-$21/hr

About the Role

• This is a remote position requiring residence in one of fifteen preferred states.
• The role operates Monday to Friday from 8:00 AM to 4:30 PM. The position specifically seeks candidates with facility inpatient coding experience.
• The role requires dual monitors and a docking station.

Responsibilities

• Perform chart reviews and provide physician education while maintaining comprehensive knowledge of coding rules and regulations.
• Offer coding expertise and administrative oversight to ensure successful integration of company initiatives.
• Conduct ongoing chart reviews and abstract diagnosis codes.
• Understand current billing practices in provider offices to ensure accurate submission of diagnosis and CPT codes.
• Coordinate with Clinical Informatics to address system errors and suggest process improvements.
• Document results from chart reviews and provide feedback to management, providers, and office staff.
• Create educational materials and newsletters to assist providers in accurate coding practices. 
• Train and educate providers on risk adjustment knowledge and coding updates related to Risk Adjustment.
• Monitor provider progress to ensure compliance with CMS (Centers for Medicare and Medicaid Services) guidelines.
• Build positive relationships with providers by offering coding assistance as needed.
• Handle administrative duties such as planning, scheduling chart reviews, obtaining medical records, and provider training.
• Collaborate with cross-functional teams on projects like risk adjustment application implementation and report development.
• Assist in coordinating management activities with other departments, including Finance, Revenue Analytics, Claims and Encounters, and Medical Directors.
• Support CMS Data Validation activities, including record selection, tracking, and submission. 
• Maintain professional and technical knowledge through workshops, publications, and professional societies.
• Contribute to team efforts by accomplishing related results as needed.
• Perform other duties as assigned.

Education Qualification

• Associate's degree or equivalent combination of education and experience.

Required Skills

• More than 2 years of experience in a healthcare setting.
• More than 2 years of experience in coding and medical record chart review.
• Proficiency with MS Excel.
• Active and unrestricted Coding Certification (CIC, CPC, CCS, RHIT, or RHIA).

The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, paid time off, paid sick and safe time, hours of paid vacation time, weeks of paid parental leave, and paid holidays annually – as applicable.