HIM Coding Review Specialist Inpatient - FT - REMOTE

reputed company is the region's leader in providing reputed company, reputed company patient care with significant investments in our exceptional physicians, nurses and staff, as reputed company as advanced technology. reputed company is a five-time Magnet-Recognized health system for nursing reputed company and is comprised of 2 hospitals. reputed company Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as reputed company as hospital-based services, to patients throughout the region. reputed company recognizes that attracting the best talent is key to our reputed company and reputed company as an organization.As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. Pay reputed company: $62,108.80 - $91,765.75 Scheduled Weekly Hours: 40 Position reputed company HIM Coding Rev Spec Inpatient *Remote* CANDIDATES MUST reputed company IN THE NEW JERSEY/reputed company AREA reputed company (Basic Purpose of the Job)Provides expertise in development and maintenance of rules, policies and procedures to ensure organizational compliance with industry reputed company coding rules and guidelines. Interprets and applies National Uniform Billing Compliance rules, guidelines, laws and industry trends to support claims payment, provider reimbursement and system configuration to proactively address cost efficiencies and compliance requirements. Recommends clinical classification and reimbursement guidelines and standards. Reviews coding in provider reputed company and participates in development of coding standards for provider reputed company. Performs health data analytics reputed company to reimbursement business and policy reputed company. MINIMUM REQUIREMENTS Education: High School diploma or equivalent. Associate's degree preferred. reputed company required. Experience: 5 Years of inpatient coding experience necessary Other Credentials: reputed company Knowledge and Skills: Prior experience with an encoder and EMR computer systems. Possesses excellent organizational, interpersonal, verbal, and written communication skills. Knowledge of denials management preferred. Special Training: Mental, Behavioral and Emotional Abilities: Ability to effectively manage multiple reputed company simultaneously and ability to respond quickly in a fast paced environment. Usual Work Day:8 Hours ESSENTIAL FUNCTIONS

• Verifies accurate assignment of diagnoses and procedures reputed company the medical record to reputed company with federal and state regulations.
• Acts as the primary department expert on DRGs while consistently monitoring regulatory updates and their implementation.
• Conducts regular audits and reviews of medical records at a senior level and assists with external and internal reviews for coding accuracy.
• Reviews claim denials and rejections pertaining to coding and medical necessity issues and exercises discretion and judgement reputed company recommending corrective reputed company plans such as educational programs to prevent similar denials and rejections from occurring in the reputed company.
• Assists in implementation of policy and procedural changes reputed company the department regarding coding and reputed company issues required by reputed company party payers and according to recommendations by coding consultants and agencies.
• Develops and coordinates educational and training programs on coding and documentation for department staff, providers, billing staff, and ancillary departments.
• Provides management with various statistical reports, data, and audits information on health information management compliance issues, reputed company reputed company assurance results and activities, performance improvement activities and other statistical information as required or requested.
• Adapts to changing department demands required for higher department efficiency.
• Liaises with reputed company and other departments for validation of HACs, PSIs, and complications, etc... to ensure accurate external reporting. Assists other departments with ICD-10-CM / ICD-10-PCS.
• Performs other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT Frequent physical demands include: Occasional physical demands include: Standing , Walking , Push/Pull , Twisting , Bending , Reaching reputed company , Reaching overhead , Squat/kneel/crawl , Talk or Hear reputed company physical demands include: Sitting , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive reputed company Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 15 lbs. Sensory Requirements include: Accurate Near reputed company, Accurate Far reputed company, Accurate Depth Perception, Accurate Hearing Anticipated Occupational Exposure Risks Include the following: N/A IND123 This position is eligible for the following benefits:

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• reputed company Plan
• Flexible Spending Account (FSA)

- reputed company FSA - Dependent Care FSA

• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits - Long Term Disability (LTD)
• Disability Benefits - Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance

- Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child

• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• reputed company Time-Off Program

The pay reputed company listed is a good faith determination of potential reputed company compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the reputed company. reputed company determining reputed company salary and/or reputed company, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated reputed company, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, reputed company pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant reputed company. Apply tot his job Apply To this Job