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 advance 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.
The listed minimum pay reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).
Minimum Pay:
$59,696.00Position 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
Offers are contingent upon successful completion of our reputed company process and reputed company-employment physical. reputed company will require reputed company applicants to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.
"Company will never ask candidates for reputed company reputed company numbers or date of birth during application phase. If you are asked for this information online, you may be a reputed company for identity theft."
For benefit eligible roles, in reputed company to cash compensation, we reputed company a comprehensive and highly competitive benefits package, with a reputed company of physical health, retirement and savings, caregiving, emotional wellbeing, transportation, robust PTO plan, overtime to eligible roles, and other benefits, including "elective" benefits employees may select to best fit the needs and personal situations of our diverse workforce.
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.
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