Summary:
Our award-winning client is seeking a Clinical Coding Analyst (CCA) to join their team.Our client
is seeking a highly skilled and experienced Clinical Coding Analyst (CCA) to join our remote team. You will be responsible for reviewing inpatient charts pre-bill, identifying revenue opportunities and potential coding compliance risks. This role is ideal for a detail-oriented individual with a strong understanding of ICD-10-CM/PCS guidelines and a passion for accurate healthcare coding.
Responsibilities:
- Conduct daily pre-bill chart reviews for assigned clients and communicate findings within 24 hours.
- Analyze electronic health records to identify revenue opportunities and coding compliance issues based on coding guidelines, clinical knowledge, and industry best practices.
- Collaborate with physicians to clarify documentation and ensure accurate MS-DRG assignments.
- Maintain accurate and complete records in the MS-DRG database.
- Prepare and communicate recommendations to clients regarding potential reimbursement increases, decreases, or informational updates.
- Respond to client inquiries and address rebills within 24 hours.
- Maintain up-to-date knowledge of coding regulations and industry standards.
Required Qualifications:
- AHIMA-certified CCS, CDIP, or ACDIS-certified CCDS required.
- Minimum of 7-10 years of experience in acute inpatient hospital coding and/or auditing (large tertiary hospital preferred).
- In-depth knowledge of ICD-10-CM/PCS coding and strong analytical skills.
- Experience with electronic health records (e.g., Cerner, Meditech, Epic) and remote work required.
- Excellent communication, organizational, and time management skills.
- Proficiency in Microsoft Office Suite.
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