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Review Consultant

Health Information Associates

This is a remote/work from home position.

The role involves performing compliance audits of inpatient and outpatient medical records following all coding guidelines. The consultant writes and presents concise recommendation worksheets with findings and coding references to coders during education exit meetings. Responsibilities include writing executive summaries and communicating effectively with various administrative levels within the hospital.

Key responsibilities:

  • Review assigned medical records to ensure accuracy of codes according to ICD-10 CM/PCS and CPT coding conventions.
  • Validate admission orders, admission/discharge dates, point of origin, patient status, present on admission indicators, and coder queries.
  • Utilize software applications, groupers, 3M and other coding tools for code analysis, sequencing, and edits.
  • Generate preliminary and final statistical and coder-specific reports.
  • Complete client rebuttals and update databases accordingly.
  • Prepare and conduct exit conferences using Teams with administration and coding staff.
  • Summarize exit conferences and collaborate with the HIM Director post-meeting.
Requirements & Qualifications
  • High School Diploma.
  • RHIA, RHIT, or CCS credential required.
  • Minimum 5 years of inpatient and outpatient coding experience in an acute care facility.
  • Proficient in ICD-10-CM/PCS coding.
  • Skilled in computer research for coding questions and familiar with HIA’s internal educational resources.
  • Experience using Electronic Health Records (EHR).
  • Reliable high-speed internet via cable (no satellite or wireless mobile).
  • Capable of independent, focused remote work.
  • Strong organizational, communication, and critical thinking skills.

Location

South Carolina, US

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

Yes

Posted

1 month ago

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