Review patient medical records to extract pertinent case details, prepare defensible appeal letters, and analyze coding opportunities that may affect financial outcomes. The role requires strong knowledge of ICD-9/ICD-10-CM, ICD-10-PCS, CPT, HCPCS, encoder use, coding clinic guidance, and evidence-based medical literature. The analyst also educates clients on correct coding and compliance, participates in Administrative Law Judge tele-hearings, and completes cases within established timeframes while maintaining high-quality work.
This position allows telecommuting from anywhere within the U.S.
Required Qualifications
- High school diploma or GED
- One of the following certifications: CCS, CCS-P, CPC-H, CPC, RHIT, RHIA, CDIP, or CCDS
- 3+ years of inpatient hospital coding experience
- 3+ years of experience with DRG methodology
- 3+ years of outpatient coding experience
- 2+ years of Medicare/Medicaid experience
- Mastery of AHA Coding Clinic for ICD-9-CM and ICD-10
- Intermediate computer proficiency and strong typing skills of at least 45 WPM
Preferred Qualifications
- Associate's or bachelor's degree
- Unrestricted RN license in state of residence
- 3+ years of experience in ED, telemetry, or CCU
- Auditing experience
- Experience with Microsoft applications, internet navigation, and utilization
- Prior experience presenting before an Administrative Law Judge
Additional Expectations
- Strong verbal and written communication skills
- Ability to work independently, prioritize tasks, and follow instructions
- Collaborative team mindset
- Compliance with HIPAA and company policies
Comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution subject to eligibility requirements.
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
3 weeks ago