PLEASE NOTE:

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  It is a remote position.
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  Schedule: Full-time.
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  Must have their own equipment to work from.
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  Must have reliable internet and a secure work environment.
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  Must be based in EST or CST hours (cannot recruit from Hawaii, Alaska, or California).
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  Interviews could be web ex or teams.
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  Temp hire.
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  Coversheet is required when submitting candidates.

JOB SUMMARY:

Accurately audits hospital Inpatient, Ambulatory Surgery,
Observation, and any other outpatient encounter visit for the purpose of
appropriate reimbursement, research and compliance with federal and state
regulations according established ICD-10-CM/PCS coding and/or CPT-4 procedure
coding classification systems.

KEY RESPONSIBILITY 1:

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  Serves as a clinical coding subject matter expert, and
  utilizes critical thinking analyze and evaluate documentation issues with
  consultation from the medical and clinical staff, and clinical documentation
  specialists as needed.
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  Audits ICD-10 diagnostic codes and CPT-4 procedure codes outpatient,
  ambulatory surgery, and observation visits for the purpose of reimbursement,
  research and compliance with federal and state regulations.
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  Audits complex inpatient cases such as trauma, rehab,
  neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS
  nomenclature ensure accurate APR-DRG/SOI/ROM and POA assignment.

KEY RESPONSIBILITY 2:

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  Serves in an advisory and educator role for Coding
  Specialists. Serves as communicator between Clinical Documentation Specialists
  and Coding. Researches new surgical procedures and technology. Provides
  training to new employees
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  Reports coding quality accuracy rate for each coder
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  Monitors productivity rate for each coder
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  Conducts specialized focused audits as needed.

Key Responsibility
3:

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  Communicates with various departments within the hospitals
  regarding coding accuracy. Refers any problems to management timely, providing
  clear details.
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  Assist coding specialists in writing appropriate coding queries,
  works collaboratively with CDI, understand Potentially Preventable
  Complications (PPC’s)/Maryland Hospital Acquired Conditions (MHAC’s), Prevention
  Quality Indicators (PQI’s) and their impact and other indicators as needed.

KEY RESPONSIBILITY 4:

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  Complies with AHIMA standards of ethical coding and coding
  compliance guidelines.

KEY RESPONSIBILITY 5:

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  Demonstrates support and compliance with University of
  Maryland Medical System mission, vision, values statement, goals and objectives
  and policies. Performs other duties or projects such as coding corrections as
  assigned by the manager.

Requirements

JOB
REQUIREMENTS:

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  High School graduate or equivalent. Formal ICD-10-CM,
  ICD-10-PCS, CPT-4 training.
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  Associates or Bachelor’s degree. Education will be
  considered in lieu of experience.
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  Minimum of two years ICD-10-CM/ICD-10-PCS coding and
  abstracting experience with at a Level 1 Trauma hospital or 4 years of
  experience with coding inpatient hospital medical records. 2-3 Years Ambulatory
  coding experience.
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  One of the following: Certified Coding Specialist (CCS),
  Registered Health Information Technician (RHIT), Registered Health Information
  Administrator (RHIA), Certified Inpatient Coder (CIC)