Clinical Coding Analyst - CCA

Clinical Coding Analyst - CCA

Remote (All States EXCEPT CALIFORNIA)
Primary Skills - healthcare, coding practices
Secondary Skills - healthcare / medical

Job Description
Essential Job Duties and Responsibilities:
Perform daily pre-bill chart reviews for assigned client(s); communicate recommendations, questions, or rebuttals within 24 hours.
Review electronic health records to identify revenue opportunities and coding compliance issues using ICD-10-CM/PCS guidelines, AHA Coding Clinic, and clinical knowledge.
Conduct verbal reviews with physicians via phone for cases with potential MS-DRG changes or query opportunities before submitting recommendations.
Upload daily work list to MS-DRG Database and enter required data elements for each patient recommendation.
Prepare and send all recommendations (increased/decreased reimbursement or FYI) to client within 24 hours of record review.
Respond to client questions and rebuttals per internal protocol within 24 hours.
Review and appeal Medicare/third-party denials for charts in the MS-DRG Assurance program, as warranted.
Review inclusions/exclusions for 30-Day Readmissions and Mortality quality measures on specified Medicare cohorts for assigned clients.
Maintain active IT access and credentials at all assigned client sites.
Stay current on ICD-10-CM/PCS changes, AHA Coding Clinic, and Medicare regulations.
Utilize internal resources such as TruCode and CDocT.
Adhere to all company policies and procedures.
 
Requirements:
Required: AHIMA CCS, CDIP, or ACDIS CCDS credential (AHIMA ICD-10 CM/PCS Trainer preferred).
Preferred: Graduate of accredited Health Information Technology/Administration program with RHIT or RHIA credential.
Required: Minimum 7 years acute inpatient hospital coding, auditing, and/or CDI experience in large tertiary hospital.
Preferred: CDI program experience.
Required: Extensive ICD-10 CM/PCS knowledge.
Required: Experience with electronic health records (e.g., Cerner, Meditech, Epic).
Required: Remote work experience.
Required: Proficiency in Microsoft Office Word and Excel.

Why is This a Great Opportunity
This Clinical Coding Analyst role offers an outstanding opportunity for experienced professionals in healthcare coding and compliance. Here's why:
Remote Work Flexibility 
High Demand and Job Security 
Meaningful Impact on Healthcare Revenue and Compliance 
Professional Growth and Intellectual Challenge 
Competitive Fit for Qualified Candidates 

Schedule:
our schedule can be flexible based on your time zone and preferences. While our 
company generally operates between 8:00 AM and 5:00 PM EST/CST, you will schedule your 
two daily 20-minute Physician meetings anytime between 7:30 AM and 6:00 PM EST, allowing
you to align your workday within this window for optimal collaboration. If you need to adjust 
your schedule for appointments or personal commitments, you can coordinate with your 
manager to ensure all charts are completed within the required timeframe. Video Call (1 hour)