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Health Information Associates (HIA) · 7 hours ago

Review Consultant

United States

Full-time

Remote

Senior Level

5+ years exp

Health Information Associates (HIA) is a company that specializes in healthcare compliance. They are seeking a Review Consultant to perform compliance audits of inpatient and outpatient medical records, ensuring accuracy in coding and effective communication with hospital administration and coding staff.

Health CareMedicalPredictive Analytics

Responsibilities

Reviews records assigned to ensure all codes reported are accurate to ICD-10 CM/PCS and/or CPT coding conventions

Reviews additional chart documentation to validate admission order, admission and discharge dates, point of origin, patient status, present on admission indicator, and coder queries to ensure accuracy

Uses various software applications, groupers, 3M and other coding tools to analyze and ensure appropriate codes, sequencing and edits

Runs preliminary and final statistical and coder specific reports

Completes client rebuttals and makes appropriate changes in database

Prepares for Exit Conference using Teams

Conducts Exit Conference with Administration

Conducts Exit Conference with Coding Staff

Prepares summation of Exit Conference

Meets with HIM Director following Exit