Wallman Unlimited Company ยท 1 day ago
Clinical Coding Analyst
United States
Full-time
Remote
Senior Level
7+ years expWallman Unlimited Company is seeking a Clinical Coding Analyst to enhance healthcare coding and compliance. The role involves conducting chart reviews, ensuring coding accuracy, and communicating recommendations to clients to improve revenue opportunities.
Staffing & Recruiting
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
Qualification
Required
AHIMA CCS, CDIP, or ACDIS CCDS credential (AHIMA ICD-10 CM/PCS Trainer preferred)
Minimum 7 years acute inpatient hospital coding, auditing, and/or CDI experience in large tertiary hospital
Extensive ICD-10 CM/PCS knowledge
Experience with electronic health records (e.g., Cerner, Meditech, Epic)
Remote work experience
Excellent oral and written communication skills
Strong analytical ability, initiative, and resourcefulness
Ability to work independently
Excellent planning and organizational skills
Teamwork and flexibility
Proficiency in Microsoft Office Word and Excel
Preferred
Graduate of accredited Health Information Technology/Administration program with RHIT or RHIA credential
CDI program experience
Benefits
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
Company
Wallman Unlimited Company
๐ช๐๐๐ง ๐ช๐ ๐๐ข: Wallman Unlimited Company - A dedicated customer service oriented recruiting firm that engages with clients, managers, and candidates through a wide spectrum of positions and industries.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase