Revenue Cycle Coding Edit Specialist

As our Revenue Cycle Coding Edit Specialist you will be a vital contributor to our revenue integrity and financial health. Youll focus on the critical task of inpatient record abstraction and precise medical coding directly impacting data retrieval analytics reimbursement accuracy and healthcare research. This remote opportunity is ideal for a dedicated professional eager to apply their expertise in HIM operations navigating complex coding scenarios to optimize our revenue cycle management.

Every day you will assign diagnostic and procedure codes using a designated coding and abstracting system and industry-standard encoder software. Youll meticulously review and abstract information from inpatient records demonstrating adept navigation across various Electronic Medical Records (EMRs) from multiple facilities. A significant part of your role will involve identifying and resolving potential coding edits and discrepancies to ensure claim accuracy and compliance consistently meeting stringent quality and productivity coding standards.

To be successful in this role you will possess established intermediate-level coding experience with a strong emphasis on inpatient coding guidelines and revenue cycle best practices. You must be a highly organized self-starter with exceptional problem-solving skills and the ability to work autonomously in a remote setting. Proficiency with various technical applications and EMR systems sharp attention to detail and a commitment to data quality are paramount for excelling in this critical financial coding and compliance-focused position.

• Accurately assigns codes from the current ICD classification systems for inpatient accounts creates MS-DRG/APR-DRG assignments while adhering to coding guidelines regulations and compliance plan
• Abstract additional data elements as identified by enterprise such as administrative codes
• Review medical documentation and health information within various electronic medical or health systems to address coding claim edits and other requests from other departments such as Patient Financial Services in a timely manner ensuring DNFC KPI metrics are met
• Must be able to code all service lines of inpatient and outpatient accounts
• Ability to communicate effectively stay organized and demonstrate effective time management skills
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA

• High School Diploma or GED
• Must hold one (1) of the following certifications: CCS RHIT or RHIA
• Inpatient Coding Expertise: Two plus (2) years of recent inpatient medical coding experience in a hospital or large multi-facility setting
• Complex Case Experience: Proven ability to code complex conditions and procedures ideally in a Level I/II trauma center or teaching hospital (e.g. cardiovascular neurosurgery orthopedics NICU)
• Remote Work Proficiency: Demonstrated experience working effectively in a remote environment
• Technical Acumen: Proficient with various encoder (e.g. Optum eCAC Solventum) and EMR systems (e.g. Epic Cerner Meditech)

Preferred

• Associates degree in HIM/HIT
• Clinical Documentation Improvement Professional (CDIP) certification
• Four to six (4-6) years recent inpatient medical coding experience (hospital large multi-facility organization etc.)
• Bachelors degree or Bachelors degree in HIM or related field