HiACode Verified
Software Development, IT Services, Cloud Computing
Review Consultant
RemoteRemoteFull TimePosted 1 month ago
Required skills
- ICD-10 CM/PCS
- CPT
- RHIA
- RHIT
- CCS
- EHR
- 3M
- coding guidelines
- medical records
- compliance audits
Nice to have
- inpatient coding
- outpatient coding
- acute care facility
- HIA's internal educational resources
Role summary
This remote position involves performing compliance audits of inpatient and outpatient medical records according to coding guidelines. The consultant will write recommendation worksheets and executive summaries, communicating findings to various administrative levels within hospitals. Responsibilities include reviewing records for accurate coding (ICD-10 CM/PCS, CPT), validating documentation, utilizing coding tools like 3M, running reports, completing rebuttals, and conducting exit conferences. A High School Diploma with RHIA, RHIT, or CCS credential and a minimum of 5 years of inpatient and outpatient coding experience in an acute care facility are required.
* This is a remote/work from home position *
Overview
Performs compliance audits of Inpatient and Outpatient medical records in accordance with all coding guidelines. Writes and presents concise recommendation worksheets with appropriate findings and coding references to coders during education exits. Writes Executive Summaries and must communicate with different administrative levels within the hospital.
Responsibilities
Overview
Performs compliance audits of Inpatient and Outpatient medical records in accordance with all coding guidelines. Writes and presents concise recommendation worksheets with appropriate findings and coding references to coders during education exits. Writes Executive Summaries and must communicate with different administrative levels within the hospital.
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
- High School Diploma with RHIA, RHIT, or CCS credential
- Minimum 5 years inpatient and outpatient coding experience in an acute care facility.
- I-10-CM/PCS proficient
- Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources
- Experience using Electronic Health Record (EHR)
- High Speed Internet via Cable (no Satellite or wireless cell based)
- Independent, focused individual able to work remotely.
- Sound organizational, communication and critical thinking skills
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