Remote Medical Coder – Hospital Inpatient

Job Family:

Travel Required:

Clearance Required:

What You Will Do:
 

The Remote Medical Coder – Hospital Inpatient will apply appropriate state ICD-10 and PCS procedure codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. You will review clinical documentation and comprehensive review of chart documentation as appropriate to extract data and apply appropriate ICD-10 and PCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets. This position is 100% full time remote.

• Maintains a working knowledge of ICD-10 PCS coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
• Assures that all services documented in the patient’s chart are coded with appropriate ICD-10/PCS codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.
• Achieves and maintains 95% accuracy in coding while maintaining a high level of productivity.
• Maintains average productivity standards as follows: 2 IP charts per hour (These productivity standards are Guidehouse general expectations and are subject to change based upon Guidehouse client agreements and/or other factors as determined by management. Notification of expected productivity will be conveyed by Management prior to assignment of a client project).
• Follows facility specific policies and procedures.
• Works pending queues daily.
• Works GuideAudit review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility.
• Queries physicians whenever there is conflicting, ambiguous, or incomplete information in the medical record regarding any significant reportable condition or procedure.
• Follows facility query policy and CDI reconciliation process.
• Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process
• Reports downtime immediately to the administrative staff to ensure turnaround is met.
• Works directly with the IQC staff to ensure quality standards are being met for each facility.
• Provides accurate answers to physician’s/hospitals coding and/or billing questions within …