Job Description

Summary: 

Our award-winning client is seeking a Clinical Coding Analyst (CCA) to join their team.Our client
is seeking a highly skilled and experienced Clinical Coding Analyst (CCA) to join our remote team. You will be responsible for reviewing inpatient charts pre-bill, identifying revenue opportunities and potential coding compliance risks. This role is ideal for a detail-oriented individual with a strong understanding of ICD-10-CM/PCS guidelines and a passion for accurate healthcare coding.

Responsibilities: 

• Conduct daily pre-bill chart reviews for assigned clients and communicate findings within 24 hours.
• Analyze electronic health records to identify revenue opportunities and coding compliance issues based on coding guidelines, clinical knowledge, and industry best practices.
• Collaborate with physicians to clarify documentation and ensure accurate MS-DRG assignments.
• Maintain accurate and complete records in the MS-DRG database.
• Prepare and communicate recommendations to clients regarding potential reimbursement increases, decreases, or informational updates.
• Respond to client inquiries and address rebills within 24 hours.
• Maintain up-to-date knowledge of coding regulations and industry standards.

Required Qualifications: 

• AHIMA-certified CCS, CDIP, or ACDIS-certified CCDS required.
• Minimum of 7-10 years of experience in acute inpatient hospital coding and/or auditing (large tertiary hospital preferred).
• In-depth knowledge of ICD-10-CM/PCS coding and strong analytical skills.
• Experience with electronic health records (e.g., Cerner, Meditech, Epic) and remote work required.
• Excellent communication, organizational, and time management skills.
• Proficiency in Microsoft Office Suite.

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