Remote Medical Coder - Hospital Inpatient

Job Family:

General Coding

Travel Required:

None

Clearance Required:

Ability to Obtain NACI

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 eight hours of request.
• Codes current or pending placed in their queue within 24 hours.
• Notifies administrative staff in the event they cannot meet the twenty-four hour turn around standard.
• Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.
• Communicates problems or coding principle discrepancies to their supervisor immediately.
• Clocks in and out of ADP during work shift and enters billing hours into NavCentral People Soft to ensure all employee hours are correct and ensure the correct task codes have been used.
• Works closely with client IT departments and Guidehouse IT to resolve system issues.
• Reviews and updates Client Portal, and using the information contained on the Portal as a daily tool to correctly code and abstract for each facility.
• Maintains a working knowledge of all Coding Clinic Guidelines.
• Completes CE education provided by Guidehouse and turns in certificates timely.
• Maintains HIPAA compliant work stations (reference HIPAA work station policy).
• Maintains patient privacy always (reference company handbook policy).

What You Will Need:

• 3 years previous work experience coding hospital acute care Inpatient records.

• CCS, RHIT or RHIA Certification from AHIMA

• Must have experience working in any of the following systems: EPIC, Cerner, Next Gen, Allscripts or any other EHR.

• Knowledge of Anatomy, Physiology and Medical Terminology.

• Experience with Coding clinics ICD-10-CM and PCS.

• Experience with Government and other Payer guidelines as they relate to compliant coding.

• Willingness to maintain professional credentials at all times.

• High School diploma or equivalent

• Must be a US Citizen and willing to undergo a federal background check as part of the onboarding process

What Would Be Nice To Have:

• Experience with trauma, strokes, cardiac, cancer, general and vascular surgery

• Federal or Military medical coding experience The annual salary range for this position is $57,000.00-$85,400.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.