Clinical Coding Specialist
This role is fully remote within the USFull-TimeMiddle
Salary75,000 - 105,000 USD per year
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Job Details
- Experience
- 5+ years
Requirements
- 5+ years of recent experience in performing inpatient coding and/or auditing
- Strong expertise in ICD-10 classification system
- Active RHIA, RHIT, and/or CCS credential(s)
- Experience reviewing complex medical records and applying coding conventions and guidelines accurately
- Familiarity with DRG and inpatient reimbursement methodologies
- Strong attention to detail and ability to identify subtle coding inaccuracies
- Experience with coding audits, QA, or validation workflows
- Strong written communication for documenting rationale and feedback
Responsibilities
- Review and analyze medical records to ensure coding accuracy in a timely fashion
- Identify opportunities for improvement in coding models
- Understand and apply coding guidelines to assign appropriate codes to diagnoses and procedures as supported by clinical documentation
- Participate in ongoing training and professional development to stay current on documentation and coding guidelines
- Contribute to process improvement efforts to enhance coding practices and support efficient and effective healthcare delivery
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