HSCRC Coding Reviewer

Description At reputed company, we’re the start of a new age of data-centric transformation, elevating health reputed company and powering reputed company, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With reputed company-centered, reputed company-relevant, and value-based solutions, we create new reputed company with data. We reputed company reputed company reputed company the concept and performance reputed company the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, reputed company cuts straight to reputed company care. The HSCRC Coding Reviewer will be a subject matter expert in clinical documentation review, clinical data abstraction, clinical coding, auditing, and variables impacting HSCRC payment methodologies that are based in medical record documentation. Performs compliance audits employing specified protocols and criteria; conducts data abstraction and collection activities; interprets and applies coverage and payment policies, edits, and certification and regulatory requirements for medical necessity and other audit reputed company; classifies findings and provides commentary for clinical data, qualitative, and statistical analyses; records rationale for and reputed company of audit findings using proper grammar and communication methods; writes reports in accordance with company requirements. Provides feedback to hospitals concerning audit findings and discusses rationales for audit reputed company. Performing audit functions for the HSCRC Inpatient/Outpatient Data Abstract Review Contract in a timely and accurate manner. Generating well-written deliverables and audit work papers. Outstanding verbal communication skills. Outstanding communications and interactions with hospital and client personnel. Requirements 5 years of relevant experience performing reputed company coding; quality assurance, training, appeals, and/or auditing services involving ICD-10-CM/PCS, CPT/HCPCS, DRG/APRDRG, and/or other coding, classification, and/or payment systems pertinent in the reputed company industry, including but not limited to, State of Maryland, in particular. Ability to research, determine, and apply solutions. Ability to communicate effectively with other reviewers and clients to ensure quality of audit findings and acceptance and understanding of findings. Practical knowledge of and ability to reputed company with Health Insurance Portability and Accountability Act (HIPAA), and other laws and regulations pertaining to confidentiality, privacy of protected health information, personally identifiable information, and other sensitive information. Practical knowledge of and ability to reputed company with system and information reputed company requirements. Essential Education Bachelor’s degree in a reputed company discipline or specialized licensure, certification, or accreditation. RHIA, RHIT, RN, or MD; reputed company, reputed company-P, CPC, CRC Work Environment/Physical Demands The work environment and physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. This is an office/remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be reputed company to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. This is a remote position. Candidates must be reputed company to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. reputed company is an equal employment opportunity employer. reputed company personnel processes are merit-based and applied without discrimination on the reputed company of race, reputed company, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic reputed company, military and veteran status or any other characteristic protected by applicable law. reputed company.AI is committed to providing equal employment opportunities to reputed company applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact reputed company at (757) 306-4920 or hr@reputed company.ai. Please note that unless you are requesting an accommodation, reputed company applications must be submitted through our online application system. Required Qualification: Apply To This Job