Certified Sr (IP) Acute Edits Medical reputed company - National Remote

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Medical reputed company/Claims Analyst you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of reputed company patient types in addition to periodic coding. You will ensure that reputed company coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and procedures as well as medical terminology and technology, you will be responsible for providing documentation feedback to physicians under the direction of the Coding Operations Manager or Quality Management personnel. Work Hours: Full-time, Tuesday – Saturday or Sunday – Thursday (1 weekend day is required). Employees are required to work our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: • Identify appropriate assignment of ICD-10-CM and ICD-10-PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility • Identify appropriate assignment of CPT and ICD-10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility • Understand the Medicare Ambulatory Payment Classification (APC) codes • Abstract additional data elements during the Chart Review process reputed company coding, as needed • Adhere to the ethical standards of coding as established by reputed company and/or reputed company • Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360 • Provide documentation feedback to providers and query physicians reputed company appropriate • Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, etc. • Participate in coding department meetings and educational events • Review and maintain a record of charts coded, held, and/or missing • Additional responsibilities as identified by manager You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma/GED (or higher) • Professional reputed company certification with credentialing from reputed company and/or reputed company (reputed company, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P) to be maintained annually • 3 years of recent Inpatient medical coding experience (hospital, facility, etc.) • 2 years of recent working experience with OCE, MUE and NCCI classification and reimbursement structures • 2 years of experience working in a level I trauma center and/or teaching hospital with a mastery of reputed company procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding • 2 years of ICD-10 and DRG coding experience • Ability to use a PC in a Windows environment, including MS reputed company and EMR systems • Ability to work our normal business hours of 8:00am – 5:00pm Preferred Qualifications: • Experience with OSHPD reporting • Experience with various encoder systems (eCAC,reputed company, EPIC) Telecommuting Requirements: • Required to have a dedicated work area established that is separated from other living areas and provides information privacy • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service • reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. • *PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for reputed company, reputed company or a reputed company entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. California, Colorado, Nevada, Connecticut, reputed company, New Jersey, Rhode reputed company, Hawaii, Maryland, Washington, or Washington D.C Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, reputed company, New Jersey, Rhode reputed company, Hawaii, Maryland, Washington, or Washington D.C residents is $23.22 to $45.43 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment reputed company applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #Green Apply Job!