What are the responsibilities and job description for the Clinical Coding Analyst (Remote) position at iLocatum?
Not hiring out of CA, DC, MN, CO, HI, NJ, CT, IL, NV, DE, MA, or NY.
Job Summary: The Clinical Coding Analyst is responsible for pre-bill inpatient chart reviews
specific to MS DRG assignment. The analyst is responsible for identifying revenue opportunities
and compliance risks based on the Official ICD-10-CM/PCS Guidelines for Coding and Reporting,
AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge.
You’ll be a great fit for this role if you have:
24-hour time frame for each chart reviewed.
Clinics, and clinical knowledge.
submitting recommendations to the client.
DRG Database.
client within 24 hours of receiving and reviewing the electronic medical record.
specific clients.
client volumes to the Audit Manager by 7am EST for appropriate assignment. Our company
typically runs 8am-5pm EST/CST. You will schedule daily meetings with the Physician team and
will choose which times those meetings will occur. The Physician team is available between
7:30am-6pm EST, so ideally your work schedule will align within this timeframe.
Home Office Requirements:
health information (PHI).
Job Summary: The Clinical Coding Analyst is responsible for pre-bill inpatient chart reviews
specific to MS DRG assignment. The analyst is responsible for identifying revenue opportunities
and compliance risks based on the Official ICD-10-CM/PCS Guidelines for Coding and Reporting,
AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge.
You’ll be a great fit for this role if you have:
- AHIMA credential of CCS, CDIP or ACDIS credential of CCDS is required. AHIMA
- Graduate of an accredited Health Information Technology or Administration program
- Minimum of 7 years of acute inpatient hospital coding, auditing and/or CDI experience
- Experience with CDI (Clinical Documentation Improvement) programs preferred.
- Extensive knowledge of ICD-10 CM/PCS required.
- Experience with electronic health records (i.e., Cerner, Meditech, Epic, etc.) required.
- Experience working remotely required.
- Excellent oral and written communication skills required.
- Must demonstrate analytical ability, initiative, and resourcefulness.
- Ability to work independently required.
- Excellent planning and organizational skills required.
- Teamwork and flexibility required.
- Must be proficient in Microsoft Office Word and Excel programs.
- Clinical Coding Analysts are assigned to a specific client(s) and have the primary
24-hour time frame for each chart reviewed.
- Provides daily client volumes to Audit Manager no later than 7am EST.
- Reviews the electronic health record to identify both revenue opportunities and
Clinics, and clinical knowledge.
- Provide verbal review on all cases with a potential MS DRG recommendation and/or
submitting recommendations to the client.
- Ensures that the daily work list is uploaded into the MS DRG Database for assigned
DRG Database.
- Prepares and composes all recommendations, including increased reimbursement,
client within 24 hours of receiving and reviewing the electronic medical record.
- Follows internal protocol on all client questions and rebuttals on cases reviewed within
- Responsible for review and appeal, if warranted, on Medicare and/or third-party denials
- Responsible for reviewing inclusions and exclusions specific to 30 Day Readmissions and
specific clients.
- Maintains IT access at all client sites that have been assigned by ensuring that log on
- Maintain current knowledge of ICD-10-CM/PCS code changes, AHA Coding Clinic, and
- Utilizes internal resources, such as TruCode, I10 Wiki, and CDocT.
- Adhere to all company policies and procedures.
client volumes to the Audit Manager by 7am EST for appropriate assignment. Our company
typically runs 8am-5pm EST/CST. You will schedule daily meetings with the Physician team and
will choose which times those meetings will occur. The Physician team is available between
7:30am-6pm EST, so ideally your work schedule will align within this timeframe.
Home Office Requirements:
- Must have a High-speed internet connection and a dedicated secure workspace to ensure
health information (PHI).
- The Company will provide a laptop and access to necessary resources to perform job duties.
- Case Study Skills Assessment (PCS Coding and Clinical Validation)
- Audit Manager/Team Lead Meeting – Video Call (1 hour)
- Verbal Case Study Discussion – Video Call (1 hour)
Remote Orthopedic Coder
The Coding Network -
Phoenix, AZ
Bill Review Analyst and Certified Coding Specialist
Vālenz® Health -
Phoenix, AZ
Bill Review Analyst and Certified Coding Specialist
Valenz -
Phoenix, AZ
