Enjoin

Permanent Clinical Coding Analyst (DRG/Clinical Validation) - Remote

United States

$135k/year
14 days ago
Save Job

Summary

Enjoin is an industry leader commited to providing comprehensive clinical documentation improvement solutions that are physician-led and quality-driven. We are seeking an experienced and detail-oriented Clinical Coding Analyst to join our team. If you possess in-depth knowledge of DRG coding and clinical guidelines, we invite you to contribute your expertise to our dynamic organization. As a Clinical Coding Analyst, you will play an important role, including the following responsibilites: Reviewing pre-bill inpatient chart specific to MS DRG assignment 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 Preparing and composing all recommendations, including increased reimbursement, decreased reimbursement, and “FYI” for each account and communicating that to the client You will be the ideal candidate for this role if you have: AHIMA coding credential of CCS, RHIT, RHIA, CDIP or ACDIS credential of CCDS Minimum of 7+ years of acute inpatient hospital coding, auditing, or CDI experience in a large tertiary trauma/teaching hospital Knowledge of ICD-10 CM/PCS Experience with electronic health records (i.e., Cerner, Meditech, Epic, etc.) Excellent oral and written communication skills Analytical ability, initiative, and resourcefulness Ability to work independently Excellent planning and organizational skills Why Enjoin? Be a valuable member of a dynamic team of physicians, CDI and coding professionals Career stability and professional growth opportunities Excellent salary and earning potential Monthly bonuses based on performance Full benefits (medical, vision, dental) 401(k) contribution of 3% Excellent PTO package plus 7 paid holidays Work 100% remote Flexible schedule Laptop and other necessary equipment provided Complimentary annual CEUs “White glove” onboarding/training Access to advanced educational coding tools / resources Employee Wellness and Discount programs Referral bonus program for coding and CDI experts Essential Functions: Clinical Coding Analysts are assigned to a specific client(s) and has the primary responsibility of daily pre-bill chart reviews and communication to the client(s) within a 24-hour time frame for each chart reviewed Provides daily client volumes to Manager no later than 7am EST Reviews the electronic health record to identify both revenue opportunities and potential coding compliance issues-based ICD-10-CM/PCS coding rules, AHA Coding Clinics, and clinical knowledge Provides verbal review on all cases with a potential MS DRG recommendation and/or physician query opportunities with the Enjoin Physician(s) via telephone call prior to submitting recommendations to the client Ensures that the daily work list is uploaded into the MS DRG Database for assigned client(s) and enter required data elements for each patient recommendation into MS DRG Database Prepares and composes all recommendations, including increased reimbursement, decreased reimbursement, and “FYI” for each account and communicates that to the 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 24 hours of receipt Responsible for review and appeal, if warranted, on Medicare and/or third-party denials on charts processed through the MS DRG Assurance program Responsible for reviewing inclusions and exclusions specific to 30 Day Readmissions and Mortality quality measures on specific cohorts for traditional Medicare payers for specific clients Schedule: This is a remote, full-time, 40 hour per week position. General hours of work are Monday through Friday during regular business hours. Enjoin is an equal opportunity employer and values diversity in its workforce. We encourage applications from all qualified candidates. For more 35 years, Enjoin has provided health systems with clinical documentation integrity (CDI) education, infrastructure and process development. A pioneer of CDI programs, Enjoin continues to be an industry leader and innovator. Led by nationally renowned physicians with a strong academic background in scientific-based medicine and years of clinical practice coupled with certified coding and clinical documentation credentials, our unique approach addresses today’s quality-driven initiatives uniting documentation and coding across the healthcare continuum. Job Type: Full-time Pay: $95,000.00 - $135,000.00 per year Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance Schedule: 8 hour shift Day shift Monday to Friday Experience: Inpatient (ICD-10CM/PCS) coding, auditing and/or CDI: 5 years (Required) clinical validation: 2 years (Required) License/Certification: CCS, RHIT, RHIA, CCDS and/or CDIP credential (Required) Work Location: Remote

How strong is your resume?

Upload your resume and get feedback from our expert to help land this job