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Review Consultant at USPI

Pawleys Island, South Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Jun, 26

Salary

0.0

Posted On

12 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Compliance Audits, Inpatient Coding, Outpatient Coding, ICD-10 CM/PCS, CPT Coding, Data Analysis, Reporting, Client Rebuttals, Microsoft Teams, Communication, Critical Thinking, Organizational Skills, EHR Experience, Coding Guidelines

Industry

Description

* This is a remote/work from home position * Overview Performs compliance audits of Inpatient and Outpatient medical records in accordance with all coding guidelines. Writes and presents concise recommendation worksheets with appropriate findings and coding references to coders during education exits. Writes Executive Summaries and must communicate with different administrative levels within the hospital. Responsibilities * Reviews records assigned to ensure all codes reported are accurate to ICD-10 CM/PCS and/or CPT coding conventions * Reviews additional chart documentation to validate admission order, admission and discharge dates, point of origin, patient status, present on admission indicator, and coder queries to ensure accuracy * Uses various software applications, groupers, 3M and other coding tools to analyze and ensure appropriate codes, sequencing and edits * Runs preliminary and final statistical and coder specific reports * Completes client rebuttals and makes appropriate changes in database * Prepares for Exit Conference using Teams * Conducts Exit Conference with Administration * Conducts Exit Conference with Coding Staff * Prepares summation of Exit Conference * Meets with HIM Director following Exit Qualifications * High School Diploma with RHIA, RHIT, or CCS credential * Minimum 5 years inpatient and outpatient coding experience in an acute care facility. * I-10-CM/PCS proficient * Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources * Experience using Electronic Health Record (EHR) * High Speed Internet via Cable (no Satellite or wireless cell based) * Independent, focused individual able to work remotely. * Sound organizational, communication and critical thinking skills

Responsibilities

The consultant performs compliance audits of medical records against coding guidelines, writing concise recommendations and presenting findings to coders during education exits. Responsibilities also include reviewing documentation for accuracy, utilizing various coding software, running reports, and conducting exit conferences with administration and coding staff.