Top 992 Remote coder Jobs

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DRG Revenue Integrity Auditor - Full Time

CorroHealth -
Remote

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Job Details

Full-time
$90,000 - $115,000 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Microsoft Word
Teamwork
Microsoft Outlook
Inpatient
CMS
CMS regulatory compliance
Quality assurance audits
Health insurance knowledge
Medicare regulations
Medical management
Centers for Medicare & Medicaid Services (CMS) billing regulations
Clinical documentation improvement
Quality audits
Training & development
Clinical documentation standards

Full Job Description

At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable for achieving goals.

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

Location: Remote within US only

Job Summary:

The Inpatient Auditing Specialist performs Diagnostic Related Group (DRG) validation and quality audits on Inpatient. The Coding Quality Expert will perform the chart reviews in collaboration with and alongside fellow team members consisting of Physician Reviewer. This team is referred to as The Tower.

Job Description:

The Tower will utilize International Classification of Diseases and Physicians Current Procedural Terminology to ensure accurate coding. They will support CorroHealth in denial reviews, In Patient, CDI, Pro Fee, and Milliman Care and InterQual guidelines.

Responsible for validating proper sequencing and accuracy of ICD-10-CM/PCS codes, POA assignments, and other coding factors.
Usage of most current Clinical Criteria, MCG, InterQual, payers’ Clinical Policy Bulletins, CMS Guidelines, NCDs and/or LCDs
Maintaining compliance in turnaround time requirements as mandated by the TAT Standards of the facility and/or CorroHealth standards
Support CorroHealth in developing accurate training materials
Provide training within the tower to team members and to new hires
Assist CorroHealth with project data analysis, reporting, and feedback internally and externally to CorroHealth clients
Maintain professional etiquette within The Tower
Works directly with clients, CDI Specialist, MD Physician Reviewers and CorroHealth Leadership
Ensures all PHI is appropriately stored and delivered to authorized individuals
Meets or exceeds production and quality metrics
Attend all mandatory meetings and trainings
All other position related duties as delegated by management

Experience/Skills/Certification Requirements:

Must have a CCS, credential, from AHIMA
RNs must have a CCDS certification from ACDIS or CDIP certification from AHIMA
Knowledge of CMS, State Regulations, ICD-10-CM/PCS, CPT, and Coding Clinic Guidelines
Experience in computer skills, Word, Excel, Outlook, experience working in a health plan medical management documentation system a plus.
CDI experience, inpatient coding experience, inpatient facility coding,
3-5 years minimum, DRG Validation Auditing experience
Need to be a strong Inpatient FAC coder and have experience with DRG coding and audits

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The list below is representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job Type: Full-time

Pay: $90,000.00 - $115,000.00 per year

Benefits:

401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

License/Certification:

CCS (Required)
CCDS or CDIP (Preferred)

Work Location: Remote

Quick Apply

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