Review Consultant Jobs
Apply Now - Remote Medical Coding Review Consultant
Overview
As a Remote Review Consultant, you will be responsible for performing inpatient and outpatient medical records compliance audits in accordance with current CMS, CPT, ICD-10 guidelines, as well as all state and federal regulations, while maintaining productivity and quality standards. You will also write concise recommendation worksheets with appropriate findings and references to clients during summation calls, write Executive Summaries and communicate with different levels within the organization. Finally, you will be expected to effectively utilize review databases (Intelicode, MD Audit, etc).
* This is a remote/work from home position *
Please be aware that this role is continuously open for hiring throughout the year. If you decide to apply, our recruiting team will review your information and get in touch with you if your background aligns with any current or future openings.
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
