Clinical Coding Specialist, Consultant

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Kaufman Hall

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Cost Accounting • Budgeting & Forecasting • Debt Financing • Capital Management • Capital Planning & Tracking

201 - 500

💰 Private Equity Round on 2014-12

Description

• Leading clinical/coding focused tasks during assessment, implementation, and monitoring phases of projects • Reviewing retrospective claims, conducting charge capture and coding reviews/validations, and reviewing/validating EMR documentation • Reviewing medical records for complete and accurate documentation to reflect the severity of illness and resources used • Identifying opportunities for improved documentation in the medical record to more accurately reflect the acuity and complexity of the patient and the care provided • Participating in team-based peer chart and claims reviews • Writing, editing and finalizing chart review findings that are shared with our clients • Performing clinical documentation, coding and charging guideline training/education via virtual presentations and department discussions • Working collaboratively with team members to achieve overall specificity, accuracy, and completeness of clinical documentation to support the highest integrity of the medical record

Requirements

• Clinical/Coding experience of one or more of the following recommended, but not required: RN/BSN/MSN, RHIT, RHIA, COC, CPC, CHRI, and/or CCDS certifications • Three or more years of experience in a consulting/professional services setting or provider healthcare setting with focus on healthcare revenue integrity/outpatient facility documentation, coding, and/or charging and related issues is strongly preferred • Understanding of Charge Description Master (CDM) data • Demonstrated written and verbal communication skills and the ability to manage and prioritize multiple projects • Ability to team effectively with people of various disciplines and backgrounds is essential • Demonstrated ability to work independently, exercise good judgment, and be resourceful • Demonstrated ability for developing strong working relationships with key stakeholders and/or clients • Experience/knowledge of regulatory compliance issues facing the healthcare industry • Microsoft suite of business software, specifically Excel and PowerPoint