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Remote Inpatient Coder- Hospital- Remote Location

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Job Details
Job Order Number
JC149893299
Company Name
Navigant Consulting Inc.
Physical Address

AUGUSTA, ME 04332
Job Description

With a unique blend of large firm resources and an entrepreneurial collaborative culture, Guidehouse is where your purpose, passion, and expertise transform organizations. Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges with a focus on markets and clients facing transformational change, technology-driven innovation and significant regulatory pressure. Across a range of advisory, consulting, outsourcing, and technology/analytics services, we help clients create scalable, innovative solutions that prepare them for future growth and success. Headquartered in Washington DC, the company has more than 7,000 professionals in more than 50 locations. If you’re passionately motivated to make a difference and deliver exceptional work, we invite you to learn more about your career opportunities at www.guidehouse.com

Interested in working with talented people to help develop innovative solutions to some of society’s most complex and challenging problems? We are Guidehouse, a leading consulting firm serving the public sector and commercial clients with specialized capabilities in strategy, technology, and risk management. You may not yet know our name, but we have a rich history. Guidehouse is a combination of PwC’s former public sector practice and Navigant’s deep expertise in energy, financial services and healthcare.

We offer an exciting, fast-paced environment that fosters intellectual growth and rewards individuals based on impact, not tenure. Our firm is at the forefront of an emerging model solving complex problems that stretch across government and private companies, affording our people the opportunity to be on the cutting edge of the consulting profession. By focusing on markets facing transformational change, technology-driven innovation, and significant regulatory pressure, our employees also develop and deploy world class knowledge and problem solving that leads to breakthrough solutions.

Our healthcare segment is comprised of consultants, former provider administrators, clinicians, and other experts with decades of strategy, operational/clinical consulting, managed care services, digital health, revenue cycle management, and outsourcing experience. Professionals collaborate with hospitals and health systems, physician enterprises, payers, government, and life sciences entities, providing performance improvement and business process management solutions that help them meet quality and financial goals. You will make an immediate impact from day one, working with a team to provide end-to-end solutions. We don’t simply put band-aids on our client’s issues, we are working side-by-side with them. Are up for the challenge?

Business Process Management unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

To review clinical documentation as appropriate to extract data and apply ICD-9-CM or ICD-10-CM/PCS diagnostic and procedural codes for billing, internal and external reporting, research and regulatory compliance. To code inpatient types (i.e. commercials, introduction and training for Medicare, deaths, rehabilitative medicine admissions/discharges and interim bills according to the ICD-9-CM and ICD-10-CM/PCS Official Guidelines for Coding and Reporting while ensuring the highest level of confidentiality, excellent service, accuracy and timeliness.

+ Reviews and evaluates clinical documentation to identify diagnosis, treatments operative procedures, therapies, etc. in the paper medical record, IMPACT, Horizon and other clinical applications; assigns and sequences ICD-9-CM or ICD-10-CM/PCS diagnostic and procedural codes in the Quantim encoder identifying the principal diagnosis, principal procedure, secondary procedures and complications and co-morbidities to obtain the appropriate MS-DRG for billing. Identifies surgeon for each procedure and enters correct data for same.

+ Performs concurrent coding for interim billing.

+ Refers the medical record for clinical review such as CDMP review, death review, HAC review, physician query review, broken accounts, excision debridement and/or other categories as requested by management.

+ Works incomplete accounts and notifies supervisor of any changes that are delaying the billing of the account.

+ Maintains current knowledge of coding and reimbursement guidelines and abides by the standards of ethical coding as defined by the American Health Information Management Association (AHIMA).

+ Maintains the highest degree of confidentiality of all information encountered including verbal, written and computerized. Reports to manager any failure by anyone to protect confidential information

+ Keyboarding proficiency.

+ Basic knowledge of MS Word and Excel.

+ Organizational skills.

+ Written and verbal communication skills.

+ Performs all other duties as assigned.

+ Associate’s Degree from an accredited Health Information Technology or School of Nursing program.

+ Two (2) years coding experience required or an equivalent combination of relevant education and/or experience.

+ Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA) OR currently licensed or licensed by endorsement as a Registered Nurse (RN) by the Alabama Board of Nursing and certified as a Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA) required.

+ Strong conceptual, as well as quantitative and qualitative analytical skills

+ Work as a member of a team as well as be a self-motivator with ability to work independently

+ Constantly operates a computer and other office equipment to coordinate work

+ Frequently travels by airplane, train or car as necessary to perform work at another location

+ Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

+ Generally works in an office environment

A dditional Requirements

+ This position requires successful completion of a background check and employment verification.

+ The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com . All information you provide will be kept confidential and will be us


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