Inpatient Medical Coder
US Tech Solutions, Inc.
SC
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JOB DETAILS
SALARY
$36–$36 Per Hour
JOB TYPE
Temporary, Contractor, Full-time
SKILLS
Administrative Skills, Claims Processing, Code Reviews, Diagnosis-Related Group (DRG), Document Management, HIPAA (Health Insurance Portability and Accountability Act), Health Information Management, Healthcare, Legal, Medical Coding, Medical Records, Medical Treatment, Microsoft Office, Nursing, Nursing Credentials, Patient Care, Problem Solving Skills, Records Management, Registered Nurse (RN), Trend Analysis
LOCATION
SC
POSTED
1 day ago
Job Description:
Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business.
Responsibilities:
- Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department.
- Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates.
- Manages records retrieval, release, HIPAA compliance, and all aspects of document management.
- Serves as expert resource on methodology and procedures for medical records and coding issues.
Skills:
- Required Skills and Abilities: Registered Records Administrator or Technician, OR, active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR Certified Codi Skills and Abilities:
Required Software and Tools: Microsoft Office. Work Environment: Typical office environment.
Education:
- Required Education Level and Degree Type: Associate degree - Nursing or Health Information Management or Graduate of an Accredited School of Nursing
- Required Work Experience: 3 years medical record management to include coding and validation review experience.
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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